title: Implementing for Sustainability: Promoting Use of a Measurement Feedback System for Innovation and Quality Improvement.
abstract: Measurement feedback systems (MFSs) are increasingly recognized as evidence-based treatments for improving mental health outcomes, in addition to being a useful administrative tool for service planning and reporting. Promising research findings have driven practice administrators and policymakers to emphasize the incorporation of outcomes monitoring into electronic health systems. To promote MFS integrity and protect against potentially negative outcomes, it is vital that adoption and implementation be guided by scientifically rigorous yet practical principles. In this point of view, the authors discuss and provide examples of three user-centered and theory-based principles: emphasizing integration with clinical values and workflow, promoting administrative leadership with the 'golden thread' of data-informed decision-making, and facilitating sustainability by encouraging innovation. In our experience, enacting these principles serves to promote sustainable implementation of MFSs in the community while also allowing innovation to occur, which can inform improvements to guide future MFS research.
authors.affiliation: Vanderbilt University, 230 Appleton Place #552, Hobbs 211B, Nashville, TN, 37203, USA. susan.douglas@vanderbilt.edu.
authors.forename: Susan
authors.initials: S
authors.lastname: Douglas
authors.affiliation: Astor Services for Children & Families, Bronx, NY, USA.
authors.forename: Suzanne
authors.initials: S
authors.lastname: Button
authors.affiliation: Providence Services Corporation, Bowdoinham, ME, USA.
authors.forename: Susan E
authors.initials: SE
authors.lastname: Casey
mesh_terms: D000066491:Clinical Decision-Making; D003657:Decision Making; D005246:Feedback; D006801:Humans; D008605:Mental Health Services / Q000458:organization & administration / Q000592:standards; D009936:Organizational Innovation; D017063:Outcome Assessment, Health Care / Q000379:methods* / Q000458:organization & administration; D015397:Program Evaluation; D058996:Quality Improvement; D057188:Workflow
keywords: Implementation; Innovation; Measurement feedback system; Quality improvement; Sustainability