Measuring the quality of care for psychological health conditions in the military health system
Subtitle: candidate quality measures for posttraumatic stress disorder and major depressive disorder
By: Kimberly A. Hepner ... [and ten others]
Publisher: RAND
Published: 2015
Place of publication: Santa Monica, CA
Language: eng
Number of pages: 216
ISBN-13: 9780833086563
Subjects: Mental Depression; Mental health services; Post-traumatic stress disorder; Treatment; Medical care; Soldiers; Evaluation; Armed Forces
Description: In recent years, the number of U.S. service members treated for psychological health conditions has increased substantially. In particular, at least two psychological health conditions -- posttraumatic stress disorder (PTSD) and major depressive disorder (MDD) -- have become more common, with prevalence estimates up to 20 percent for PTSD and 37 percent for MDD. Delivering quality care to service members with these conditions is a high-priority goal for the military health system (MHS). Meeting this goal requires understanding the extent to which the care the MHS provides is consistent with evidence-based clinical practice guidelines and its own standards for quality. To better understand these issues, RAND Corporation researchers developed a framework to identify and classify a set of measures for monitoring the quality of care provided by the MHS for PTSD and MDD. The goal of this project was to identify, develop, and describe a set of candidate quality measures to assess care for PTSD and MDD. To accomplish this goal, the authors performed two tasks: (1) developed a conceptual framework for assessing the quality of care for psychological health conditions and (2) identified a candidate set of measures for monitoring, assessing, and improving the quality of care for PTSD and MDD. This document describes their research approach and the candidate measure sets for PTSD and MDD that they identified. The current task did not include implementation planning but provides the foundation for future RAND work to pilot a subset of these measures.
Notes: "National Defense Research Institute."

"Prepared for the Office of the Secretary of Defense. Approved for public release; distribution unlimited."

"RR-464-OSD."--Page 4 cover.

Includes bibliographical references (pages 199-216).