title: Measuring Performance in Psychiatry: A Call to Action.
abstract: Many recent public and private strategies aimed at improving the quality and efficiency of the U.S. health care system focus on measuring, reporting on, and providing incentives for improving quality. In behavioral health care, despite recent efforts, quality measurement for even the more common conditions is less well developed than for comparable general medical conditions. The absence of a comprehensive set of well-accepted measures capable of demonstrating the value of behavioral health treatment makes building a case for devoting resources to treatment more difficult. This Open Forum reviews the current state of behavioral health quality measurement, describes the criteria relevant to assessing measures, and provides a case for encouraging the development, collection, and routine use of functional outcome measures in behavioral health care.
authors: Dr. Glied is with the Wagner School of Public Service, New York University, New York City (e-mail: sherry.glied@nyu.edu ). Dr. Stein is with the Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania. Dr. McGuire is with the Department of Health Care Policy, Harvard Medical School, Boston. Dr. Beale is with the Institute of Medicine, Washington, D.C. Dr. Duffy and Ms. Shugarman are with the American Psychiatric Institute for Research and Education, Arlington, Virginia. Dr. Goldman, who is editor of Psychiatric Services, is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore.
authors: Sherry A
authors: SA
authors: Glied
authors: Dr. Glied is with the Wagner School of Public Service, New York University, New York City (e-mail: sherry.glied@nyu.edu ). Dr. Stein is with the Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania. Dr. McGuire is with the Department of Health Care Policy, Harvard Medical School, Boston. Dr. Beale is with the Institute of Medicine, Washington, D.C. Dr. Duffy and Ms. Shugarman are with the American Psychiatric Institute for Research and Education, Arlington, Virginia. Dr. Goldman, who is editor of Psychiatric Services, is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore.
authors: Bradley D
authors: BD
authors: Stein
authors: Dr. Glied is with the Wagner School of Public Service, New York University, New York City (e-mail: sherry.glied@nyu.edu ). Dr. Stein is with the Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania. Dr. McGuire is with the Department of Health Care Policy, Harvard Medical School, Boston. Dr. Beale is with the Institute of Medicine, Washington, D.C. Dr. Duffy and Ms. Shugarman are with the American Psychiatric Institute for Research and Education, Arlington, Virginia. Dr. Goldman, who is editor of Psychiatric Services, is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore.
authors: Thomas G
authors: TG
authors: McGuire
authors: Dr. Glied is with the Wagner School of Public Service, New York University, New York City (e-mail: sherry.glied@nyu.edu ). Dr. Stein is with the Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania. Dr. McGuire is with the Department of Health Care Policy, Harvard Medical School, Boston. Dr. Beale is with the Institute of Medicine, Washington, D.C. Dr. Duffy and Ms. Shugarman are with the American Psychiatric Institute for Research and Education, Arlington, Virginia. Dr. Goldman, who is editor of Psychiatric Services, is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore.
authors: Rhonda Robinson
authors: RR
authors: Beale
authors: Dr. Glied is with the Wagner School of Public Service, New York University, New York City (e-mail: sherry.glied@nyu.edu ). Dr. Stein is with the Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania. Dr. McGuire is with the Department of Health Care Policy, Harvard Medical School, Boston. Dr. Beale is with the Institute of Medicine, Washington, D.C. Dr. Duffy and Ms. Shugarman are with the American Psychiatric Institute for Research and Education, Arlington, Virginia. Dr. Goldman, who is editor of Psychiatric Services, is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore.
authors: Farifteh Firoozmand
authors: FF
authors: Duffy
authors: Dr. Glied is with the Wagner School of Public Service, New York University, New York City (e-mail: sherry.glied@nyu.edu ). Dr. Stein is with the Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania. Dr. McGuire is with the Department of Health Care Policy, Harvard Medical School, Boston. Dr. Beale is with the Institute of Medicine, Washington, D.C. Dr. Duffy and Ms. Shugarman are with the American Psychiatric Institute for Research and Education, Arlington, Virginia. Dr. Goldman, who is editor of Psychiatric Services, is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore.
authors: Samantha
authors: S
authors: Shugarman
authors: Dr. Glied is with the Wagner School of Public Service, New York University, New York City (e-mail: sherry.glied@nyu.edu ). Dr. Stein is with the Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania. Dr. McGuire is with the Department of Health Care Policy, Harvard Medical School, Boston. Dr. Beale is with the Institute of Medicine, Washington, D.C. Dr. Duffy and Ms. Shugarman are with the American Psychiatric Institute for Research and Education, Arlington, Virginia. Dr. Goldman, who is editor of Psychiatric Services, is with the Department of Psychiatry, University of Maryland School of Medicine, Baltimore.
authors: Howard H
authors: HH
authors: Goldman
mesh_terms: D006801:Humans; D008605:Mental Health Services / Q000592:standards*; D010043:Outcome and Process Assessment, Health Care / Q000592:standards*; D011787:Quality of Health Care / Q000592:standards*; D014481:United States