title: [Assessment of quality indicators with routine data: Presentation of a feasibility test in ten specialist clinics for psychiatry and psychotherapy].
abstract: BACKGROUND
  Prior to nationwide implementation, the feasibility of newly developed quality indicators must be assessed. The aim of this multicenter feasibility test was an evaluation of the measurability of cross-sectoral quality indicators for depression and schizophrenia by means of routine data.
  
  
  METHODS
  The feasibility of the quality indicators was assessed in ten specialist clinics for psychiatry and psychotherapy by means of retrospective analyses of anonymous routine data. The data were extracted from the routine clinical documentation of the hospital information systems and the data from the admission and discharge sheets of the basic documentation in psychiatry (BADO) were additionally used for some clinics. Analyses were conducted for all cases of adults diagnosed with depression or schizophrenia within predefined assessment periods.
  
  
  RESULTS
  In total five indicators for depression and nine indicators for schizophrenia were assessed and evaluated as measurable or measurable to a limited extent, sometimes with slight adaptations in the operationalization of the indicator. Due to variations in documentation, some indicators could not be calculated for all clinics. Most indicators could be collated with the data from the BADO.
  
  
  CONCLUSIONS
  An assessment of indicators that measure quality-relevant aspects of care in depression and schizophrenia, is partially feasible by means of current routine data documentation analysis from the participating clinics. However, differing documentation methodologies in the participating clinics impeded a uniform assessment; therefore, for the implementation of nationwide minimum standards for the quality assurance of mental healthcare, a uniform cross-sectoral documentation methodology should be adapted to consensus and relevant quality indicators. The BADO appears to be a suitable instrument for this purpose.
authors.affiliation: Klinik und Poliklinik für Psychiatrie und Psychotherapie, LVR-Institut für Versorgungsforschung, WHO Collaborating Center for Quality Assurance and Empowerment in Mental Health, Medizinische Fakultät, LVR-Klinikum Düsseldorf, Heinrich-Heine-Universität, Bergische Landstr. 2, 40629, Düsseldorf, Deutschland.
authors.forename: I
authors.initials: I
authors.lastname: Großimlinghaus
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Ludwig-Maximilians-Universität, München, Deutschland.
authors.forename: P
authors.initials: P
authors.lastname: Falkai
authors.affiliation: Klinik und Poliklinik für Psychiatrie und Psychotherapie, LVR-Institut für Versorgungsforschung, WHO Collaborating Center for Quality Assurance and Empowerment in Mental Health, Medizinische Fakultät, LVR-Klinikum Düsseldorf, Heinrich-Heine-Universität, Bergische Landstr. 2, 40629, Düsseldorf, Deutschland. Wolfgang.Gaebel@lvr.de.
authors.forename: W
authors.initials: W
authors.lastname: Gaebel
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Ludwig-Maximilians-Universität, München, Deutschland.
authors.forename: A
authors.initials: A
authors.lastname: Hasan
authors.affiliation: Klinik und Poliklinik für Psychiatrie und Psychotherapie, Medizinische Fakultät, LVR-Klinikum Düsseldorf, Heinrich-Heine-Universität, Düsseldorf, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Jänner
authors.affiliation: Klinik und Poliklinik für Psychiatrie und Psychotherapie, Medizinische Fakultät, LVR-Klinikum Düsseldorf, Heinrich-Heine-Universität, Düsseldorf, Deutschland.
authors.forename: B
authors.initials: B
authors.lastname: Janssen
authors.affiliation: Institut für Psychiatrische Phänomik und Genomik, Ludwig-Maximilians-Universität München, München, Deutschland.
authors.forename: D
authors.initials: D
authors.lastname: Reich-Erkelenz
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Ludwig-Maximilians-Universität, München, Deutschland.
authors.forename: L
authors.initials: L
authors.lastname: Grüber
authors.affiliation: Klinik für Psychiatrie und Psychotherapie, Ludwig-Maximilians-Universität, München, Deutschland.
authors.forename: V
authors.initials: V
authors.lastname: Böttcher
authors.affiliation: Zentrum für Seelische Gesundheit, Kreiskliniken Darmstadt-Dieburg, Groß-Umstadt, Deutschland.|Klinik für Psychiatrie und Psychotherapie, Universitätsmedizin Göttingen, Göttingen, Deutschland.
authors.forename: T
authors.initials: T
authors.lastname: Wobrock
authors.affiliation: Klinik und Poliklinik für Psychiatrie und Psychotherapie, LVR-Institut für Versorgungsforschung, WHO Collaborating Center for Quality Assurance and Empowerment in Mental Health, Medizinische Fakultät, LVR-Klinikum Düsseldorf, Heinrich-Heine-Universität, Bergische Landstr. 2, 40629, Düsseldorf, Deutschland.
authors.forename: J
authors.initials: J
authors.lastname: Zielasek
mesh_terms: D000328:Adult; D003863:Depression / Q000175:diagnosis / Q000628:therapy*; D004282:Documentation / Q000592:standards* / Q000706:statistics & numerical data; D057286:Electronic Health Records / Q000592:standards / Q000706:statistics & numerical data; D005240:Feasibility Studies; D005260:Female; D005858:Germany; D019983:Guideline Adherence / Q000592:standards / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D008875:Middle Aged; D017410:Practice Guidelines as Topic; D011570:Psychiatry / Q000592:standards; D011613:Psychotherapy / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000706:statistics & numerical data*; D019984:Quality Indicators, Health Care / Q000592:standards*; D015203:Reproducibility of Results; D012559:Schizophrenia / Q000175:diagnosis / Q000628:therapy*; D012680:Sensitivity and Specificity
keywords: Basic documentation (BADO); Psychiatry; Quality indicators; Quality measurement; Routine data