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Washington State Mental Health Audit

The 1999 Washington State Legislature directed the Joint Legislative Audit and Review Committee (JLARC) to conduct a performance audit of the state's public mental health system. The audit covers many aspects of the mental health system’s functioning, including the status of its performance measurement functions. JLARC contracted with Clegg and Associates, Inc. (with the Health Policy Analysis Program at the University of Washington as a subcontractor) and the Center for Clinical Informatics to conduct the performance measurement portion of the audit.

The scope of work for the performance measurement component includes the following activities:

    • A review of the literature regarding current performance measurement practices in mental health services in the public and private sectors;
    • An analysis of the systems implemented by states who are viewed as leaders in public mental health performance measurement;
    • An assessment of the system's current performance measurement activities;
    • The development of criteria to guide design of a performance measurement system for Washington State’s public mental health system; and
    • The formulation of recommendations for a practical and useful performance measurement system for the public mental health system.

The following are reports and supporting documentation produced by the consulting team. The Washington State Legislature subsequent passed legislation designed to facilitate implementation of the recommendations of the audit team. 

Executive Summary

Summary of recommended measures

Review of best practices

Recommended specifications for state wide performance and outcomes management system

Related materials:

Listening to the patient  

Power Point presentation on the use of consumer self report measures to foster accountability and improve clinical outcomes.

Pushing the Quality Envelope  

Draft of an article that appeared in Psychiatric Services; July 2001 describing the  PacifiCare Behavioral Health outcomes management program.