Premium
Provider perceived barriers and facilitators to integrating routine outcome monitoring into practice in an urban community psychiatry clinic: A mixed‐methods quality improvement project
Author(s) -
Van Wert Michael J.,
Malik Mansoor,
Memel Brenda,
Moore Ryan,
Buccino Daniel,
Hackerman Florence,
Kumari Suneeta,
Everett Anita,
Narrow William
Publication year - 2021
Publication title -
journal of evaluation in clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.737
H-Index - 73
eISSN - 1365-2753
pISSN - 1356-1294
DOI - 10.1111/jep.13457
Subject(s) - thematic analysis , mental health , medicine , quality management , nursing , relevance (law) , accountability , quality (philosophy) , best practice , medical education , qualitative research , psychiatry , management system , social science , philosophy , management , epistemology , sociology , political science , law , economics
Background and Aims Although mental health clinics are under increasing pressure to demonstrate value and routine outcome monitoring (ROM) has become a mandated component of care, providers have been slow to adopt ROM into practice, with some estimating that less than 20% of mental health clinicians use it consistently in the United States. This article explores perceived barriers and facilitators to integrating ROM into practice among clinicians and administrators in a large urban US community psychiatry clinic. Method One hundred and thirty‐eight clinical and administrative staff were administered an anonymous web‐based survey to elicit attitudes towards ROM. Responses were summarized descriptively and qualitatively synthesized into a conceptual model using inductive thematic analysis. Results Common barriers to integration included insufficient time to collect and/or use measures, not knowing what measures to use, measures being difficult to access, and insufficient training. Facilitators included increased access/ease of use, training and support, measure relevance/validity, and accountability. Conclusions In order for psychiatry clinics to successfully implement ROM into practice, they must diagnose organization‐side barriers and translate this knowledge into actionable quality improvement initiatives ranging from the infrastructural to the cultural.