How are mental health outcomes measured?
In mental health, outcomes are currently measured by changes of individual scores. However, such an analysis on individual scores does not take into account the interaction between symptoms, which could yield crucial information while investigating outcomes.
What are patient outcomes in behavioral health?
Outcome measures assess whether the care that a patient receives actually improves his/her symptoms – e.g., improvement or remission in Patient Health Questionnaire‐9 (PHQ‐9) scores – or functioning.
What are examples of outcome measures?
Outcome Measures For example: The percentage of patients who died as a result of surgery (surgical mortality rates). The rate of surgical complications or hospital-acquired infections.
What are outcome measures in therapy?
The Therapy Outcome Measure (TOM) provides a way of presenting outcome data in a digestible form, comprising part of a range of multiple measures used to collect information on the structures, processes, and outcomes of care.
What is measurement based care?
The Joint Commission standard CTS.03.01.09 requires that outcomes of care, treatment, or services be monitored over the course of service using a standardized instrument – a practice generally known as measurement-based care.
What is repeated measure?
Use as a repeated measure (i.e., can reliably detect change from administration to administration ) Has established norms (i.e., the instrument can distinguish between populations that need or do not need services) Frequency of administration and guidelines for aggregating data.
Outcomes Measurement (CTS.03.01.09)
This new requirement is getting the most attention from surveyors, so be prepared to address how you’ve implemented the following:
Nutrition Screening (CTS.02.01.11 EP 1)
New requirement for a specific minimum set of triggers that must be included in the nutritional screening:
Health Information (CTS.02.01.03 EP 5)
New requirements for BH organizations to gather the client’s relevant health information (both behavioral and physical health information) from other providers. This includes both inpatient and outpatient providers. Also, when it’s not possible to obtain this information, the organization must document the reason why it could not be obtained.
Physical Holding of a Child or Youth (CTS.05.05.09, CTS.05.05.11, CTS.05.05.21)
Additional requirements for policies/procedures regarding physical holding of a child or youth. They now must include details about the initiation of physical holding by an “authorized staff member.”
Restraint & Seclusion (CTS.05.06.09, CTS.05.06.35)
Additional requirements for policies/procedures regarding restraint and seclusion, including details about how a debriefing is conducted following restraint or seclusion.
Record of Care Chapter (RC.02.01.05)
The standard regarding documentation required when restraint or seclusion is used has now been expanded to include documentation of physical holding of a child or youth. The same 15 requirements applicable to restraint and seclusion now apply to physical holding. These are extensive and will likely require changes to policies and staff training.
Is monitoring individual progress a requirement?
Monitoring individual progress is a long-standing requirement, but the standard provided little direction for how to do thisOrganizations were always expected to measure outcomes, but The Joint Commission did not say how that was to be done.
Is measurement based care evidence based?
SAMHSA has recognized measurement-based care as an evidence-based practiceOne of the main contributors to poor outcomes is the lack of systematic measurement to determine whether individuals are responding to treatment