| Performance Outcome System
Quality Improvement and Program Compliance Division
Adult Services
Performance Outcome: Data Management
During the year 2000, a total of 2,386 valid instruments had been completed and processed for the Adult Performance Outcome system. These instruments included measures of clinical status (BASIS-32, Quality of Life) and consumer satisfaction (MHSIP).
Each instrument is reviewed by QIPC staff to make sure that it has been correctly completed, and returned to the clinic if changes are needed. During the last quarter of 2000, the rejection rate was 3.9%, down considerably from previous months. In December 2000, the error rate had fallen to zero.
Turnaround time – the time from receipt by QIPC until the instruments are returned to the clinics – has decreased over time. Documents were returned after an average of 7.4 days in October 2000, after 4.8 days in November and December 2000, and after 1.7 days in January 2001.
Demographics
Fifty-eight percent of the adult consumers receiving services at Orange County mental health clinics are women, 86% are English speaking, and 63% are Caucasian. The average age at intake was 41 years. The ethnic distribution is shown in the figure below.
Diagnosis
The County mental health clinics serve individuals with severe and persistent mental illnesses. The primary psychiatric diagnoses of consumers are Schizophrenia (26%), Bipolar Disorder (16%), and Major Depression (22%). The distribution of psychiatric diagnoses is shown in the figure above.
Consumer Satisfaction
The MHSIP is a 26-item measure of consumer satisfaction with mental health services. It is comprised of four domains, shown below:
|
Domain |
Sample Item |
|
Access |
The location of services was convenient. |
|
Appropriateness |
Staff here believed I could grow, change, and recover. |
|
Outcomes |
As a direct result of services I received, I am better able to control my life. |
|
Satisfaction |
I like the services that I received here. |
Items were rated from Strongly Disagree (1) to Strongly Agree (5). Consumers were generally satisfied with the services they received, giving mean ratings ranging from Agree to Strongly Agree on the scales measuring satisfaction with services, ease of obtaining services, and their view of service appropriateness. A slightly lower mean rating, between Neutral and Agree, was given on the Outcomes scale. This scale reflects the consumer’s rating of clinical progress and improvement. The mean ratings on each scale are shown below:
5=Strongly Agree 4=Agree 3=Neutral
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