Barrett T J, Bartsch D A, Zahniser J H, Belanger S
Department of Human Services, State of Colorado, USA.
J Healthc Qual. 1998 May-Jun;20(3):6-13; quiz 52. doi: 10.1111/j.1945-1474.1998.tb00254.x.
Regulation-based processes for evaluating the performance of mental health agencies are gradually changing to focus on measuring the effectiveness of mental health services in obtaining the best possible outcomes. The decreased availability of resources for serving people with mental health problems has led to an emphasis on effectiveness, which is often expressed in terms of accountability. Thus, a singular reliance on compliance with practice standards has shifted to the need to be able to demonstrate that funds appropriated for mental health services are being used in ways that result in valued outcomes. In Colorado, this shift has led to the development of performance indicators that provide information reflecting stakeholder values about the performance outcomes of the mental health system. This article describes these performance indicators and presents the data that led to a decision to award monetary incentives to two community agencies. Potential benefits and pitfalls of Colorado's performance indicator process are also discussed.
评估心理健康机构绩效的基于规则的流程正在逐渐转变，以专注于衡量心理健康服务在取得尽可能最佳成果方面的有效性。用于为有心理健康问题的人提供服务的资源可用性降低，导致人们强调有效性，而有效性通常以问责制来体现。因此，从单纯依赖遵循实践标准，转变为需要能够证明为心理健康服务拨付的资金正以产生有价值成果的方式使用。在科罗拉多州，这种转变促使了绩效指标的制定，这些指标提供反映利益相关者对心理健康系统绩效结果价值观的信息。本文描述了这些绩效指标，并呈现了促使决定向两个社区机构提供货币激励的数据。还讨论了科罗拉多州绩效指标流程的潜在益处和陷阱。
