Document Detail

Using patient-facing kiosks to support quality improvement at mental health clinics.
MedLine Citation:
PMID:  23407006     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: Evidence-based services improve outcomes in schizophrenia, but most patients at mental health clinics do not receive such services. This gap in care has been perpetuated by a lack of routinely collected data on patients' clinical status and the treatments they receive. However, routine data collection can be completed by patients themselves, especially when aided by health information technology. It is not known whether these data can be used to improve care quality.
METHODS: In a controlled trial, 8 medical centers of the Veterans Health Administration were assigned to implementation or usual care. A total of 571 patients with schizophrenia were overweight and had not used evidence-based weight services. The implementation strategy included data from patient-facing kiosks, continuous data feedback, clinical champions, education, social marketing, and evidence-based quality improvement teams. Mixed methods evaluated the impact of the kiosks on utilization of and retention in weight services.
RESULTS: Compared with usual care, implementation resulted in individuals being more likely to use weight services, availing services >5 weeks sooner, and continuing to use the services 3 times more. When compared with the year before implementation, patients at implementation sites saw a 3-fold increase in treatment visits. Usual care resulted in no change.
CONCLUSIONS: Mental health clinics have been slow to adopt health information technology. This study is among the first to implement and evaluate automated collection of data from patients at these clinics. Patient-facing kiosks are feasible in routine care and provide data that can be used to substantially improve the quality of care.
Amy N Cohen; Matthew J Chinman; Alison B Hamilton; Fiona Whelan; Alexander S Young
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article; Multicenter Study; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, Non-P.H.S.    
Journal Detail:
Title:  Medical care     Volume:  51     ISSN:  1537-1948     ISO Abbreviation:  Med Care     Publication Date:  2013 Mar 
Date Detail:
Created Date:  2013-02-14     Completed Date:  2013-05-20     Revised Date:  2014-06-13    
Medline Journal Info:
Nlm Unique ID:  0230027     Medline TA:  Med Care     Country:  United States    
Other Details:
Languages:  eng     Pagination:  S13-20     Citation Subset:  IM    
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MeSH Terms
Ambulatory Care / organization & administration*
Chi-Square Distribution
Community Mental Health Services / organization & administration*
Computer Terminals*
Evidence-Based Medicine
Hospitals, Veterans*
Interviews as Topic
Logistic Models
Medical Informatics / trends*
Middle Aged
Overweight / therapy*
Program Evaluation
Psychiatric Status Rating Scales
Quality Improvement*
Schizophrenia / therapy*
Time Factors
Treatment Outcome
United States
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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