Measurement Informed Care Archives - Collaborative Family Healthcare Association

Repository Data Based On PAPERS Framework

This document provides summaries of data related to the most widely used outcome measurement tools in primary care for the measurement of behavioral health outcomes. Original peer-reviewed research was summarized and organized using the PAPERS framework proposed by Stanick and colleagues. Dynamic interaction with the data is possible with a ChatGPT custom chatbot created by CFHA: The Integrated Care Association.

This work was supported by membership and spearheaded by the Research and Evaluation Committee (REC) and the Measurement Based Care (MBC) workgroup. Dr. Andrea Barnes did the primary research for the document. The MBC workgroup performed the original member survey that helped lead to selection of tools to review. The REC initiated the idea of a measurement repository. Special thanks as well to Mirah for sharing their source list of tools.

CFHA Master Repository Document Download

At CFHA, our goal is to promote the integration of physical and behavioral health. This resource is designed to showcase several healthcare technology companies and promote the effective use of technology in integrated care.

Purpose	PsychScan replaces simplistic/costly detection using the PHQ/GAD, with a highly-sensitive scan across common psychological issues, triggering highly-specific assessment when indicated. Highly effective and cost-effective, patients are electronically screened and triaged before a warm handoff. EMR integration enables automatic initiation with lab report results. Re-administer for differential symptom and severity score outcomes.
Populations	PsychScan is validated for ages 14 and over producing both client and clinician reports. It is used in primary care, specialty care clinical and tele-health settings, as well as direct-to-consumer app implementations.
Conditions	PsychScan addresses a range of mental health conditions: Major Depression, Persistent Depressive Disorder (Dysthymia), Bipolar Disorder, Generalized Anxiety Disorder, Panic Disorder, Obsessive-Compulsive Disorder, Posttraumatic Stress Disorder, Substance Use Disorder, Binge-Eating Disorder, Bulimia Nervosa, Somatic Symptom Disorder, Suicidal ideation and suicide risk, Danger to others.
Modailites	Screening and assessment is delivered online through links in emails and SMS texts using patient’s personal devices or in-clinic via tablets, PCs and kiosks. EMR API integration enable automated initiation and lab result report processing. PsychScan APIs enable hosted or question-by-question administration in client applications.
Website	www.psychscanclinic.com, www.psychscanpro.com, www.psyschscanpersonal.com and www.psych-scan.com
Customer Types	PsychScan Clinic supports HCOs and large organizations, PsychScan Pro supports private practice psychologist and therpists and PsychScan Personal address direct-to-consumer clients.
Evidence Base	PsychScan, originally the QPD, has been validated against the Structured Clinical Interview for DSMIV (SCID), widely regarded as a diagnostic gold standard.

