Quality of care and accreditation status of state psychiatric hospitals.
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Accreditation↗
Biomedical subjects
M C McGurrin
Publications and source records attributed to M C McGurrin.
Using fiscal data to identify heavy service users.
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Adolescent↗
Accreditation, certification, and the quality of care in state hospitals.
Data on 216 state psychiatric hospitals were analyzed to determine whether accreditation by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) or certification by the Health Care Financing Administration (HCFA) were related to seven hospital characteristics generally accepted as reflecting quality of care. The characteristics were average cost per patient, per diem bed cost, total staff hours per patient, clinical staff hours per patient, percent of staff hours provided by medical staff, bed turnover, and percent of beds occupied. While a majority of the hospitals had either JCAHO accreditation, HCFA certification, or both, analysis revealed a weak relationship between accreditation or certification status and the indicators of quality of care. Accredited or certified hospitals were, however, more likely to have higher values on specific indicators than hospitals without accreditation.
Accreditation↗
Increased use of psychiatric emergency services by young chronic mentally ill patients.
As part of an investigation of the causes of increased use of Philadelphia's seven psychiatric emergency services, staff of the services were asked to identify the problems and changing conditions facing them. Difficulty securing inpatient beds for public patients and heavy use of services by a small number of patients fitting the description of young adult chronic patients were mentioned by staff at most of the services as among the most important problems or changes. The staffs' perceptions were confirmed in the second part of the study, which analyzed emergency service data for fiscal years 1979 through 1985. The data analyses also indicated that the heavy users continued to make extensive use of emergency services for several years following their first admission, causing their total number of visits to climb from 3,048 in 1980 to 14,839 in 1985. The authors suggest immediate strategies for responding to the emergence of these young, very disturbed patients.
Adolescent↗