Hodges Kay, Wotring James R
Institute for the Study of Children, Families, and Communities, Eastern Michigan University, Ypsilanti, MI, USA.
J Behav Health Serv Res. 2012 Apr;39(2):130-43. doi: 10.1007/s11414-011-9262-y.
An outcomes management system (OMS) greatly facilitates an organization or state achieving requirements regarding accountability and use of empirically based interventions. A case example of the authors' experience with a successful and enduring OMS is presented, followed by a review of the literature and a proposed model delineating the key components and benefits of an OMS. Building capacity to measure performance requires embedding utilization of youth-specific, clinically meaningful outcome data into the organization's processes and structures. An OMS measures outcomes associated with services, facilitates implementation of evidence-based practices, informs case decision making, enables better and more efficient clinical management, and provides aggregated information used to improve services. A case-specific supervisory model based on instantaneously available information, including progress to date, helps maximize consumer outcomes. Continuous quality improvement activities, which are databased and goal-oriented, become a positive change management tool. This paper describes organizational processes that facilitate the development of a highly functional OMS.
结果管理系统（OMS）极大地促进组织或国家实现有关问责制和基于实证干预措施使用的要求。本文介绍了作者在一个成功且持久的OMS方面的经验案例，随后对文献进行了综述，并提出了一个描述OMS关键组成部分和益处的模型。建立衡量绩效的能力需要将针对青少年的、具有临床意义的结果数据的利用嵌入到组织的流程和结构中。OMS衡量与服务相关的结果，促进循证实践的实施，为个案决策提供信息，实现更好、更高效的临床管理，并提供用于改进服务的汇总信息。基于即时可用信息（包括迄今为止的进展）的特定案例监督模型有助于最大限度地提高消费者的结果。以数据为基础且以目标为导向的持续质量改进活动成为一种积极的变革管理工具。本文描述了促进高度功能性OMS发展的组织流程。
