WASHINGTON, March 16 /PRNewswire/ -- Behavioral healthcare providers are
eager to create industry-wide core performance measures. However, a pilot
test of key benchmarking indicators found that substantial challenges remain
in gathering, reporting, and comparing data across systems. The National
Association of Psychiatric Health Systems (NAPHS) White Paper: Lessons Learned
from Pilot Testing of the NAPHS Benchmarking Indicators identified measures
that hold great promise for the field. More importantly, the participants in
this 2000 pilot test demonstrated their willingness to share this critical
data. The project was coordinated by the NAPHS Benchmarking Committee, chaired
by Peter Panzarino, M.D., chairman of the Department of Psychiatry at Cedars
Sinai Medical Center in Los Angeles.
The pilot test focused on nine indicators (adverse drug reactions,
completed suicide, attempted suicide, restraint, seclusion, symptom/function
measure, readmission, patient satisfaction, and peer review) chosen from an
earlier consensus-driven process. The pilot analyzed data from 48
organizations offering 637,241 days of inpatient care; 601,595 days of
residential care; and 161,993 days of partial hospital care. The facilities
served all populations (including child, adolescent, and adult).
While no specific data is reported, the document outlines challenges
identified in the testing phase. Commentary is provided on each of the
indicators in the pilot test.
According to the White Paper, any data-collection effort -- and any
national core performance measures in particular -- must:
* provide value in the data generated that is in proportion to the
intensity of the data collection effort. Allocation of limited
resources needs to be directed to the collection of the most
* focus on indicators that provide the most useful clinical and
operational data possible within the scope of the data currently
available within organizations.
* recognize that definitional decisions have significant policy
implications. Widely diverse state, local, and national standards
often lead organizations to adopt similar -- but not identical --
definitions. This makes meaningful data-collection extremely
difficult -- and potentially costly. If organizations use
operational definitions that are different from the question asked,
they are not able (short of going to primary sources such as the
patient record or reviewing their entire data base and applying the
study definitions) to report the data.
According to the report, indicators with the most promise for benchmarking
across systems are those that have generally similar definitions, are
collected by a majority of sites, are retrievable, and do not require
extensive re-collection of data.
The WHITE PAPER is $40. Call 202-393-6700, Ext. 15.
SOURCE National Association of Psychiatric Health Systems