Routine assessment of patient-reported outcomes in behavioral health: Room for improvement

Alok Madan, Jeffrey J. Borckardt, Alexa Connell, Sarah B. Book, Sallie Campbell, McLeod F. Gwynette, Lisa A. Wimberly, Mark Wagner, Benjamin Weinstein, Stephen McLeod-Bryant, Harriet Cooney, Joan Herbert

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Outcomes assessment has become an important tool in assessing the quality of health care. To date, most quality initiatives have focused on adverse events, clinical processes, and/or cost variables. Considerably less attention has been paid to indices of clinical improvement, especially from a patient's perspective and in behavioral health settings. The relative inattention given to clinical improvement is attributable to a number of reasons, including (but not limited to) a lack of consensus regarding measures of improvement, few simple methods for data collection and analysis, and an inability to provide timely feedback. In this article, the authors describe a Web-based system designed to routinely collect quality-of-life ratings from patients in outpatient behavioral health clinics, allowing for real-time feedback at the patient levels regarding clinical improvement. The system also allows for administrative evaluation of overall clinic performance. The costs and benefits of this system are discussed.

Original languageEnglish (US)
Pages (from-to)70-81
Number of pages12
JournalQuality Management in Health Care
Issue number1
StatePublished - Jan 2010


  • Assessment quality
  • Computer assessment
  • Patient-reported outcomes
  • Quality of life

ASJC Scopus subject areas

  • Leadership and Management
  • Health(social science)
  • Health Policy
  • Care Planning


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