Provider perceived barriers and facilitators to integrating routine outcome monitoring into practice in an urban community psychiatry clinic: A mixed‐methods quality improvement project.

Autor: Van Wert, Michael J., Malik, Mansoor, Memel, Brenda, Moore, Ryan, Buccino, Daniel, Hackerman, Florence, Kumari, Suneeta, Everett, Anita, Narrow, William
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Zdroj: Journal of Evaluation in Clinical Practice; Aug2021, Vol. 27 Issue 4, p767-775, 9p, 1 Diagram, 2 Charts
Abstrakt: Background and Aims: Although mental health clinics are under increasing pressure to demonstrate value and routine outcome monitoring (ROM) has become a mandated component of care, providers have been slow to adopt ROM into practice, with some estimating that less than 20% of mental health clinicians use it consistently in the United States. This article explores perceived barriers and facilitators to integrating ROM into practice among clinicians and administrators in a large urban US community psychiatry clinic. Method: One hundred and thirty‐eight clinical and administrative staff were administered an anonymous web‐based survey to elicit attitudes towards ROM. Responses were summarized descriptively and qualitatively synthesized into a conceptual model using inductive thematic analysis. Results: Common barriers to integration included insufficient time to collect and/or use measures, not knowing what measures to use, measures being difficult to access, and insufficient training. Facilitators included increased access/ease of use, training and support, measure relevance/validity, and accountability. Conclusions: In order for psychiatry clinics to successfully implement ROM into practice, they must diagnose organization‐side barriers and translate this knowledge into actionable quality improvement initiatives ranging from the infrastructural to the cultural. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index
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