Content by Keyword: Quality of Services and Information

The TAG was convened to provide input on the selection of measure concepts and available data sources to develop the measures. The group included research and clinical experts in the treatment of PTSD and behavioral health quality measurement. It also included a consumer representative as well as representatives from a health plan, the U.S.

We first began our search for quality measures of PTSD care similarly, by defining search terms (see Table II.1 ). We then searched the three most widely used sources of quality measures: the National Quality Measure Clearinghouse (NQMC), the NQF, and the online inventory maintained by the Center for Quality Assessment in Mental Health (CQAIMH).

After initial meetings with ASPE and NIMH to discuss priority measurement areas within the broad field of PTSD care and target populations for this quality measure development effort, we conducted a scan of research literature and clinical guidelines to identify evidence-based treatments for PTSD. The scan drew on systematic reviews (including met

This report summarizes the development and testing results of the quality measures for PTSD. Chapter II describes the process for selecting measure concepts. Chapter III explains the process for specifying the measures.

In September 2011, the U.S. Department of Health and Human Services (HHS) Office of the Assistant Secretary for Planning and Evaluation (ASPE), with support from the HHS National Institute of Mental Health (NIMH), contracted with Mathematica Policy Research and the National Committee for Quality Assurance (NCQA) to develop quality measures for tre

For a recent synthesis of the evidence on PTSD treatment, see Institute of Medicine (2012, chapter 7). TEP members were experts in psychotherapeutic treatments for adults with PTSD and were not members of the original TAG. They were selected to assist in identifying therapeutic elements and creating the initial measure.

ACI Index

TABLE L.1 . Comparison Between Bayesian and WLSMV Adjusted Estimators: Clinical Confirmatory Factor-Analytic Models Item and Item Number Bayesian Estimates

TABLE K.1 . Item-Level Inter-Rater Agreement Between Supervisors and Clinicians Supervisor-Clinician Observed Agreement AC1

TABLE J.1 . Summary of the Reliability Analysis for Factor 1: Structuring and Conducting the Session Item N Item Difficulty

TABLE I.1 . CFA Final Model Solution Supervisor Sample Clinicians Sample Clients Sample

TABLE H.1 . EFA Model Fit Statistics Model Fit Information EFA Solution 5-Factor 6-Factor

TABLE G.1 . Summary of Item-Level Responses on the Clinician Survey Item % Yes % No % Don't Remember

FIGURE F.1 . Data Processing and Flow Chart Sample selection form Site submits a sample selection form, which contains information on the clinician's caseload of eligible clients Selection of the sample Mathematica reviewed the form to select the sample

Beck, J.G., & Coffey, S.E. (2005). Group Cognitive Behavioral Treatment for PTSD: Treatment of Motor Vehicle Accident Survivors. Cognitive and Behavioral Practice, 12, 267-277 Blanchard, E.B., & Hickling, E. (2004). After the crash: Psychological assessment and treatment of survivors of motor vehicle accidents (2nd ed.). Washington, DC:

TABLE C.1 . TEP Members Name Affiliation Years of TEP Participation Kathleen Chard, Ph.D. Cincinnati VA Medical Center

TABLE B.1 . TAG Members and Affiliations Name Affiliation Francisca Azocar Vice President, Research and Evaluation Behavioral Health Sciences

Development of Quality Measures for Post-Traumatic Stress Disorder Technical Advisory Group March 1, 2012 Mathematica Policy Research [text version of presentation slides]

Agency for Healthcare Research and Quality (AHRQ). "Background Report for the Request for Public Comment on Initial, Recommended Core Set of Children's Healthcare Quality Measures for Voluntary Use by Medicaid and Chip Programs." Available at http://www.ahrq.gov/chipra/corebackground/corebackapa8.htm. Accessed February 7, 2011. American Psychiat