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Quality Measures Database

Brief Results

Domains : Accessibility

Use checkboxes to select measures to print or display Showing results 1 to 45 of 45              
Overall Rank Primary Domain Additional Domain(s) Measure Title
3 Patients with Mood Disorders Accessibility Percent of individuals in high risk groups below with documented screening for major depression at least on one occasion :
•  Substance abuse or substance abuse withdrawal
•  Other psychiatric illnesses
•  Own or family history of depression
•  Major loss/traumatic events or life changes
•  Multiple (greater than 5/year) medical visits or multiple unexplained symptoms
•  Work or relationship dysfunction.
•  Cardiac disease, diabetes or other major physical illnesses
Display Detailed
6 Patients with Acute Conditions Accessibility, Patients with Mood Disorders People presenting with suicidal, assaultive or homicidal thoughts and/or plans, which make the clinician uncertain of safety of the patient or others: Proportion who receive same-day specialized mental health care. Display Detailed
8 Patients with Psychosis Accessibility, Family Involvement Best in Domain Family interventions should be offered to families of individuals with schizophrenia who have experienced a recent relapse or have persisting symptoms, and are living with or in close contact with their family.  Key intervention elements include duration of at least 9 months, illness education, crisis intervention, emotional support, and training in how to cope with illness symptoms and related problems. Display Detailed
10 Emergency Services Patients with Acute Conditions, Accessibility Best in Domain Urgently required mental health services are received within 24 hours. Display Detailed
11 Psychotherapy Accessibility Best in Domain Evidence based psychosocial interventions appropriate to a patient’s condition should be available to patients in addition to pharmacological maintenance treatment, especially if complete or continued remission cannot be achieved. Display Detailed
16 Emergency Services Accessibility, Patients with Acute Conditions A crisis response system (CRS) is available in each district and includes a plan for 24 hours, 7 days per week services. Display Detailed
19 Patients with Comorbid Conditions Accessibility, Patients with Substance Abuse Access to relapse prevention treatments of established efficacy should be facilitated for alcohol dependent patients. Display Detailed
25 Rehabilitation Accessibility, Living and Working Conditions Best in Domain Adults with serious mental illness have access to a long term independent living program, including support staff. Display Detailed
26 Accessibility Best in Domain Average access time for urgent, emergent, and routine services. Display Detailed
31 Children Psychotherapy, Accessibility Primary health care clinicians have access to or can refer for Child-Parent Psychotherapy (CPP) combined with case management for preschool-age children exposed to marital violence to prevent and treat child mental health disorders. Display Detailed
32 Outreach Services Accessibility Best in Domain Percent of adults with a serious mental illness at risk of repeated relapse, have made high use of inpatient and/or emergency services, have a poor history of engagement with services or are homeless, who are offered treatment via an assertive case treatment (ACT) or intensive case management program. Display Detailed
36 Emergency Services Accessibility, Continuity Systematic assessment of gaps in service delivery for patients requiring mental health care out of standard office hours. Display Detailed
37 Outreach Services Accessibility, Emergency Services Response Time for Adult Crisis Intervention teams. Display Detailed
40 Early Detection Accessibility, Patients with Mood Disorders For individuals affirming one of the two key symptoms of depression (Over the past month, have you been bothered by little interest or pleasure in doing things? By feeling down, depressed or hopeless?), clinicians should consider using a quantitative questionnaire (e.g., Patient Health Questionnaire-9 (PHQ-9)) to further assess whether the patient has sufficient symptoms to warrant a diagnosis of clinical major depression and a full clinical interview. Display Detailed
42 Outreach Services Accessibility, Homeless or Itinerant Use of a homeless shelter based outreach intervention to improve treatment engagement in homeless individuals with psychiatric and/or substance misuse disorders. Display Detailed
45 Equity Psychotherapy, Accessibility Best in Domain There is equity of access to counseling services or psychotherapy treatments regardless of ethnic origin, age, place of residence, socioeconomic status, and sex. Display Detailed
46 Shared Care Accessibility Availability of service coordination by a case manager for patients of any age with mental health conditions. Display Detailed
49 Equity Accessibility, Patient-Centeredness Availability of advocacy, support, or ombudsman services for individuals and patient groups with special needs (e.g., language translation, individuals who cannot articulate their own needs). Display Detailed
53 Emergency Services Accessibility, Patients with Acute Conditions Percent of telephone crisis line calls answered in a timely fashion by telephone crisis line staff. Display Detailed
55 Accessibility For people age 15 or older in local health region households who have had a visit to a specialist for a mental health disorder in the last 12 months: median wait time since patient and doctor decided patient needed to see a specialist (data source: Statistics Canada survey). Display Detailed
