Is Measurement Based Care the Future of Psychiatric Practice?-View Presentation

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The session, led by Carol Alter, chair of the APA Council on Clinical Quality, explores the importance and challenges of implementing measurement-based care in psychiatric practice. Carol introduces the topic by emphasizing the significance of measuring outcomes to ensure quality and value in psychiatric care. The discussion points out that while studies show measurement-based care improves patient outcomes significantly, it isn't widely adopted due to perceived difficulties, including lack of reimbursement and potential disruption of clinical workflows.<br /><br />Eric Vanderlip highlights relational challenges between doctors and patients with measurement-based care, noting patient refusal of assessment tools and clinicians' skepticism of standardized measures over clinical judgment. Michael Schoenbaum presents an economical perspective, addressing barriers such as the costs of health IT and the transition to measurement-based practices. He stresses the long-term benefit of integrating measurement-based care into psychiatric training. Dan Carlin provides a nuanced view on the accuracy and utility of current measurement tools, advocating for a balance between using current measures and improving measurement methods for more precise care.<br /><br />The panel and audience exchange ideas and concerns, suggesting incentives for both providers and patients to adopt measurement-based care. They explore how standardized versus non-standardized instruments affect practice. There is discussion on the need for feasible financial and systemic structures to facilitate a shift towards objective, repeated measurements in psychiatric care, pointing out the importance of both current and improved measurement techniques in enhancing patient outcomes.

Keywords

measurement-based care

psychiatric practice

patient outcomes

clinical workflows

reimbursement challenges

assessment tools

standardized measures

health IT costs

psychiatric training

measurement accuracy

incentives

systemic structures