PSA Behavioral Health Agency measures both operational and clinical outcomes in an effort to evidence and improve accessibility, efficiency, effectiveness, stakeholder input/satisfaction, and business output. This ongoing process ensures that we maintain conformance to CARF standards, as well as provides us the opportunity to identify, monitor, and justify medical necessity and recovery progress, throughout the course of service delivery.
The clinical operation outcomes are reported using our Monthly Program Supervisor Development Worksheet (a.k.a. Monthly Report Card). These include timely intakes, active engagement in services, timely assessment and treatment planning, timely submission of encounter documentation, clinical oversight, encounter documentation error rate, and productivity for each team. Any item identified to be outside of the established minimum threshold of acceptability, requires and plan of action to be implemented and monitored until the next monitoring interval.
Our clinical service outcomes are evidenced through a combination of participant’s self-report and professional collaboration. The self-report measurement for the adult programs, over age 18, is the Recovery Assessment Scale (RAS), which looks at the domains of Personal Confidence/Hope, Willingness to Ask for Help, Goal and Success Orientation, Reliance on Others, and Symptom Domination. The self-report measurement for the youth programs, ages 12-17, is the Youth Outcome Questionnaire (YOQ), which looks at the sub-scales of Interpersonal Distress, Somatic, Interpersonal Relationships, Critical Items, Social Problems, and Behavioral Dysfunction.
In addition to the RAS and YOQ, we are in the process of training and implementing the Daily Living Activities (DLA-20) outcomes tool from MTM Services to be completed in collaboration with professional and participant/family/caregiver input. “A research-backed outcomes measurement tool — the Daily Living Activities-20 — measures mental illness or disability’s impact on daily living areas. The DLA-20 provides valid scores and consistent utilization for healthcare report cards. It also yields critical information for treatment planning and estimating Axis-V (global assessment of functioning) of the DSM-IV and supports psychiatric approval for Medicaid reimbursement and healthcare reporting standards” (thenationalcouncil.org).
We are also in process of implementing Service Process Quality Management (SPQM) from MTM Services, which will help us turn our service delivery, financial, and outcomes data “into actionable information which clinicians and administrators can use to make objective decisions. It is a powerful analytical tool that arms decision-makers with essential information to strategize for the future, manage operations, develop continuous improvement strategies, and demonstrate outcomes to funding sources” (thenationalcouncil.org).