{"id":3209,"date":"2022-07-22T18:18:32","date_gmt":"2022-07-22T18:18:32","guid":{"rendered":"https:\/\/staging.grnspace.com\/ca-en\/uncategorized\/13-steps-for-implementing-measurement-based-care\/"},"modified":"2023-06-07T15:48:53","modified_gmt":"2023-06-07T15:48:53","slug":"13-steps-for-implementing-measurement-based-care","status":"publish","type":"post","link":"https:\/\/staging.grnspace.com\/en-ca\/13-steps-for-implementing-measurement-based-care\/","title":{"rendered":"13 Steps for Implementing Measurement-Based Care"},"content":{"rendered":"

There\u2019s a significant body of research<\/a> supporting the effectiveness of Measurement-Based Care (MBC) in raising the standard of mental and behavioral health services. With such positive evidence as a foundation, there\u2019s a fast growing movement towards the adoption of MBC in clinical practice. Many providers and accrediting bodies, like the Joint Commission, recognize that MBC is not simply a nice addition to care, but a fundamental component of delivering high quality mental healthcare.<\/p>\n

In most cases, implementing Measurement-Based Care happens at the organizational level, and leaders are often tasked with gaining clinical adoption amongst staff. A team of researchers\u2014including Dr. Sandy Resnick, one of the founding members of the Yale Measurement-Based Care Collaborative\u2014developed a simple 13-step MBC Implementation Planning Guide<\/a> to support leaders across a variety of mental health settings, as they drive MBC forward at their organization and begin the implementation process with staff and clients.<\/p>\n

Below is a summary of the 13 steps outlined in the guide:<\/p>\n

Step 1. Identify the setting and participating staff<\/strong><\/p>\n

\u200d<\/strong>Determine which staff will participate, as well as which programs, clinics, or services will engage in MBC implementation.<\/p>\n

Step 2. Engage and train staff<\/strong><\/p>\n

\u200d<\/strong>Ensure all staff complete MBC training, including MBC concepts and interpretation of selected measures.<\/p>\n

Step 3. Determine MBC start date<\/strong><\/p>\n

\u200d<\/strong>Identify a formal \u201ckick- off\u201d date to increase engagement and enthusiasm.<\/p>\n

Step 4. Decide how to engage stakeholders<\/strong><\/p>\n

\u200d<\/strong>Thoughtfully engage as many stakeholders as possible, creating conditions for increased buy-in and greater likelihood for long term sustainability.<\/p>\n

Step 5. Determine who will be assessed<\/strong><\/p>\n

\u200d<\/strong>Identify which populations will receive MBC.<\/p>\n

Step 6. Determine measures\/frequency<\/strong><\/p>\n

\u200d<\/strong>The implementation team should identify specific patient-reported outcome measures (PROMs) to implement based on the patient population and program goals. After measures are selected, determine the frequency of use.<\/p>\n

Step 7. Determine administration process<\/strong><\/p>\n

\u200d<\/strong>Determine how you will collect your measures, who will administer the assessments, how often, and if they will be administered before, after, or during sessions with clients.<\/p>\n

Step 8. Determine method of documentation and ownership<\/strong><\/p>\n

\u200d<\/strong>If you\u2019re not using an automated delivery and data collection system like Greenspace, select a standardized tracking system (e.g., spreadsheet, commercially available products) and identify who will enter the data manually.<\/p>\n

Step 9. Determine clinical value of MBC<\/strong><\/p>\n

\u200d<\/strong>It\u2019s important to move beyond simply collecting data; you must determine how clinicians will use MBC to enhance their practice by promoting shared decision making, and adjusting treatment plans based on assessment results and collaborative discussions with clients.<\/p>\n

Step 10. Determine how data will be aggregated and used<\/strong><\/p>\n

\u200d<\/strong>Decide which measures will be aggregated, what time points will be reviewed (admission, during treatment, discharge), and the role data will play in quality improvement efforts.<\/p>\n

Step 11. Define MBC success<\/strong><\/p>\n

\u200d<\/strong>Ensure there is a shared understanding of the clinic\/team\u2019s goals with well-defined benchmarks for success.<\/p>\n

Step 12. Develop an implementation support plan<\/strong><\/p>\n

\u200d<\/strong>Identify ways leadership can continue to support and encourage staff.<\/p>\n

Step 13. Determine how to maintain MBC<\/strong><\/p>\n

\u200d<\/strong>Develop standard operating procedures, create a sustainability action plan and celebrate the small wins along the way!<\/p>\n

Final Thoughts<\/strong><\/h3>\n

Read the full Implementation Planning Guide<\/a> for more details on this valuable step-by-step approach for organizations and clinics wishing to implement MBC. Remember, when embarking on your MBC journey, it\u2019s okay to do so at a pace that works for your organization. Some organizations opt for a phased approach (for example, a small-scale pilot starting with fewer measures and\/or one program stream) and build from there \u2013 it doesn\u2019t have to be all or nothing! What\u2019s most important is getting started with a shared commitment to learning, rather than doing it perfectly from the get-go!<\/p>\n","protected":false},"excerpt":{"rendered":"

A team of researchers, including Dr. Sandra Resnick of the Yale MBCC, developed a 13-step MBC Implementation Planning Guide to support leaders with the uptake of MBC across a variety of mental health settings.<\/p>\n","protected":false},"author":22,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":"","_links_to":"","_links_to_target":""},"categories":[45,3],"tags":[],"class_list":["post-3209","post","type-post","status-publish","format-standard","hentry","category-mbc-education","category-blog"],"acf":[],"_links":{"self":[{"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/posts\/3209","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/users\/22"}],"replies":[{"embeddable":true,"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/comments?post=3209"}],"version-history":[{"count":0,"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/posts\/3209\/revisions"}],"wp:attachment":[{"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/media?parent=3209"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/categories?post=3209"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/staging.grnspace.com\/en-ca\/wp-json\/wp\/v2\/tags?post=3209"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}