""I personally think that the way to really get to consensus broadly is something that takes policy action," he said. "We certainly want to participate in defining what good looks like. But it's hard for payers, providers, advocates, everybody ... to all be on the exact same page of, 'What does good look like?' And I think that sometimes the only way that that happens is when there is a policy that says we're going to define it.""
""Did you get them in for an appointment within seven days? And while that may indicate that across a large number of people, folks that get in within seven days do better than folks that don't, it doesn't tell you whether or not that clinician actually did a good medication reconciliation. Did they make sure that social determinants of health needs are met?""
There remains limited access to mental health support due to provider shortages and rapidly filled appointment slots. Payers collect substantial data on patient care but that data often fails to reveal whether care was high quality. Clearer, consensus-based standards and possibly legislative or policy action are needed to define what constitutes good behavioral health care. Current measures often track whether an action occurred rather than its effectiveness. For example, seven-day follow-up after hospitalization does not capture whether clinicians performed thorough medication reconciliation or addressed social determinants of health. Measurement should shift from simple process metrics to outcome-focused assessments that reflect patient success.
Read at MedCity News
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