TY - JOUR
T1 - Mind the Gap
T2 - Considering Disparities in Implementing Measurement-Based Care
AU - Liu, Freda F.
AU - Cruz, Rick A.
AU - Rockhill, Carol M.
AU - Lyon, Aaron R.
N1 - Publisher Copyright:
© 2019 American Academy of Child and Adolescent Psychiatry
PY - 2019/4
Y1 - 2019/4
N2 - Synergistic advancements in evidence-based practice, implementation science, health care policy, and health information technology (HIT) have led to increasing efforts to broadly implement measurement-based care (MBC)—the systematic use of repeated outcome measures to monitor treatment progress and support clinical decision making 1 —in psychiatric services. Much of this work has been done with adult populations, and more efforts are needed for MBC to gain traction in child and adolescent psychiatry. In this Letter to the Editor, we describe a quality improvement (QI) project that leveraged HIT to implement MBC in the child and adolescent psychiatry department of a regional pediatric tertiary-care center and report long-term (5-year) implementation outcomes (ie, adoption and penetration). Although a myriad of implementation strategies was used, here we focus on the most complex strategy—integrating a digital measurement-feedback system (MFS) into standard workflow. Then, we discuss pitfalls and lessons learned with special attention to potential unintended effects of QI efforts on existing health disparities.
AB - Synergistic advancements in evidence-based practice, implementation science, health care policy, and health information technology (HIT) have led to increasing efforts to broadly implement measurement-based care (MBC)—the systematic use of repeated outcome measures to monitor treatment progress and support clinical decision making 1 —in psychiatric services. Much of this work has been done with adult populations, and more efforts are needed for MBC to gain traction in child and adolescent psychiatry. In this Letter to the Editor, we describe a quality improvement (QI) project that leveraged HIT to implement MBC in the child and adolescent psychiatry department of a regional pediatric tertiary-care center and report long-term (5-year) implementation outcomes (ie, adoption and penetration). Although a myriad of implementation strategies was used, here we focus on the most complex strategy—integrating a digital measurement-feedback system (MFS) into standard workflow. Then, we discuss pitfalls and lessons learned with special attention to potential unintended effects of QI efforts on existing health disparities.
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U2 - 10.1016/j.jaac.2018.11.015
DO - 10.1016/j.jaac.2018.11.015
M3 - Letter
C2 - 30926072
AN - SCOPUS:85063351197
SN - 0890-8567
VL - 58
SP - 459
EP - 461
JO - Journal of the American Academy of Child and Adolescent Psychiatry
JF - Journal of the American Academy of Child and Adolescent Psychiatry
IS - 4
ER -