Advanced Search

Journal Navigation

Journal Home

Subscriptions

Archive

Contact Us

Table of Contents

Click here to sign up for SAGE Journal Email Alerts today!

Sign In to gain access to subscriptions and/or personal tools.
Journal of Health Management
This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Colton, D.
Right arrow Search for Related Content
Social Bookmarking
 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?

Articles

Strategies for Implementing Performance Measurement in Behavioural Health Care Organisations

David Colton

David Colton is Information Specialist, Commonwealth Center for Children and Adolescents, 1355 Richmond Road, Staunton, VA 24401, USA. E-mail: dave.colton{at}ccca.dmhmrsas.virginia.gov

Performance measurement provides a basis for demonstrating accountability and a foundation for performance improvement. Nonetheless, practitioners tend to be cautious of attempts to assess the efficiency and effectiveness of behavioural services, particularly given the qualitative nature of some treatment interventions (such as process-oriented therapies) and the limita-tions associated with many mental health instruments. This article examines the rationale for resisting performance measurement and then describes actions that behavioural health care organisations can take to create a systematic approach to collecting and using these measures to improve organisational effectiveness and client services. Examples from the author's work setting, a publicly funded psychiatric hospital for children and adolescents, are provided to demonstrate how these actions have been operationalised.

References

  • Arndt, M. and B. Bigelow (1995). The implementation of total quality management in hospitals: How good is the fit? Health Care Management Review, 20(4), 7–14 .[Medline] [Order article via Infotrieve]
  • Audet, A.M., M.M. Doty, J. Shamasdln and S.C. Schoenbaum (2005). Measure, learn, and approve: Physicians’ involvement in quality improvement . Health Affairs, 24(3), 843–53 .[Abstract/Free Full Text]
  • Behavioral Health Concepts, Inc. (2000). Patient Satisfaction Survey System. Columbia, MO .
  • Behn, R.D. (2005). Resistance to measurement . Bob Behn's Public Management Report, 3(3), 1–2 .
  • Blank, B., J.R. Koch and B.J. Burkett (2004). Less is more: Virginia's performance outcomes measurement system . Psychiatric Services, 55(6), 643–45 .[Free Full Text]
  • Colton, D. (2004). Checklist for assessing your organisation's readiness for reducing seclusion and restraint, Commonwealth Center for Children and Adolescents, http://www.ccca.dmhmrsas.virginia.gov/links.htm, accessed 15 May 2007.
  • Colton, D. (2007). Improving quality of care: The role of leadership and program in organisational and cultural change for seclusions and restraints. In M. Nunno, L. Bullard and D. Day (eds), For our own safety: Examining the safety of high-risk interventions for children and young people. Washington, DC: Child Welfare League of America .
  • Hermann, R.C., J.L. Regnew, P. Erickson and D. Yang (2000). Developing a quality management system for behavioural health care: The Cambridge Health Alliance experience . Harvard Review of Psychiatry, 8(5), 251–60 .[CrossRef][Medline] [Order article via Infotrieve]
  • Hermann, R.C. and S. Provost (2003). Interpreting measurement data for quality im-provement: Standards, means, norms, and benchmarks . Psychiatric Services, 54(5), 655–57 .[Free Full Text]
  • Johnson, S.P. and C.P. McLaughlin (1994). Measurement and statistical analysis in CQI. In C.P. McLaughlin and A.D. Kaluzny (eds), Continuous quality improvement in health care (pp. 70–101). Gaithersburg, MD: Aspen Publications .
  • Kohn, A. (1993). Punished by rewards: The trouble with gold stars, incentive plans, A's, praise, and other bribes. New York, NY: Houghton Mifflin Company .
  • Lyons, J.S., K.I. Howard, M.T. O'Mahoney and J.D. Lish (1997). The measurement and management of clinical outcomes in mental health. New York, NY: John Wiley .
  • Martin, L. (1993). Total quality management in human service organisations. Newbury Park, CA: Sage Publications .
  • Perrin, B. (2002). Implementing the vision: Addressing challenges to results-focused management and budgeting. Paris: Organisation for Economic Cooperation and Development .
  • President's New Freedom Commission on Mental Health (2003). New Freedom Commission Final Report, http://www.mentalhealthcommission.gov/reports/FinalReport/downloads/downloads.html, accessed 15 May 2007.
  • Radin, B.A. (2006). Challenging the performance movement: Accountability, complexity, and democratic values. Washington, DC: Georgetown University Press .
  • Rosen, L.D. and M.M. Weil (1996). Easing the transition from paper to computer-based systems. In T. Trabin (ed.), The Computerization of Behavioural Healthcare: How to enhance clinical practice, management, and communications (pp. 87–107). San Francisco: Jossey-Bass Publishers .
  • SAMHSA (1999). Enhancing motivation to change in substance abuse treatment (Department of Health and Human Services Publication No. [SMA] 99-3354). Rockville, MD: National Clearinghouse for Alcohol and Drug Information .
  • Schacht, L. (2006). Public report: National trend in the use of seclusion and restraint among state psychiatric hospitals. Washington, DC: National Association of State Mental Health Program Directors .
  • US Department of Health and Human Services (undated). Code 42, Chapter IV, Section 483.25, part (m, 1).

Journal of Health Management, Vol. 9, No. 3, 301-316 (2007)
DOI: 10.1177/097206340700900301


Add to CiteULike CiteULike   Add to Complore Complore   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us   Add to Digg Digg   Add to Reddit Reddit   Add to Technorati Technorati   Add to Twitter Twitter    What's this?



This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by Colton, D.
Right arrow Search for Related Content
Social Bookmarking
 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?