# Measuring What Matters-Patient Centered Outcome Measures of Goal-Directed Care for People with Serious Mental Illness

> **NIH NIH R01** · RAND CORPORATION · 2024 · $639,417

## Abstract

This proposal, submitted in response to NIMH RFA-MH-23-265, Developing Measures to Advance Quality
in Mental Health Care Services, aims to develop Person-Centered Outcome measures for assessing
quality of goal-directed care for individuals with serious mental illnesses (SMI), such as schizophrenia
and bipolar disorder, The project team is comprised of researchers from the National Committee for
Quality Assurance (NCQA), the RAND Corporation, and the University of Pittsburgh with expertise in
quality measurement and community-based mental health services research, The approach is one that
the NCQA team has been working on since 2013 in the context of care for older adults and people with
multiple chronic health conditions, The approach is innovative in combining personalization of goals for
individual service users with a method, known as goal-attainment scaling, for tracking progress on goals
in a standardized quantitative way that can be used in an outcome measure, NCQA's prior work has been
successful in developing measures that are being implemented in several accreditation programs, The
proposed project will take the approach developed in the prior work and develop measures specific to
community based treatment for adults with SML To do this we will collect quantitative and qualitative
data from seven Certified Community Behavioral Health Clinics in Texas and Arizona that began
implementing the measures in the fall of 2022, as part of an NCQA learning collaborative, The data will
be used to assess the measures with respect to the measure endorsement criteria for CMS's Measures
Under Consideration process and the new criteria set forth by Battelle's Partnership for Quality
Measurement The quantitative data will be used to assess the reliability and validity of the measures
and explore strategies for risk adjustment and stratification, Qualitative data, including interviews with
clinicians, administrators, and service users with experience with the measures. The inclusion of a
Service User Working Group, a panel of 8 individuals with experience receiving mental health care in
community mental health settings like those being studied, will provide an important perspective on the
measures, Developing these measures will provide an assessment approach, complementary to
conventional symptom-based outcome measures, that assesses delivery of person centered care in the
context of long-term recovery-oriented treatment of SMI, filling a gap in behavioral health quality
measurement identified in the literature,
Project Summary/Abstract

## Key facts

- **NIH application ID:** 10947439
- **Project number:** 1R01MH137074-01
- **Recipient organization:** RAND CORPORATION
- **Principal Investigator:** JOSHUA A BRESLAU
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2024
- **Award amount:** $639,417
- **Award type:** 1
- **Project period:** 2024-09-01 → 2028-06-30

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/10947439

## Citation

> US National Institutes of Health, RePORTER application 10947439, Measuring What Matters-Patient Centered Outcome Measures of Goal-Directed Care for People with Serious Mental Illness (1R01MH137074-01). Retrieved via AI Analytics 2026-07-24 from https://api.ai-analytics.org/grant/nih/10947439. Licensed CC0.

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