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Quality Measures Database

Detailed Results


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Assessment Of Need for Specialist Care Overall Rank: 99
Use of a brief scale (i.e., the Threshold Assessment Grid (TAG)) to determine immediacy and intensity of specialized mental health services needed by a patient in primary health care based on their current mental status.
Changes to or the characteristics of the health status of an individual which may lead to distress, interference with daily activities, or contact with health services. This also includes symptom severity.
Additional Domain(s) : Continuity
Rationale
a) Effective Practice (what is the practice that you wish to measure?): How immediate and intense of care is required by patient.
When does a patient need Immediate (Emergent), Urgent, or Elective Mental Health Care
b) Purpose of Measurement (what you wish to measure: implementation of the practice, or patient outcome?): Patient Illness severity measure
Primary Reference
CEQM Survey 2, Expert Participant #30
Level of Evidence
V: Validated scale: Research has been conducted to determine it has at least some properties associated with a high quality scale

Summarized CommentsAdd Comment
  • If this is standardly used it would be very useful - otherwise time wasting.
  • I suppoprt an objective measurement of need but feasibility/burden are very real issues that limit the widespread use of objective measures.
  • I am in favour of standardized tools in general in order to decrease the impact of individual clinician expertise in assessment, diagnosis, treatment. Perhaps at a natural level there is work being done to develop pan-Canadian benchmark tools - I applaud
  • This is impossible to make actionable because of lack of constancy of services from one geographical area to another.
  • My only concern re TAG is that it be used as a "screener" and not replace a risk assessment altogether.
Variation in Results
Ratings-based Rank
Relevance 103
Actionability 80
Overall Importance 107
 
Stakeholder Rank
Academics 122
Clinicians 115
Consumers 67
Decision Makers 87
 
Special Group Rank
First Nations 112
Rural Areas 97
Federal Stakeholders 120
Regional Rank
BC AB SK MB ON QC NB NS PE NL YT NT NU
90 95 115 73 92 101 77 99 141 134 129 98 65
 
Overall Rank

      

99


SW06a (H402)

 
Distribution of Survey Respondent Ratings
Relevance
100
90
80
70
60
50
40
30
20
10
0
0.43 0.97 2.41 2.48 4.79 12.9 34.42 29.13 12.48
1 2 3 4 5 6 7 8 9
Low High
Actionability
100
90
80
70
60
50
40
30
20
10
0
0.43 1.76 1.26 3.7 5.98 15.43 32.86 26.47 12.11
1 2 3 4 5 6 7 8 9
Low High
Overall Importance
100
90
80
70
60
50
40
30
20
10
0
8.87 57 34.13
3 2 1

3 = can live without
2 = nice to have
1 = indispensable
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