Outcomes Measurement: Application of Performance Standards and Practice Guidelines in Managed Behavioral Healthcare

1998 ◽  
Vol 13 (1) ◽  
pp. 14-26 ◽  
Author(s):  
Christy L. Beaudin
Keyword(s):  
Practice Guidelines ◽  
Performance Standards ◽  
Outcomes Measurement ◽  
Behavioral Healthcare ◽  
Managed Behavioral Healthcare

Improving Suicide Risk Assessment in a Managed-Care Environment

Crisis ◽  
2003 ◽  
Vol 24 (2) ◽  
pp. 49-55 ◽  
Author(s):  
G.S. Brown ◽  
Edward R. Jones ◽  
Ellen Betts ◽  
Jingyang Wu
Keyword(s):  
Suicidal Ideation ◽  
High Frequency ◽  
Suicide Risk ◽  
Self Report ◽  
Quality Improvement Intervention ◽  
Care Environment ◽  
Clinical Interviews ◽  
Behavioral Healthcare ◽  
Managed Behavioral Healthcare

Summary: This article describes the quality improvement intervention of a managed behavioral healthcare company to improve the quality of suicide risk assessments by its panel of providers. At-risk cases are identified by the patient's self-reported high frequency of suicidal ideation on a standardized outcome measure. Clinicians also assess severity of suicidal ideation based on clinical interviews. The clinician's assessment is identified as probably erroneous if the patient report indicates a high frequency of suicidal ideation and the clinicians assessment of suicidal ideation is none. The article describes the methods used to encourage clinicians to utilize information from the patient self-report measure as part of the clinical assessment. Probable suicidal ideation assessment errors were subsequently reduced by 29% over a 1-year period of administration.

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