TY - JOUR
T1 - Key performance indicators for mental health and substance use disorders
T2 - A literature review and discussion paper
AU - Henderson, Carla
AU - Klimas, Jan
AU - Dunne, Colum
AU - Leddin, Des
AU - Meagher, David
AU - O'Toole, Thomas
AU - Cullen, Walter
N1 - Publisher Copyright:
© 2014 Taylor & Francis.
PY - 2014/10/5
Y1 - 2014/10/5
N2 - With an increasing recognition of the importance of mental and substance use disorders (MESUDS) for population health and health systems and the potential value of systems-based performance indicators in addressing this issue, we aimed to describe the development and content of key performance indicators (KPIs) for MESUDS. Publications were identified through official websites, Google searches and PubMed. Following "PRISMA" guidelines, 25 studies were kept for qualitative synthesis and six for quantitative analysis. We describe their use in practice by comparing their application across a range of public and mixed healthcare systems. Currently, the KPI development for MESUDS adopts several methodologies, including expert opinion, literature review, stakeholder consultation, and the structured consensus method. The rationales provided for selection of particular KPIs vary greatly between systems. Systems exhibit different levels of KPI adaptability, which is reflective of dynamic changes in evidence-based practices. We noted bias in the level of KPI assessment toward system/health plan evaluation followed by program/service evaluation. Similarly, there is a large skew toward KPIs that reflect evaluation of processes. Collection of data in all systems is nearly exclusively reliant on electronic administrative/medical data. Experiences from these systems are synthesized into methodological recommendations and considerations for further research and clinical practice are provided.
AB - With an increasing recognition of the importance of mental and substance use disorders (MESUDS) for population health and health systems and the potential value of systems-based performance indicators in addressing this issue, we aimed to describe the development and content of key performance indicators (KPIs) for MESUDS. Publications were identified through official websites, Google searches and PubMed. Following "PRISMA" guidelines, 25 studies were kept for qualitative synthesis and six for quantitative analysis. We describe their use in practice by comparing their application across a range of public and mixed healthcare systems. Currently, the KPI development for MESUDS adopts several methodologies, including expert opinion, literature review, stakeholder consultation, and the structured consensus method. The rationales provided for selection of particular KPIs vary greatly between systems. Systems exhibit different levels of KPI adaptability, which is reflective of dynamic changes in evidence-based practices. We noted bias in the level of KPI assessment toward system/health plan evaluation followed by program/service evaluation. Similarly, there is a large skew toward KPIs that reflect evaluation of processes. Collection of data in all systems is nearly exclusively reliant on electronic administrative/medical data. Experiences from these systems are synthesized into methodological recommendations and considerations for further research and clinical practice are provided.
KW - mental health
KW - performance indicators
KW - substance-related disorders
UR - http://www.scopus.com/inward/record.url?scp=84908575344&partnerID=8YFLogxK
U2 - 10.1080/17523281.2014.901402
DO - 10.1080/17523281.2014.901402
M3 - Review article
AN - SCOPUS:84908575344
SN - 1752-3281
VL - 7
SP - 407
EP - 419
JO - Mental Health and Substance Use: Dual Diagnosis
JF - Mental Health and Substance Use: Dual Diagnosis
IS - 4
ER -