Article

Driving with Roadmaps and Dashboards: Using Information Resources to Structure the Decision Models in Service Organizations

Department of Psychology, University of Hawaii at Mānoa, 2430 Campus Road, Honolulu, HI 96822, USA.
Administration and Policy in Mental Health and Mental Health Services Research (Impact Factor: 3.44). 04/2008; 35(1-2):114-23. DOI: 10.1007/s10488-007-0151-x
Source: PubMed

ABSTRACT

This paper illustrates the application of design principles for tools that structure clinical decision-making. If the effort to implement evidence-based practices in community services organizations is to be effective, attention must be paid to the decision-making context in which such treatments are delivered. Clinical research trials commonly occur in an environment characterized by structured decision making and expert supports. Technology has great potential to serve mental health organizations by supporting these potentially important contextual features of the research environment, through organization and reporting of clinical data into interpretable information to support decisions and anchor decision-making procedures. This article describes one example of a behavioral health reporting system designed to facilitate clinical and administrative use of evidence-based practices. The design processes underlying this system-mapping of decision points and distillation of performance information at the individual, caseload, and organizational levels-can be implemented to support clinical practice in a wide variety of settings.

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Available from: Adam Bernstein, Jun 07, 2015
    • "Finally, a substantial number of youths were excluded for psychosis and substance abuse (n=24). Targeting the program for a broader population could be achieved using algorithms to match youths to intervention strategies/modules most appropriate for their clinical presentations and likely treatment adherence patterns (Asarnow, et al., 2005;Chorpita, et al., 2008). Using two therapists created challenges, increased initial costs, but may have reduced treatment duration and later costs by intensifying treatment after the SA. "
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    • "Continual feedback is critical, as it may optimize intervention effectiveness. In this manner, the tracking of individual progress, fidelity to protocol, and organizational program results, can be used to inform and maximize the benefits of treatment (Schmidt 2012; Chorpita et al. 2008). Importantly, research suggests that objective feedback may improve child outcomes (e.g. Warren et al. 2009). "
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    • "Interactive decision dashboards are being increasingly used in business settings [13]. In healthcare, dashboards have been used to advance quality improvement [14-17], medication safety [18], intensive care unit patient management [19], implementation and monitoring of mental health care guidelines [20], and patient wellness [21]. "
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