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Improving Health in the Community: A Role for Performance Monitoring (1997)
Institute of Medicine (IOM)

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. "A.2 Depression." Improving Health in the Community: A Role for Performance Monitoring. Washington, DC: The National Academies Press, 1997.

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Improving Health in the Community: A Role for Performance Monitoring

Field Model Domain

Construct

Sample Indicators

Data Sources

Stakeholders

 

Reduce financial barriers to treatment

Proportion of employees with insurance coverage for mental health services for themselves; for their families

Employers, insurance licensing authority

Health care plans Local government Business and industry General public

Health Care

Ensure that the health care system is following appropriate treatment practices

Proportion of patients receiving ambulatory follow-up within 30 days after discharge for hospitalization for depression

Patient records; claims files

Health care providers Health care plans Special health risk groups General public

 

 

Proportion of depressed patients prescribed anti-depressant medications who receive prescriptions for therapeutically effective doses

Patient records; prescription services; claims files

Health care providers Health care plans Special health risk groups General public

 

 

Proportion of MCOs or managed behavioral health organizations that are accredited by a nationally recognized organization

Behavioral health care providers; accrediting organizations

Health care plans Business and industry Special health risk groups General public

NOTE: BRFSS, Behavioral Risk Factor Surveillance System; MCO, managed care organization; YRBSS, Youth Risk Behavior Surveillance System.

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