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Diagnosis Specific Metrics

  • ? Primary psychiatric disorders and disposition by diagnosis.
  • ? Substance use disorders and disposition by diagnosis. Knowing what substances of use are prevalent in the area can help with community advocacy for programs.
  • ? Comorbid medical conditions.
  • ? Secondary medical diagnoses in patients with psychiatric disorders. This can include chief complaint diagnoses, such as (self-inflicted) laceration, or overdose.

Demographic Metrics

  • ? Adult versus minor. This should include age distribution (pediatric, adolescent, adult, geriatric).
  • ? Gender. This can provide specific needs that may not have been initially considered.
  • ? Ethnicity. This can be used to identify cultural barriers to treatment, and there may be community resources specific to the population.
  • ? Geographic information. Again, this can be used to target community areas where more resources may be needed.

Cost Metrics

  • ? Staffing costs. This should include hourly rates for the MD, the nurse, the technician, and security costs. In addition to base salary, include benefits, time off from work related to staff injury, and required temporary staffing.
  • ? Cost per case. This emphasizes how psychiatry is not different than any other field of medicine. In addition to staffing costs, this metric includes cost of real estate and general operating expenses. We are familiar with cost-per-case in the operation room, and suggest similar use for psychiatry. This helps when discussing needed resources with administration and further strengthens ties between departments.
  • ? Medication use. Some medications cost upward of $1000 per dose versus other medications that cost significantly less with the same efficacy. In addition to cost consciousness, this also impacts the decision on discharge medications, and in turn the likelihood of adherence to a medication as an outpatient (i.e., if the medication is more expensive, the patient is less likely to fill it).

These metrics are not meant to be all-encompassing, but should be used to generate conversations around what is possible.

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