Regulators, Payors, and the Impact of Measurement-Based Care on Value-Based Care in Psychiatry

Child Adolesc Psychiatr Clin N Am. 2020 Oct;29(4):743-754. doi: 10.1016/j.chc.2020.05.001. Epub 2020 Jul 8.

Abstract

This article traces the organizational origins of measurement-based care and value-based care, identifying initiatives by policy makers, payors, and psychiatric organizations. The article argues that it is imperative for child psychiatry to take an active role in shaping implementation of these initiatives and identifying opportunities and issues unique to child mental health. Child psychiatry should actively support the development of well-validated measurement tools that have a value impact on quality and efficiency of care; realistically assess implementation processes and administrative burden; and be cautious to not have a negative impact on the vital processes of engagement of the practitioner, child, and family.

Keywords: Clinical data registry; Healthcare transformation; Measurement-based care; Measuring health plan performance; Outcomes measurement; Value-based contracting.

Publication types

  • Research Support, N.I.H., Extramural
  • Review

MeSH terms

  • Child
  • Child Psychiatry*
  • Government Regulation*
  • Humans
  • Mental Health Services / standards*
  • Patient Reported Outcome Measures*
  • Registries
  • Reimbursement Mechanisms*
  • Surveys and Questionnaires
  • Value-Based Purchasing*