Treatment for Posttraumatic Stress Disorder in Military and Veteran Populations Final Assessment (2014) / Chapter Skim
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4 Performance Management
4 Performance Management
Pages 79-88
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From page 79... ...
. Other psychosocial, symptom severity, and functional assessment tools include the Clinician-Administered PTSD Scale, the Mississippi Scale, the Connor-Davidson Resilience Scale, and the Global Assessment of Function.
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From page 80... ...
It is a voluntary consensus standards body with a mission to improve the quality of American health care by setting national priorities and goals for performance improvement, endorsing national consensus standards for measuring and publicly reporting on performance, and promot ing the attainment of national goals through education and outreach programs. NQF does not develop health care performance standards but instead endorses standards that have been developed by other entities after they have been care fully reviewed against established criteria and successfully complete a rigorous consensus process (Kizer, 2000, 2001)
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From page 81... ...
will use a standard performance dashboard for the top five chronic illnesses, including anxiety and trauma-related disorders, to monitor and improve performance. Tools A major barrier that DoD must overcome to improve PTSD management is the lack of systematic collection, analysis, and dissemination of metrics to assess the quality of PTSD care.
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From page 82... ...
. The guidance calls for the service branches to document clinical outcomes at all points of mental health care by using standardized measures, specifically those of the Army's Behavioral Health Data Portal (BHDP)
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From page 83... ...
. Electronic Health Records DoD has a universal electronic health record, but no attempt has been made to use it as a mechanism for assessing treatment outcomes in the aggregate, and purchased care providers outside DoD cannot access it.
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From page 84... ...
noted that DoD had numerous resilience and prevention programs that lacked an evidence base for their effectiveness or metrics to assess their impact. That report called on DoD to "dedicate funding, staffing, and logistical support for data analysis and evaluation to sup ort performance monitoring of programs for account p ability and continuous improvement." At its site visits, the committee found minimal or no use of outcome data to improve performance of DoD PTSD programs or services regardless of the care setting.
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From page 85... ...
One exception to this lack of a population-based approach is the ability of veterans who served in a theater of combat after 1998 and left active duty after January 2003 to receive health care services from the VA for 5 years after their service. Tools The current VA performance management system does not allow clinicians to adequately track a patient's PTSD treatments, other than medications, or any patient outcomes in the electronic health record, so it is difficult to determine whether the psychotherapy or pharmacotherapy being used is effective and safe.
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From page 86... ...
is responsible for conducting evaluations of VA PTSD clinical programs and specialized services. It compiles the annual The Long Journey Home, an internal report that provides detailed data on each VA specialized outpatient PTSD program (SOPP)
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From page 87... ...
Although the BHDP might improve the collection of patient data, it is currently being used only by the Army and no data on its effectiveness are currently available. VA does not track the PTSD treatments a patient receives, other than medications, or any treatment outcomes in the electronic health record.
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From page 88... ...
2013. Military treatment facility mental health clinical outcomes guidance.
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