Measurement-based care (MBC) in behavioral health involves the repeated collection of patient-reported data that is used to track progress, inform care, and engage patients in shared decision making about their treatment. Research suggests that MBC increases the quality and effectiveness of mental health care. However, there can be challenges to implementing MBC, such as time burden, lack of resources to support MBC, and clinician attitudes. The Veterans Health Administration (VHA) is currently undertaking a multiphase MBC roll-out, the first phase of which included 59 sites across the country. The present study examined implementation of this initiative in an effort to learn more about the process of implementation, including best practices, challenges, and innovations. Semistructured interviews were conducted with 20 MBC site champions and 60 staff members from 25 VHA medical centers across the country. Qualitative data analysis was conducted to identify key themes related to MBC implementation. Results were described for 3 components of MBC implementation: preparing for implementation, administering measures, and using and sharing data. Training and staff buy-in were key to the preparation phase. Staff members reported a variety of methods and frequencies for the collection of MBC data, with many staff members identifying a need to streamline the collection process. Staff members reported using data to track progress and adjust treatment with patients. Efforts to use data on a programmatic level were identified as a next step. Innovative solutions across clinics and sites are described in an effort to inform future MBC implementation, both within and outside of VHA. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

中文翻译：

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退伍军人健康管理局在行为健康方面实施基于测量的护理的定性评估。

行为健康中基于测量的护理 (MBC) 涉及重复收集患者报告的数据，这些数据用于跟踪进展、告知护理并让患者参与有关其治疗的共享决策。研究表明，MBC 提高了精神卫生保健的质量和有效性。然而，实施 MBC 可能存在挑战，例如时间负担、缺乏支持 MBC 的资源以及临床医生的态度。退伍军人健康管理局 (VHA) 目前正在进行多阶段 MBC 推广，第一阶段包括全国 59 个站点。本研究审查了该倡议的实施情况，以期更多地了解实施过程，包括最佳实践、挑战和创新。对来自全国 25 个 VHA 医疗中心的 20 名 MBC 站点冠军和 60 名工作人员进行了半结构化访谈。进行了定性数据分析，以确定与 MBC 实施相关的关键主题。描述了 MBC 实施的 3 个组成部分的结果：准备实施、管理措施以及使用和共享数据。培训和员工支持是准备阶段的关键。工作人员报告了收集 MBC 数据的各种方法和频率，许多工作人员确定需要简化收集过程。工作人员报告使用数据来跟踪进展并调整患者的治疗。下一步是努力在计划层面使用数据。描述了跨诊所和站点的创新解决方案，以便为 VHA 内外的未来 MBC 实施提供信息。（PsycINFO 数据库记录 (c) 2019 APA，保留所有权利）。