Coombs Tim, Taylor Monica, Pirkis Jane
Training and Service Development, Australian Mental Health Outcomes and Classification Network, Parramatta, NSW, Australia.
Australas Psychiatry. 2011 Apr;19(2):133-42. doi: 10.3109/10398562.2011.562299.
This paper describes the forensic mental health forums that were conducted as part of the National Mental Health Benchmarking Project (NMHBP). These forums encouraged participating organizations to compare their performance on a range of key performance indicators (KPIs) with that of their peers.
Four forensic mental health organizations took part in the NMHBP. Representatives from these organizations attended eight benchmarking forums at which they documented their performance against previously agreed KPIs. They also undertook three special projects which explored some of the factors that might explain inter-organizational variation in performance.
The inter-organizational range for many of the indicators was substantial. Observing this led participants to conduct the special projects to explore three factors which might help explain the variability - seclusion practices, delivery of community mental health services, and provision of court liaison services. The process of conducting the special projects gave participants insights into the practices and structures employed by their counterparts, and provided them with some important lessons for quality improvement.
The forensic mental health benchmarking forums have demonstrated that benchmarking is feasible and likely to be useful in improving service performance and quality.
本文描述了作为国家心理健康基准项目(NMHBP)一部分而举办的法医心理健康论坛。这些论坛鼓励参与组织将其在一系列关键绩效指标(KPI)上的表现与其同行进行比较。
四个法医心理健康组织参与了NMHBP。这些组织的代表参加了八次基准论坛,在论坛上他们记录了自己相对于先前商定的KPI的表现。他们还开展了三个特别项目,探讨了一些可能解释组织间绩效差异的因素。
许多指标的组织间差异很大。观察到这一点后,参与者开展了特别项目,以探讨可能有助于解释差异的三个因素——隔离措施、社区心理健康服务的提供以及法庭联络服务的提供。开展特别项目的过程让参与者深入了解了同行所采用的做法和结构,并为他们提供了一些质量改进方面的重要经验教训。
法医心理健康基准论坛表明,基准化是可行的,并且可能有助于提高服务绩效和质量。