The Need for Quality Improvement in Behavioral Health

2016 ◽  
pp. 33-54 ◽  
Author(s):  
Brandon A. Gaudiano ◽  
Kristy L. Dalrymple ◽  
Catherine D’Avanzato ◽  
Liviu Bunaciu
Keyword(s):  
Quality Improvement ◽  
Behavioral Health

Improving Access to Integrated Behavioral Health in a Nurse-Led Federally Qualified Health Center

2021 ◽  
pp. 107839032199416
Author(s):  
Sarah Stalder ◽  
Aimee Techau ◽  
Jenny Hamilton ◽  
Carlo Caballero ◽  
Mary Weber ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Primary Care Providers ◽  
Care Team ◽  
Psychiatric Nurse ◽  
Care Providers ◽  
Team Members ◽  
Task Forces

BACKGROUND: The specific aims of this project were to create a fully integrated, nurse-led model of a psychiatric nurse practitioner and behavioral health care team within primary care to facilitate (1) patients receiving an appropriate level of care and (2) care team members performing at the top of their scope of practice. METHOD: The guiding model for process implementation was Rapid Cycle Quality Improvement. Three task forces were established to develop interventions in the areas of Roles and Responsibilities, Training and Implementation, and the electronic health record. INTERVENTION: The four interventions that emerged from these task forces were (1) the establishment of patient tiers based on diagnosis, medications, and risk assessment; (2) the creation of process maps to engage care team members; (3) just-in-time education regarding psychiatric medication management for primary care providers; and (4) use of a registry to track patients. RESULTS: The process measures of referrals to the psychiatric care team and psychiatric assessment intakes performed as expected. Both measures were higher at the onset of the project and lower 1 year later. The outcome indicator, number of case reviews, increased dramatically over time. CONCLUSIONS: For psychiatric nurse practitioners, this quality improvement effort provides evidence that a consultative role can be effective in supporting primary care providers. Through providing education, establishing patient tiers, and establishing an effective workflow, more patients may have access to psychiatric services.

scholarly journals Narrative review of provider behavior in primary care behavioral health: How process data can inform quality improvement.

2017 ◽  
Vol 35 (3) ◽  
pp. 257-270 ◽  
Author(s):  
Gregory P. Beehler ◽  
Kaitlin R. Lilienthal ◽  
Kyle Possemato ◽  
Emily M. Johnson ◽  
Paul R. King ◽  
...  
Keyword(s):  
Primary Care ◽  
Quality Improvement ◽  
Behavioral Health ◽  
Narrative Review ◽  
Process Data ◽  
Provider Behavior ◽  
Primary Care Behavioral Health

Managing Quality Improvement and Clinical Outcomes in Behavioral Health Settings

1999 ◽  
pp. 153-182
Author(s):  
Elizabeth C. McDonel ◽  
L. Diane Ashley ◽  
Michael A. Ashley ◽  
Grace Long ◽  
Gordon Gibsonandarmen Sarkissian ◽  
...  
Keyword(s):  
Quality Improvement ◽  
Behavioral Health ◽  
Clinical Outcomes

scholarly journals Using Quality Improvement to Increase Access to Behavioral Health Care in Federally Qualified Health Centers

2014 ◽  
Vol 6 (3) ◽  
pp. 182-186 ◽  
Author(s):  
Alexandros Maragakis ◽  
Cassandra Snipes ◽  
Joseph Mazzucotelli ◽  
Charles Duarte
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Behavioral Health ◽  
Behavioral Health Care ◽  
Health Centers ◽  
Federally Qualified Health Centers

Systemic Approach to Successful Quality Improvement in Behavioral Health

2019 ◽  
Vol 4 (4) ◽  
pp. 344-356
Author(s):  
Jahnavi Valleru ◽  
Rajeev Krishna ◽  
Mary A. Fristad
Keyword(s):  
Quality Improvement ◽  
Behavioral Health ◽  
Systemic Approach

scholarly journals Quality Improvement With Pay-for-Performance Incentives in Integrated Behavioral Health Care

2012 ◽  
Vol 102 (6) ◽  
pp. e41-e45 ◽  
Author(s):  
Jürgen Unützer ◽  
Ya-Fen Chan ◽  
Erin Hafer ◽  
Jessica Knaster ◽  
Anne Shields ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Behavioral Health ◽  
Pay For Performance ◽  
Behavioral Health Care ◽  
Performance Incentives ◽  
Integrated Behavioral Health

Themes of Worry Among Psychiatric Inpatients That Persist Through Acute Hospitalization

2020 ◽  
pp. 107839032097376
Author(s):  
Pia Engstrom ◽  
Matthew Bolton ◽  
Cynthia Bautista ◽  
Todd Barnes
Keyword(s):  
Quality Improvement ◽  
Behavioral Health ◽  
Medical Center ◽  
Academic Medical Center ◽  
Psychiatric Inpatient ◽  
Safety Net ◽  
Health Staff ◽  
Improvement Project ◽  
Safety Net Hospital ◽  
Psychiatric Units

INTRODUCTION Problems that worry patients throughout hospitalization are complex and varied, but they fall within the scope of safe, effective, patient-centered care. To our knowledge, there is no evidence describing the problems that worry patients in inpatient psychiatric units. AIM The purpose of this quality improvement project was to describe common themes of worry experienced by individuals in psychiatric inpatient units in order to improve patient experience. METHOD This project took place at an urban, safety net hospital at an academic medical center in the northeastern United States between March and December 2019. All patients across five inpatient psychiatric units were offered the Combined Assessment of Psychiatric Environments (CAPE) survey as they approached the end of their stay. RESULTS A total of 1,800 patients took the survey. Of these patients, 36% (650/1,800) patients responded never/sometimes to “During my hospitalization, I found solutions to problems that worried me,” and 46% (297/650) patients provided a response to the follow-up question “What are the problems that worry you the most?” Common themes of worry for inpatient behavioral health patients include (a) life in the hospital, (b) self, and (c) outside life. CONCLUSION Each of these worry themes that emerged from this thematic analysis has implications for behavioral health staff who are preparing the psychiatric/behavioral health inpatient for discharge. These themes can also be used to focus on a variety of quality improvement initiatives to improve the patients experience while in an inpatient psychiatric/behavioral health unit.

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