RESIDENTIAL PROGRAM REPORTING AND OUTCOMES MONITORING

为了提高精神卫生住院服务的质量，提出了一个住院项目报告和结果监测系统（RPROMS）的原型。RPROMS以精神科门诊治疗系统为模型，提供报告，从而更好地利用资源，改善治疗结果，以及显著降低成本的数据捕获方法。RPROMS将采用非常简单、成本效益高的数据采集方法、证明可靠和有效的仪器和措施，以及满足居民、一线工作人员信息需要的报告；项目管理和外部授权。我们将开发和测试这个系统的原型，采用廉价的、广泛可用的计算机硬件和软件。第二，纽约和马萨诸塞州的大型住宅组织已经同意参与这项为期9个月的努力。该制度的可行性将根据四个标准进行评估：该制度对机构工作人员和驻地人员的价值；系统对管理者的价值；成本的合理性；自动化的效率。我们期望该系统将为组织提供一种具有成本效益的方法，以满足监测住院医生结果的内部需求，从而提高护理质量，以及向认证和资助当局提供项目有效性证据的外部需求。拟议的商业应用：这个住院项目报告和结果监测系统是为心理健康住院项目所采用的。这个行业每年为10万至15万人提供服务，支出超过16亿美元，但缺乏信息管理能力，无法满足内部质量保证和外部问责制的需要。如果目前的研究是成功的，我们将展示一个成本效益的原型，为在美国和加拿大各地提供这些服务的大型和小型组织采购。该系统也可以被其他类型的心理健康社区支持项目所采用。

Development of a prototype for a Residential Program Reporting and Outcomes Monitoring System (RPROMS) is proposed to improve quality of mental health residential services. RPROMS is modeled on systems for psychiatric outpatient treatment, which offer reports that result in better utilization of resources and improved treatment outcomes as well as methods of data capture with dramatically reduced costs. RPROMS will employ very simple, cost-efficient methods of data capture, instruments and measures with demonstrated reliability and validity, and reports which meet the information needs of residents, line staff; program management, and external authorities. We will develop and test a prototype of this system employing inexpensive, widely available computer hardware and software. Two, large residential organizations in New York and Massachusetts have agreed to participate in this nine-month effort. Feasibility of the system will be assessed against four criteria: Value of the system to agency line staff and resident; Value of the system to managers; Reasonableness of cost; and Efficiency of automation. We expect that this system will provide organizations with a cost-effective method for meeting internal needs for monitoring resident outcomes, leading to improved quality of care, and external needs for providing evidence of program effectiveness to accreditation and funding authorities. PROPOSED COMMERCIAL APPLICATIONS: This Residential Program Reporting and Outcomes Monitoring System is designed to be adopted by mental health residential programs. This is an industry that serves 100,000-150,000 people annually, with spending in excess of $1.6 billion, but lacks the information management capacity to meet its needs for internal quality assurance and external accountability. If the present research is successful, we will have demonstrated a cost- effective prototype for acquisition by large and small organizations providing these services throughout the United States and Canada. This system could also be adopted by other types of mental health community support programs.