Abstract
Progress monitoring implementation in an integrated health care system is a complex process that must address factors such as measurement, technology, delivery system care processes, patient needs and provider requirements. This article will describe how one organization faced these challenges by identifying the key decision points (choice of measure, process for completing rating scale, interface with electronic medical record and clinician engagement) critical to implementation. Qualitative and quantitative data will be presented describing customer and stakeholder satisfaction with the mental health progress monitoring tool (MHPMT) as well as organizational performance with key measurement targets.
Similar content being viewed by others
References
Bickman, L., Kelley, S. D., Breda, C., de Andrade, A. R., & Riemer, M. (2011). Effects of routine feedback to clinicians on mental health outcomes of youths: results randomized trial. Psychiatric Services, 62(12), 1423–1429.
Borntrager, C., & Lyon, A. R. (2015). Client progress monitoring and feedback in school-based mental health. Cognitive and Behavioral Practice, 22(1), 74–86.
Bradley, K. A., DeBenedetti, A. F., Volk, R. J., Williams, E. C., Frank, D., & Kivlahan, D. R. (2007). Audit-C as a brief screen for alcohol misuse in primary care. Alcoholism: Clinical and Experimental Research, 31(7), 1208–1217.
Brown, G. S., & Minami, T. (2010). Outcomes management, reimbursement, and the future of psychotherapy. In B. D. Duncan, S. D. Miller, B. E. Wampold, & M. A. Hubble (Eds.), The heart and soul of change: delivering what works in therapy (2nd ed.). Washington: American Psychological Association.
Burns, D. D. (1997). Therapist’s tool kit (Unpublished Manuscript).
Chorpita, B. F., & Daleiden, E. L. (2010). Building evidence-based systems in children’s mental health. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (2nd ed.). New York: Guilford Press.
Chorpita, B. F., Reise, S., Weisz, J. R., Grubbs, K., Becker, K. D., Krull, J. L., & Research Network on Youth Mental Health. (2010). Evaluation of the brief problem checklist: child and caregiver interviews to measure clinical progress. Journal of Consulting and Clinical Psychology, 66(1), 526–536.
Crosier, M., Scott, J., & Steinfeld, B. (2012). Improving satisfaction in patients receiving mental health care: a case study. Journal of Behavioral Health Services & Research, 39(1), 42–53.
Damschroder, L. J., Aron, D. C., Keith, R. E., Kirsh, S. R., Alexander, J. A., & Lowery, J. C. (2009). Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implementation Science, 7(4), 50.
Duncan, B. D., Miller, S. D., Wampold, B. E., & Hubble, M. A. (2010). The heart and soul of change: delivering what works in therapy (2nd ed.). Washington: American Psychological Association.
Fixsen, D. L., Naoom, S. F., Blase, K. A., Friedman, R. F., & Wallace, F. (2005). Implementation research: a synthesis of the literature. Tampa: University of South Florida, Louis de la Parte Florida Mental Health Institute, The National Implementation Research Network (FMHI Publication #231).
Institute of Medicine of the National Academies. (2001). Crossing the quality chasm: a new health system for the 21st century. Washington: National Academies Press.
Institute of Medicine of the National Academies. (2006). Improving the quality of health care for mental and substance-use conditions. Washington: National Academies Press.
Jensen-Doss, A., & Hawley, K. M. (2010). Understanding barriers to evidence-based assessment tools: clinician attitudes toward standardized assessment tools. Journal of Clinical Child and Adolescent Psychology, 39(6), 885–896.
Kroenke, K., Spitzer, R., & Williams, J. (2001). The PHQ-9: validity of a brief depression severity measure. Journal of General Internal Medicine, 16, 606–613.
Kroenke, K., Spitzer, R. L., Williams, J. B., Monahan, P. O., & Lowe, B. (2007). Anxiety disorders in primary care: prevalence, impairment, comorbidity, and detection. Annals of Internal Medicine, 146(5), 317–325.
Lambert, M. J. (2010). Prevention of treatment failure: the use of measuring, monitoring, and feedback in clinical practice. Washington: American Psychological Association.
McDaniel, S. H., & Degruy, F. V, 3rd. (2014). An introduction to primary care and psychology. American Psychologist, 69(4), 325–331.
McHugh, R. K., & Barlow, D. (2012). Dissemination and implementation of evidence-based psychological intentions. New York: Oxford Press.
Miller, S. D., Duncan, B. L., Brown, J., Sparks, J. A., & Cloud, D. A. (2003). The outcome rating scale: a preliminary study of the reliability, validity, and feasibility of a brief visual analog scale. Journal of Brief Therapy, 2(2), 91–100.
Scott, K., & Lewis, C. C. (2015). Using measurement-based care to enhance any treatment. Cognitive and Behavioral Practice, 22(1), 49–59.
Simon, G. (2012, September 1). [Personal Communication].
Steinfeld, B. I., Coffman, S. J., & Keyes, J. A. (2009). Implementation of an evidence-based practice in a clinical setting: what happens when you get there? Professional Psychology: Research and Practice, 40, 410–416.
Steinfeld, B., & Keyes, J. (2011). Electronic medical records in a multidisciplinary health care setting: a clinical perspective. Professional Psychology: Research and Practice, 42(6), 426–432.
Steinfeld, B., Scott, J., Vilander, G., Marx, L., Quirk, M., Linderberg, J., Koerner, K. (2014). The role of lean process improvement in implementation of evidence-based practices in behavioral health care. Journal of Behavioral Health Services & Research. doi:10.1007/s11414-013-9386-3
Unutzer, J., Katon, W., Callahan, C., Williams, J. J., Hunkeler, E., Harpole, L., & Investigators, I. (2002). Collaborative care management of late-life depression in the primary care setting: a randomized controlled trial. Journal of the American Medical Association, 288, 2836–2845.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Steinfeld, B., Franklin, A., Mercer, B. et al. Progress Monitoring in an Integrated Health Care System: Tracking Behavioral Health Vital Signs. Adm Policy Ment Health 43, 369–378 (2016). https://doi.org/10.1007/s10488-015-0648-7
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10488-015-0648-7