Purpose	Mirah is empowering mental health and primary care providers with data-driven and evidence-based methods to optimize treatment for patients and, through this, transforming the very landscape of mental health care. Our mission is to prove and improve behavioral health outcomes which we do with our two data-driven technology solutions: Our measurement-based care solution is a best-in-class platform for measuring behavioral health. Patients take assessments by phone, desktop, or tablet in advance of their appointment, and providers use results to guide treatment. With seamless EHR integration, clinicians find our platform intuitive and easy to integrate into existing clinical workflows. We combine this enterprise-level technology with an expert clinical support team to drive effective, sustainable implementation of data-informed care across organizations of all sizes. Mirah’s collaborative care platform was designed to empower care teams with seamless collaboration. Through the collaborative care model (CoCM) and Primary Care Behavioral Health (PCBH) model, patients experience care that is designed by the entire care team. While behavioral health integration is largely acknowledged as the future of mental health care, we’ve lacked the technology to support it. With built-in time and task tracking, care coordination, and communication management, Mirah’s patient registry is designed specifically to address behavioral health integration pain points and make collaborative care programs truly scalable.
Populations	Mirah serves all populations. Our measurement platform has assessments for all ages from child and adolescent to seniors. Our collaborative care product was specifically designed for pediatric populations but can also be utilized for other populations, including adults and seniors. We support the LGBTQ+, BiPOC, AAPI, and Latinx populations.
Conditions	Mirah’s products are diagnosis and condition agnostic. Our tools help providers better identify all the majority of medical and mental health conditions. Our library of 400+ assessments looks at a wide variety of dimensions such as anxiety, depression, bipolar disorder, PTSD, eating disorders, psychosis, trauma, addiction and substance use, ADHD, mania, suicide risk, perfectionism, autism, OCD, and more.
Modalities	As a web-based platform, Mirah integrates directly with an organization’s EHR. There is no mobile app to download or configure. Organizations and their providers can design custom measurement protocols to customize treatment or use our collaborative care platform to seamlessly collaborate across care teams.
Website	mirah.com
Customer Types	Mirah’s technology is best suited for purchase by medical or behavioral health organizations, health systems, health plans, community-based organizations, individual care providers, primary care clinics, outpatient clinics, inpatient clinics, hospitals, medical organizations, government organizations, and even workplaces.
Evidence-Base	Conducting measurement-based care is itself an evidence-based practice. Further, Mirah’s platform includes a robust library of 400+ measures – most of which are clinically validated. Mirah facilitates early identification of and intervention for behavioral health conditions using evidence-based assessments and outcome measures. Prompt identification of mental health issues enables clinicians to intervene earlier, preventing symptom progression and supporting quicker recovery.For more examples around the effectiveness of the Mirah platforms, see our case studies.

Purpose	Better Outcomes Now (BON), the web application of the evidence-based practice, the Partners For Change Outcome Management System (PCOMS), is an empirically demonstrated measurement-based care (MBC) system that combines science, technology, feasibility, and clinical expertise to partner with clients/patients to improve therapeutic outcomes and reduce dropouts.
Populations Served	With data-driven algorithms for youth and adults, as well as short-term and long-term psychotherapy based on over two million administrations of its measures, BON serves client and patient populations across the lifespan in any behavioral health treatment or integrated care setting with any modality of service.
Conditions	Given that BON’s instruments have been widely used and researched with a broad range of client problems and diagnoses for over twenty years, BON is applicable across client/patient problems and diagnoses and provides unlimited data analysis.
Modalities	BON offers a secure web-based or app-based service and can be accessed on any smart device with full remote functionality for telehealth services.
Website	Betteroutcomesnow.com
Customer Types	Single practitioners, group practices, community agencies, universities, government/military agencies, primary care organizations, and payers.
Evidence-Base	Ten Randomized Clinical Trials (RCTs), a cohort study, and three benchmarking investigations demonstrates that PCOMS improves outcomes and increases treatment efficiency. One of those RCTs was a landmark 2021 study in integrated BH primary care demonstrating how BON is a feasible and evidence-based MBC system for integrated BH providers.

Purpose	Concert Health is a behavioral health medical group that is tech enabled
Populations	ages 6 and up, all payers
Conditions	depression, anxiety, adhd predominantly
Modalities	Direct to patient via telephone or video
Website	concert.io
Customer Types	Our technology cannot be purchased , we partner with healthcare providers
Evidence-Base	collaborative care

Top 40 Outcome Measures For Integrated Care

Top 40 Outcome Measures For Integrated Care

Repository Data Based On PAPERS Framework

Position Statement on Measurement Based Care

Position Statement on Measurement Based Care

Health Technology Options

Health Technology Options

CFHA Workgroup on Primary Care Behavioral Health (PCBH)
Screening & Outcomes Measurement

CFHA Workgroup on Primary Care Behavioral Health (PCBH)
Screening & Outcomes Measurement

Screener Usage Survey Results from the 2022 CFHA Conference (Boise, ID)

Screener Usage Survey Results from the 2022 CFHA Conference (Boise, ID)

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Repository Data Based On PAPERS Framework

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