Aligning Measurement-Based Quality Improvement with Implementation of Evidence-Based Practices

Published in: Administration and Policy in Mental Health and Mental Health Services Research, vol. 33, no. 6, Nov. 2006, p. 636-645

Posted on RAND.org on January 01, 2006

by Richard C. Hermann, Jeffrey A. Chan, James Zazzali, Debra Lerner

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Two models for improving quality of care have been adopted by segments of the US mental healthcare system. Measurement-based quality improvement (MBQI) is routinely conducted by many provider organizations (including practices, hospitals and health plans), either at their own initiative or at the behest of payers and oversight organizations. Systematic implementation of evidence-based practices (EBPs) is being undertaken by several state mental health authorities and by other systems of care, working in collaboration with services researchers and stakeholders. Although they are distinct approaches, MBQI and EBP implementation (EBPI) overlap in their objectives and means. This article explores the degree to which these two approaches are aligned and whether further coordination between them could yield greater effectiveness or efficiency.

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