Keeping Psychologists in the Driver's Seat: Four Perspectives on Quality Improvement and Clinical Data Registries

Performance accountability-also frequently referred to as quality improvement in the fields of medicine and public policy-is under growing scrutiny in mental and behavioral health care. As one high-profile example, psychologists and other mental health providers will be deemed "eligible clinici...

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Bibliographic Details
Published in:Psychotherapy (Chicago, Ill.) Ill.), 2020-12, Vol.57 (4), p.562-573
Main Authors: Rousmaniere, Tony, Wright, Caroline Vaile, Boswell, James, Constantino, Michael J, Castonguay, Louis, McLeod, John, Pedulla, Diane, Nordal, Katherine
Format: Article
Language:English
Subjects:
Clinical Governance
Clinical Practice
Clinical Psychologists
Clinicians
Health Care Psychology
Human
Medicare
Mental Health Personnel
Mental Health Services
Monitoring
Psychologists
Qualitative Methods
Quality of Care
Quantitative Methods
Treatment Outcomes
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Summary:Performance accountability-also frequently referred to as quality improvement in the fields of medicine and public policy-is under growing scrutiny in mental and behavioral health care. As one high-profile example, psychologists and other mental health providers will be deemed "eligible clinicians" under the 2015 Medicare Access and Children's Health Insurance Program Reauthorization Act starting in 2019. This will incentivize psychologists to track their Medicare patients' clinical outcomes and report them in data registries, and those who do not will suffer a reimbursement penalty. However, many psychologists are not aware of these developments or prepared for this change. The goal of this article is to provide information to psychologists about quality improvement and clinical data registries from four distinct, though overlapping, vantage points: professional governance, quantitative research, qualitative research, and clinical practice. We review recent regulations and research in this area, with an emphasis on exploring both the potential benefits and challenges of quality improvement. We conclude by providing recommendations for the field of psychology. Clinical Impact Statement Question: How can psychologists best track their patients' outcomes and use clinical data registries? Findings: Psychologists should actively participate in the development of clinical data registries. Meaning: Active participation in the development of clinical data registries will improve the clinical utility of data registries. Next Steps: Psychologists should further explore how they can contribute to the development of clinical data registries.
ISSN:0033-3204
1939-1536
DOI:10.1037/pst0000227