Benchmarking, Analytics and the Quest for Enlightenment

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Benchmarking, Analytics and the Quest for Enlightenment

March 4, 2013

In the movie Jerry Maguire, Cuba Gooding Jr. frequently reminded Tom Cruise to “show me the money“. While the physical similarities between Tom Cruise and myself are no doubt apparent, the reason for mentioning this in my blog is to paraphrase Mr. Gooding and say “show me the data“. Continue reading Benchmarking, Analytics and the Quest for Enlightenment

Sandy Hook, Violence and Mental Illness

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Sandy Hook, Violence and Mental Illness

Jan. 22, 2013

n my last blog, I agreed to further discuss the topic of risk management. However that was before the tragic events in Sandy Hook. While discussing this event is still addressing the issue of risk, I’d really like to focus on the current debate regarding guns and the role of mental illness and violence. Continue reading Sandy Hook, Violence and Mental Illness

Risk Management – Part 1

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Risk Management – Part 1

October 2, 2012

“Life is a probability statement.” – Jim Treloar, Ph.D.

Dr. Treloar was my statistics and research methods professor when I was working on my doctorate at Ball State University. His quote above has stuck with me my entire career. It summarizes the human condition in one, pithy sentence. We can’t predict events exactly, but we can say (sometimes with high confidence) when they are more or less likely to happen. For some of us, this is as good as it gets and that’s ok. Knowing things “just happen” is not a cause for alarm; it’s recognition of what is. Continue reading Risk Management – Part 1

Checklists In Complex Systems

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Checklists In Complex Systems

July 31, 2012

In his book The Checklist Manifesto, Dr. Atul Gawande made a compelling case for the value of checklists in complex systems. Dr. Gawande correctly observed that checklists are routinely used in aviation to mitigate risk and improve safety. Pilots use checklists extensively for a reason. Flying an airplane is a complex endeavor and things can get missed if one relies on memory – especially when things get stressful. There is a phenomenon called “task loading” that means Continue reading Checklists In Complex Systems

Outcomes-Driven Model of Delivering Care in a Behavioral Health World

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Outcomes-Driven Model of Delivering Care in a Behavioral Health World

July 13, 2012

In the acute medical world an outcomes-driven model of delivering care has been very successful. I believe the same will hold true for the behavioral healthcare world. In a behavioral health setting a diagnosis is likely more of a categorization of groups, and outcomes will be generally measured along one or more of three dimensions: symptomology, functionality and satisfaction. So outcomes reporting might look like, “For depressed patients, 87% showed improved mood when seen by Dr. Jones” or “ at one year post treatment, 67% of people with a serious mental illness who attended program Y were still employed”. Continue reading Outcomes-Driven Model of Delivering Care in a Behavioral Health World

Diagnosis Code Debate

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Diagnosis Code Debate

June 18, 2012

was recently asked the following question:

There always seems to be an on-going debate in the market as it relates to Diagnosis. There is debate is between DSM-IV and DSM-V and in other instances, I hear people in the behavioral health industry lash out against ICD-9 vs. DSM. But what I do not understand is why the code set used to define the diagnosis is focused upon as the source of frustration. In my mind, these code sets are just a language used to describe/identify a diagnosis and rather than debate the issue of whether you can truly ever accurately diagnose a client with mental illness, it seems that people debate the language. In my mind, it is as though someone called me an “idiot” in French. Frankly, I do not rally against the French language, I take umbrage with the assessment that I am an “idiot.” I am sure I am missing something, but can you explain why the language used (DSM-V, ICD-9, DSM-V) makes such a difference to people in the market? Continue reading Diagnosis Code Debate

Interoperability vs. Confidentiality

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Interoperability versus Confidentiality

June 4, 2012

This is my first blog post and I’ve ruminated about what to write for several weeks. After much thought, it occurred to me that one of the biggest conundrums facing the behavioral industry these days is the challenge of Interoperability versus Confidentiality. So, let’s take a few minutes to explore this issue. Continue reading Interoperability vs. Confidentiality

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