Hospital-Based Quality Measures for Pediatric Mental Health Care

Pediatrics
Naomi S BardachRita Mangione-Smith

Abstract

Patients with a primary mental health condition account for nearly 10% of pediatric hospitalizations nationally, but little is known about the quality of care provided for them in hospital settings. Our objective was to develop and test medical record-based measures used to assess quality of pediatric mental health care in the emergency department (ED) and inpatient settings. We drafted an evidence-based set of pediatric mental health care quality measures for the ED and inpatient settings. We used the modified Delphi method to prioritize measures; 2 ED and 6 inpatient measures were operationalized and field-tested in 2 community and 3 children's hospitals. Eligible patients were 5 to 19 years old and diagnosed with psychosis, suicidality, or substance use from January 2012 to December 2013. We used bivariate and multivariate models to examine measure performance by patient characteristics and by hospital. Eight hundred and seventeen records were abstracted with primary diagnoses of suicidality (n = 446), psychosis (n = 321), and substance use (n = 50). Performance varied across measures. Among patients with suicidality, male patients (adjusted odds ratio: 0.27, P < .001) and African American patients (adjusted odds ratio: 0.31...Continue Reading

References

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Mar 16, 2011·Annals of Internal Medicine·Leslie A CurryElizabeth H Bradley
Mar 19, 2014·Pediatrics·Naomi S BardachRita Mangione-Smith
May 14, 2014·Pediatrics·Tamara D SimonUNKNOWN Center of Excellence on Quality of Care Measures for Children with Complex Needs (COE4CCN) Medical Complexity Working Group
Jan 30, 2016·The Western Journal of Emergency Medicine·Carol W RunyanDouglas Novins
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Dec 13, 2016·Pediatrics·Stephanie K DoupnikJay G Berry
Dec 13, 2016·Pediatrics·Bonnie T ZimaJay G Berry
Feb 23, 2018·Pediatrics·John ScottMatthew Miller

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Citations

Jun 1, 2021·Academic Pediatrics·Sarah K ConnellUNKNOWN Pediatric Research in Inpatient Settings (PRIS) Network
Jun 11, 2021·Journal of Psychosocial Nursing and Mental Health Services·Theresa R Searls
Oct 21, 2021·Hospital Pediatrics·Michael J TchouRicardo Quinonez
May 13, 2020·Pediatrics·Jennifer A Hoffmann, Ashley A Foster

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