Strategies for Integrating and Coordinating Care for Behavioral Health Populations: Case Studies of Four States. D. Data for Quality Monitoring and Improvement


The collection of data and the use of information systems are critical components of the programs examined. While none of the programs requires providers to use EHRs, several of them are working to encourage providers to use EHRs and they are using that information to monitor the quality of care. In addition, programs are developing novel ways of allowing providers to share information. Two programs (Vermont and North Carolina) have implemented their own secure web-based systems whereby medical, behavioral, and other providers can access utilization and medication data on each consumer to aid in making clinical decisions and track outcomes. Louisiana is working to develop a similar system. Each program has employed a variety of quality-improvement strategies in order to help meet program goals and ensure that beneficiaries receive high quality care. While these states have ongoing quality monitoring and evaluation efforts, they offer many opportunities for further evaluations that would examine how financing strategies and system redesign efforts impact the quality, outcomes, and costs of care. Some of the programs may lend themselves to quasi-experimental evaluation designs because they are implementing the program in certain regions or staggering implementation, which would allow for more rigorous testing of certain program components.

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