A Different Way to Mind the Gap: Mandated Versus Voluntary Collection of Measures


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Figure 1

Progress Over 5 Years of Collection of Baseline and Repeat Measures

Note: Dashed lines show the linear trend for each set of data. Please note color figures are available online.

Measurement-based care (MBC) has been called the bridge for the gap between outcomes achieved in randomized clinical trials and routine clinical care.1 Trials of MBC have improved outcomes, helped identify patients with residual symptoms, prompted clinicians to know when to intensify treatment, created more informed patients, and improved the patient–provider relationship.1 These previous studies were grant-funded projects, however, which were implemented on project deadlines with research staff committed to the success of the project. In a recent Letter to the Editor in the Journal, Liu et al.2 reported on their efforts to implement a digital measurement feedback system in a pediatric clinic. This Letter to the Editor, to my knowledge, was the first report about how a clinic implements MBC without grant funding on a project deadline, which is likely to be more generalizable to community practice. The purpose of this report is to add our clinic experience.

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