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NRI provides expertise in behavioral healthcare performance measurement.

NRI has excelled in performance measurement and quality improvement since our inception in 1987. In 1997, together with the state mental health agencies, we developed a formal framework for performance measures. This landmark framework addressed access to care, appropriateness of care, quality of care, and outcomes of care. We developed measures within each of these areas and laid out a foundation for consistent measurement across providers of mental health services. Benchmarking performance, determining optimal levels and best practices, could be used to promote high quality care and better outcomes for persons served by the public mental health system. The effort led to the collaboration with SAMHSA in the development and testing of numerous measures for public accountability, quality, fidelity, and the National Outcome Measures.

In 1999, The Joint Commission listed NRI’s performance measurement system as meeting the criteria for inclusion in the accreditation process, and NRI was included on The Joint Commission’s list of acceptable ORYX vendors. NRI remains committed to meeting future criteria established by The Joint Commission, and we have successfully developed and implemented 24 performance measures for inpatient psychiatric care.

Through our Behavioral Healthcare Performance Measurement System (BHPMS), NRI collaborates with the National Association of Psychiatric Health System to develop and test common performance measures for public and private psychiatric facilities. This effort has led to our further collaboration with The Joint Commission in the development of the first core measure set for inpatient psychiatric care—the Hospital-Based Inpatient Psychiatric Services (HBIPS) core measure set.

Ultimately, the goals of performance improvement are: 

  • Near-perfect performance
  • Identifying shortcomings, and
  • Addressing process issues related to the identified shortcomings

While aggregate data can help identify shortcomings, the utilization of local dis-aggregate data is essential to identifying the clinical processes needing improvement in order to provide patients with the highest standard of care.

NRI commits to the involvement of stakeholders in the development of performance measures. Measures used for accountability of organizations must include clinically relevant indicators and consumer-focused outcomes. Measures must be assessed for feasibility and burden and weighted against the benefits of metrics to improve processes and outcomes. NRI has assisted states agencies, professional organizations, and providers in their movements toward meaningful metrics of performance measurement and quality improvement to better the lives of people affected by mental illness.

For a free sample of our monthly publication, entitled Technical Notes, dedicated to the education of our members, you may click here.

Please contact for more information.