60 Patient-Centeredness Speakers of English as a Second Language, Accessibility All services should provide written material in the language of the service user, and interpreters should be available for people who have difficulty in speaking the majority language. Display Detailed
62 Competence Continuity, Accessibility The provision of telephone support by appropriately trained members of the primary health care team - informed by clear treatment protocols - should be considered for all patients, in particular for the monitoring of anti depressant medication regimes. Display Detailed
63 Early Detection Patients with Comorbid Conditions, Accessibility Use of a common, validated screening tool (e.g., a four-item test with questions on Cutting down, Annoyance at criticism, Guilty feelings and use of Eye-openers (CAGE), The Alcohol Use Disorders Identification Test (AUDIT)) for alcohol or other drug problems for all new patients. Display Detailed
68 Early Detection Accessibility, Children Well child visits: Child visits the doctor six times in the first 15 months of life at 2, 4, 6, 9, 12, and 15 months of age; children from two to six years old have annual checkups. Display Detailed
69 Outreach Services Continuity, Accessibility Referrals to community supports are accepted from multiple sources including professionals, nonprofit and other service agencies, homeless shelters, employment services and self-referrals. Pro-active outreach/referral finding is part of this process. Display Detailed
70 Emergency Services Patients with Acute Conditions, Accessibility Proportion of clients with wait times of less than 14 days for initiation of ongoing treatment intervention after initial contact with any crisis intervention service (police, emergency department, crisis line). Display Detailed
74 Early Detection Accessibility, Patients with Eating Disorders When screening for eating disorders, one or two simple questions should be considered for use with specific target groups (e.g., Do you think you have an eating problem? and Do you worry excessively about your weight?). Display Detailed
80 Community Health Care Centre Accessibility Best in Domain Presence of single entry systems/processes (e.g., standardized referral and service forms for CHC). Display Detailed
84 Health Conditions Accessibility, Quality and Safety Routine utilization of questionnaires, (e.g. quality of life questionnaires) are only used in the presence of ongoing collaborative/quality improvement programs. Display Detailed
94 Accessibility For people age 15 or older in local health region households who have had a visit to a specialist for a mental health disorder in the last 12 months: proportion of patients whose health was affected by wait for specialist visit (data source: Statistics Canada survey). Display Detailed
101 Outreach Services Accessibility, Ethnic / Cultural Minorities Outreach to Special Populations (cultural and linguistic minorities with the number and percentage served). Display Detailed
102 Children Competence, Accessibility Availability of tele-health technology for training and case consultation for physician assessment of pervasive developmental disorders (e.g., autism) amongst children. Display Detailed
110 Continuity Accessibility, Financial Management Existence of a fee-item within the fee-for-service schedule that reimburses physicians for case consultation/case management activities. Display Detailed
117 Patients with Psychosis Psychotherapy, Accessibility All individuals with schizophrenia who are experiencing persisting psychotic symptoms should be offered cognitive behavioural therapy (CBT) for psychosis. Display Detailed
119 Accessibility Acceptability, Continuity Use of a standardized but brief scale (i.e., the Primary Care Assessment Tool (PCAT) access subscale) to measure access to primary health care. Display Detailed
127 Accessibility Continuity, Patients with Chronic Conditions Percentage of patients who have received reminders a few days before their next appointment. Display Detailed
128 Patients with Psychosis Early Detection, Accessibility Mean age at first treatment contact for persons with psychotic disorders. Display Detailed
129 Children Accessibility Use of the Western Canada Waitlist project revised child mental health services priority criteria, a validated 18-item measure to prioritize children’s access to secondary child mental health care services. Display Detailed
130 Equity Accessibility Access to mental health and addictions  specialists reported by level of income (income quintile) (data source: Statistics Canada survey). Display Detailed
134 Equity Accessibility Mean number of physician visits per year for a mental health problem in a local health region, taking into account (i.e., statistically adjusting) the need for these visits. Display Detailed
138 Accessibility Acceptability, Physical Health Intervention Proportion of persons with serious mental illness who had at least one physician visit for non-psychiatric reasons during the last year. Display Detailed
140 Accessibility Rehabilitation, Unemployed Percentage of mental health consumers who are able to access nutrition and exercise programs. Display Detailed
141 Outreach Services Accessibility, Children The percent of initial and follow-up contacts made by staff to clients that occurred outside of the office. Display Detailed
146 Continuity Accessibility, Information Management Percent of services used by patients captured on a common Electronic Health Record. Display Detailed
154 Accessibility Acceptability Percentage of adult patients seen within 15 minutes of their appointment. Display Detailed
  Best in Domain Most highly rated measure for the identified primary domain.
Use checkboxes to select measures to print or display Showing results 1 to 45 of 45              

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