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

• Published in: Community mental health journal Vol. 52; no. 1; pp. 1 - 9
• Main Authors: Balfour, Margaret E., Tanner, Kathleen, Jurica, Paul J., Rhoads, Richard, Carson, Chris A.
• Format: Journal Article
• Language: English
• Published: New York Springer US 01-01-2016; Springer Nature B.V
• Subjects: Clinics; Community and Environmental Psychology; Crises; Crisis Intervention; Electronic health records; Emergency medical care; Emergency Service, Hospital; Emergency services; Female; Health; Health behavior; Health care policy; Health services; Humans; Length of Stay; Male; Medicine; Medicine & Public Health; Mental Disorders - therapy; Mental health; Mental health care; Mental Health Services - standards; Original Paper; Outpatient care facilities; Pay for performance; Performance related pay; Psychiatric services; Psychiatry; Quality Improvement; Quality Indicators, Health Care; Reforms; Reliability; United States > US; Mental health services/standards; Quality improvement; Crisis services; Behavioral health; Outcome and process assessment; Emergency psychiatry
• ISSN: 0010-3853; 1573-2789
• DOI: 10.1007/s10597-015-9954-5

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.