Measuring, Evaluating, Adjusting and Improving Treatment and Outcomes. Available within the Kipu EMR
Now with Aggregated Reporting across all levels of care.
Required by The Joint Commission as of January 1, 2018 and Recommended by The Kennedy Forum
It’s all about measuring outcomes.
Outcomes Measurement (also referred to as “Feedback Informed Treatment” or “Evidence-Based Care) refers to the practice of providing psychotherapy treatment that is informed by repeated administrations of patient-reported treatment outcomes. Feedback Informed Treatment was recently listed by SAMHSA as a recognized evidence based practice. Feedback informed treatment is also variously referred to as outcomes informed care, outcomes management, patient focused care. All imply the use of patient self-report questionnaires, combined with feedback, to enable improvement in outcomes… from the patients’ perspective.
Outcomes Measurement Works.
Measuring outcomes is a recognized evidence-based practice that supports patient-facing assessments and may be administered online via a tablet or smartphone for instant feedback. This method requires that patients complete a self-report questionnaire to provide feedback on the treatment that they receive. The goal of collecting feedback from patients is to evaluate the quality of services provided to them and to adjust ongoing treatment to ensure that the patient receives the maximum benefit and improved outcomes.
Measuring progress and outcomes is necessary to judge the appropriateness of specific treatment modalities and programs used to treat patients.
Measuring progress and outcomes is required by The Joint Commission and strongly recommended by the Kennedy Forum and dozens of other experts in the field. Measuring progress and outcomes is required by many large scale providers such as the VA Health System, The U.S. Army and others. This method will be a requirement by CMS, insurance payors and other accreditation agencies.
The Fast, Easy–and Accredited–Surveys.
Questionnaires are sent to patients via a fast, easy and secure, HIPAA compliant messaging platform. Patients may complete the questionnaires on any electronic device, usually a tablet or smartphone, and send it back to be evaluated. Patients complete the questionnaire consisting of 4-17 questions based on the FIT program that is selected. Depending on predetermined requirements, the FIT questionnaire may be administered on a monthly or weekly basis.
The Brief Addiction Monitor (BAM)
BAM-IOP Intensive Outpatient I BAM-R Retrospective
The BAM is a 17-item, multidimensional questionnaire, designed to be administered as a clinical interview (in-person or telephonically) or via patient self-report, for all patients seeking or enrolled in SUD specialty care. It retrospectively assesses (past 30 days) three SUD-related domains: risk factors for substance use, protective factors that support sobriety, and drug and alcohol use. Items were selected for inclusion in the BAM based on their presence in existing SUD measures and/or on empirical support for their reliable and valid assessment of SUD relapse risk and treatment outcome. Each item ranges in value from zero to 30, the use score ranges from zero to 90, and the risk and protective factor scores range from zero to 180.
The PHQ-9 is a multipurpose instrument for screen, diagnosing, monitoring and measuring the severity of depression. The assessment may be completed by the patient in a matter of minutes and rapidly shred by the clinician. Repetition of the assessment can reflect improvement or worsening of depression in response to treatment.
A brief, simple, and validated questionnaire is available to primary care providers to determine if their patients are exhibiting symptoms of an eating disorder.
A family of 4 self-report assessments monitor client needs and progress in these areas: Treatment motivation, psychological functioning, social functioning, and clinical engagement scales administered throughout treatment to help planning of services and track client changes over time.
The Depression, Anxiety and Stress Scale is a set of three self-report scales designed to measure the emotional states of depression, anxiety and stress.
The 41-item RAS is a commonly used recovery measure in research and is used in clinical settings to assess an individual’s current state of recovery and improvement over time. The assessment is typically performed on admission and at discharge.
Kipu includes a library of approved assessments, proven to assist treatment professionals in providing better care and achieve improved outcomes. Published findings indicate that outcomes in treatment improve 70% to 350% using “Feedback Informed Treatment;” short patient surveys during and after treatment lead to optimization of the Treatment Plan and AfterCare.
“The Joint Commission” and “TJC” are trademarks of Joint Commission on Accreditation of Healthcare Organizations. The trademark holder is not affiliated with Kipu and has not endorsed its product. The content of this page is not meant to imply any affiliation or endorsement, and no such affiliation or endorsement should be inferred.
FEEDBACK INFORMED TREATMENT HISTORY
FIT’s Proven Results
- Outcomes improve 70% – 350% in BH/SUD treatment when progress measurement is used to monitor progress, adjust treatment, and thereafter measure post-treatment outcome
- Reduce dropout rates by 50%
- Reduce deterioration rates in treatment by 30%
- Assess outcomes through the use of standardized instruments, which is a Joint Commission requirement.
- Financial results improve as outcomes improve.
- FIT helps measure, adjust, and improve the therapeutic alliance.
Given the opportunity to answer a survey on an iPad or smartphone, the answers are often more truthful. The FIT survey generates immediate results and helps to improve treatment progress and outcomes. (Read more.)
Brian started experimenting with drugs and alcohol around the age of 14, but his parents didn’t become aware of it until he was 17. His parents send him to a psychologist in search of answers and subsequently was referred to a wilderness program in Utah. “Brian did really well there,” his father remarked. Trusting that program, he followed their recommendation and sent Brian to a therapeutic boarding school in Atlanta. (Read the full story.)
FIT RESOURCE CENTER
- “FACING ADDICTION IN AMERICA” – The U.S. Surgeon General
- “The Bell Curve” – Atul Gawande
- “Revised Outcome Measures Standard Behavioral Health Care Accreditation Program”
- “Progress Monitoring in Mental Health and Addiction Treatment”
- “What Your Therapist Doesn’t Know” – Tony Rousmaniere
- “What It Takes to be Great” – Geoffrey Colvin
- “BAM: The Brief Addiction Monitor”
- “Making Treatment FIT for Improved Outcomes” – Daniel C. Frigo, Ph.D.
- “Using Outcome Measures to Improve Addiction Treatment Results & Bottom Line”
- “Feedback Informed Treatment In Clinical Practice by Prescott” – Maeschalck and Miller
- “Trends in Evidence-Informed Adventure Therapy” – Will Dobud
- “Fixing Behavioral Health Care in America” – The Kennedy Forum