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. 2016 Jan;52(1):1-9.
doi: 10.1007/s10597-015-9954-5. Epub 2015 Sep 29.

Crisis Reliability Indicators Supporting Emergency Services (CRISES): A Framework for Developing Performance Measures for Behavioral Health Crisis and Psychiatric Emergency Programs

Margaret E Balfour  1   2   3 , Kathleen Tanner  4 , Paul J Jurica  4 , Richard Rhoads  5   4 , Chris A Carson  6
Affiliations

Crisis Reliability Indicators Supporting Emergency Services (CRISES): A Framework for Developing Performance Measures for Behavioral Health Crisis and Psychiatric Emergency Programs

Margaret E Balfour et al. Community Ment Health J. 2016 Jan.

Abstract

Crisis and emergency psychiatric services are an integral part of the healthcare system, yet there are no standardized measures for programs providing these services. We developed the Crisis Reliability Indicators Supporting Emergency Services (CRISES) framework to create measures that inform internal performance improvement initiatives and allow comparison across programs. The framework consists of two components-the CRISES domains (timely, safe, accessible, least-restrictive, effective, consumer/family centered, and partnership) and the measures supporting each domain. The CRISES framework provides a foundation for development of standardized measures for the crisis field. This will become increasingly important as pay-for-performance initiatives expand with healthcare reform.

Keywords: Behavioral health; Crisis services; Emergency psychiatry; Mental health services/standards; Outcome and process assessment; Quality improvement.

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Figures

Fig. 1
Fig. 1
CRISES framework
Fig. 2
Fig. 2
Improvement in time from arrival to departure. Change in time from arrival to departure in response to two phases of process improvements. ACIC, Adult Crisis Intervention Clinic; Xbar, sample mean; UCL, upper control limit; LCL, lower control limit
See this image and copyright information in PMC

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