Use of administrative data to identify potential service gaps for individuals with serious mental illness.
Use of administrative data to identify potential service gaps for individuals with serious mental illness.
复制标题
使用管理数据来确定患有严重精神疾病的个人的潜在服务差距。
DOI：
10.1176/ps.62.9.pss6209_1094
复制
发表时间：
2011
期刊：
影响因子：
--
通讯作者：
Tom,Lily
中科院分区：
文献类型：
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作者：
Smith,ThomasE;Appel,Anita;Donahue,SheilaA;Essock,SusanM;Jackson,CarlosT;Karpati,Adam;Marsik,Trish;Myers,RobertW;Tom,Lily
ObjectiveThe New York City Mental Health Care Monitoring Initiative uses Medicaid claims data to identify individuals with serious mental illness who are experiencing or at risk for gaps in services. In this study the authors assessed whether proposed service use algorithms accurately identified such individuals.MethodsA random sample of 500 individuals with serious mental illness was identified. Individuals belonged to specific high-need cohorts and met predefined claims-based criteria for potential service gaps. Clinical staff initiated reviews with prior service providers for 230 individuals.ResultsOver a two-week period staff completed reviews for 188 cases (88%). In 66 cases (35%) the individual was fully engaged in care; 84 (45%) had a recent episode of disengagement that was appropriately addressed, and 38 (20%) were not receiving adequate services.ConclusionsThe proposed service use algorithms successfully identified high-need individuals with serious mental illness at risk for gaps in services. (Psychiatric Services62:1094–1097, 2011)
