Journal Article

Process Measures for the Assessment and Improvement of Quality of Care for Schizophrenia

Richard C. Hermann, Molly Finnerty, Scott Provost, R. Heather Palmer, Jeff Chan, Greta Lagodmos, Terri Teller and Britt J. Myrhol

in Schizophrenia Bulletin

Published on behalf of Maryland Psychiatric Research Center

Volume 28, issue 1, pages 95-104
Published in print January 2002 | ISSN: 0586-7614
Published online January 2002 | e-ISSN: 1745-1701 | DOI: http://dx.doi.org/10.1093/oxfordjournals.schbul.a006930
Process Measures for the Assessment and Improvement of Quality of Care for Schizophrenia

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The development of process measures for the assessment and improvement of care for schizophrenia is at an early stage. As part of a national inventory of mental health quality measures, we identified 42 process measures developed to assess the quality of schizophrenia care. A greater proportion of measures assessed pharmacotherapy than assessed psychosocial interventions or other clinical processes, such as assessment, continuity, or coordination. Twenty-five measures (60%) were based on research evidence linking measure conformance with improved patient outcomes, while 17 (40%) were based on clinical consensus or opinion. Only 12 measures (29%) were fully operationalized. Few were tested for validity or reliability. A number of demonstration projects currently under way should expand the pool of well-developed and tested measures. Further research and consensus development will be needed to identify common measurement priorities, reduce the data collection burden, enhance the interpretability of results, and allow for comparisons of clinical practice across facilities and health care systems.

Keywords: Quality; measure; process; schizophrenia; mental health; improvement

Journal Article.  0 words. 

Subjects: Child and Adolescent Psychiatry

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