Name
Measuring Implementation Success: Development of System-Level Metrics for Collaborative Care to Treat Bipolar Disorder and PTSD
Description

As programs expand to deliver Collaborative Care for more complex conditions, like bipolar disorder and PTSD, it is more important than ever to measure the quality of care being delivered. This presentation will review the development and implementation of metrics to assess system-level care processes and outcomes, psychopharmacological management of bipolar disorder and PTSD, and delivery of behavioral activation. Practical tips for defining numerator and denominators for these measures and strategies for presentation of the data to team members will be discussed.

Speakers
Anna Ratzliff, MD
Monica Harrison, MSW, LCSW
Virna Little, Psy. D, LCSW, MBA
Annie McGuire, MS, LMHC, MHA
Co-Authors
Amy Bauer, MD, MS
Content Level
All Audience
Tags
Collaborative Care Model of Integrated Care, Quality improvement programs, Technical assistance
Session Type
Concurrent
Objective 1
Name one metric that may be useful in implementation coaching for delivery of Collaborative Care for bipolar disorder and PTSD.
Objective 2
Define one metric to measure fidelity of delivery of behavioral activation.
Objective 3
List one metric to assess fidelity for bipolar disorder of PTSD psychiatric prescribing.
Content Reference 1

Fortney JC, Bauer AM, Cerimele JM, et al. Comparison of Teleintegrated Care and Telereferral Care for Treating Complex Psychiatric Disorders in Primary Care: A Pragmatic Randomized Comparative Effectiveness Trial. JAMA Psychiatry. 2021;78(11):1189–1199. doi:10.1001/jamapsychiatry.2021.2318

Content Reference 2

Bauer AM, Jakupcak M, Hawrilenko M, Bechtel J, Arao R, Fortney JC. Outcomes of a health informatics technology-supported behavioral activation training for care managers in a collaborative care program. Fam Syst Health. 2021 Mar;39(1):89-100. doi: 10.1037/fsh0000523. Epub 2020 Aug 27. PMID: 32853001

Content Reference 3

VA/DoD Clinical Practice Guideline. (2023). Management of Bipolar Disorder Work Group. Washington, DC: U.S. Government Printing Office.

Content Reference 4

VA/DoD Clinical Practice Guideline. (2023). Management of Posttraumatic Stress Disorder and Acute Stress Disorder Work Group. Washington, DC: U.S. Government Printing Office.

Content Reference 5

McCalman J, Bailie R, Bainbridge R, McPhail-Bell K, Percival N, Askew D, Fagan R, Tsey K. Continuous Quality Improvement and Comprehensive Primary Health Care: A Systems Framework to Improve Service Quality and Health Outcomes. Front Public Health. 2018 Mar 22;6:76. doi: 10.3389/fpubh.2018.00076. PMID: 29623271; PMCID: PMC5874897.