Use of quality measures for Medicaid behavioral health services by state agencies: implications for health care reform

Psychiatric Services : a Journal of the American Psychiatric Association
Julie SeibertMaryam Tabrizi

Abstract

The structure-process-outcome quality framework espoused by Donabedian provides a conceptual way to examine and prioritize behavioral health quality measures used by states. This report presents an environmental scan of the quality measures and satisfaction surveys that state Medicaid managed care and behavioral health agencies used prior to Medicaid expansion in 2014. Data were collected by reviewing online documents related to Medicaid managed care contracts for behavioral health, quality strategies, quality improvement plans, quality and performance indicators data, annual outcomes reports, performance measure specification manuals, legislative reports, and Medicaid waiver requests for proposals. Information was publicly available for 29 states. Most states relied on process measures, along with some structure and outcome measures. Although all states reported on at least one process measure of behavioral health quality, 52% of states did not use any outcomes measures and 48% of states had no structure measures. A majority of the states (69%) used behavioral health measures from the National Committee for Quality Assurance's Healthcare Effectiveness Data and Information Set, and all but one state in the sample (97%) used con...Continue Reading

Citations

Mar 1, 2019·Psychiatric Services : a Journal of the American Psychiatric Association·Bonnie T ZimaNadereh Pourat
May 27, 2017·Substance Abuse Treatment, Prevention, and Policy·Erick G GuerreroLillian Gelberg
Jan 21, 2018·World Psychiatry : Official Journal of the World Psychiatric Association (WPA)·Amy M KilbourneHarold Alan Pincus
May 17, 2017·Academic Psychiatry : the Journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry·Michael WeinbergJules M Ranz
Mar 30, 2019·BMC Psychiatry·Eunice C WongElizabeth Roth

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