Quality Measures Database

Individuals get the care they need, without inappropriate bias based on their social status or other personal characteristics such as age, gender, ethnicity or place of residence.
Additional Domain(s) : Acceptability, Patient-Centeredness

This indicator addresses the fundamental issue of whether persons with mental illnesses are receiving mental health services and whether the system is responsive to various consumer populations. In managed care settings, penetration rates have been reported for Medicaid managed care ranging from 1% to 7%. Benchmarks clearly need to be established for various subpopulations. In non-managed care settings, similar benchmarks are needed, but comparisons across states may be confounded by the different types of populations for which a state mental health authority is responsible. However, comparisons across subpopulation areas would be informative.

Lutterman T, Ganju V, Schacht L, Shaw R, Monihan K, et.al. (2003) Sixteen State Study on Mental Health Performance Measures. DHHS Publication No. (SMA) 03-3835. Rockville, MD: Center for Mental Health Services, Substance Abuse and Mental Health Services Administration.

III: Preliminary research evidence only or evidence based on consensus opinion only.

• This is important and relevant, however uncertain about actionability because of lack of information systems, especially in solo practice.
• These indicators are contextual and may bot be relevant at the health region level (might be suitable at other levels of aggregation).
• This is only useful if baselines or comparators exist.
• If there is no baseline data, then start to collect baseline data.

Ratings-based Rank Relevance 78 Actionability 84 Overall Importance 70		Stakeholder Rank Academics 64 Clinicians 91 Consumers 92 Decision Makers 62 �		Special Group Rank First Nations 86 Rural Areas 106 Federal Stakeholders 26
Regional Rank BC AB SK MB ON QC NB NS PE NL YT NT NU 48 58 49 102 43 106 130 105 106 66 43 140 37				Overall Rank        79