TY - JOUR
KW - Child
KW - Decision Support Techniques
KW - Humans
KW - Internet
KW - Mental Health Services/economics/standards
KW - Ohio
KW - Pediatrics/economics/standards
KW - Primary Health Care/economics/standards
KW - Reimbursement Mechanisms
AU - S. M. Horwitz
AU - K. E. Hoagwood
AU - A. Garner
AU - M. Macknin
AU - T. Phelps
AU - S. Wexberg
AU - C. Foley
AU - J. C. Lock
AU - J. E. Hazen
AU - R. Sturner
AU - B. Howard
AU - K. J. Kelleher
A1 - 
AB - Evaluations of quality improvement efforts targeted at mental health services in primary care pediatrics are rare. We evaluated a short-targeted educational session, a Web-based system, the Child Health and Development Interactive System, and a local area mental health services resource guide. Most physicians believed the information in the educational session was at least somewhat likely to change their practice. However, only 9.2% of the families invited to complete the Web-based system did so. Physicians found access to the Web-based system time consuming and, because the billing code for the screening activity was carved out of most of Ohio's privately-insured contract, physicians received no reimbursement for the screenings. Physicians were unenthusiastic about the local resource guide because the resources were not rated for quality. This quality improvement effort demonstrates that there are not easy solutions to practice change and highlights the need for implementation support when introducing new technology.
BT - Clinical pediatrics
C5 - Education & Workforce; Financing & Sustainability; Health Disparities; HIT & Telehealth
CP - 7
CY - United States
DO - 10.1177/0009922808315215
IS - 7
JF - Clinical pediatrics
N2 - Evaluations of quality improvement efforts targeted at mental health services in primary care pediatrics are rare. We evaluated a short-targeted educational session, a Web-based system, the Child Health and Development Interactive System, and a local area mental health services resource guide. Most physicians believed the information in the educational session was at least somewhat likely to change their practice. However, only 9.2% of the families invited to complete the Web-based system did so. Physicians found access to the Web-based system time consuming and, because the billing code for the screening activity was carved out of most of Ohio's privately-insured contract, physicians received no reimbursement for the screenings. Physicians were unenthusiastic about the local resource guide because the resources were not rated for quality. This quality improvement effort demonstrates that there are not easy solutions to practice change and highlights the need for implementation support when introducing new technology.
PP - United States
PY - 2008
SN - 0009-9228; 0009-9228
SP - 685
EP - 692
EP - 
T1 - No technological innovation is a panacea: A case series in quality improvement for primary care mental health services
T2 - Clinical pediatrics
TI - No technological innovation is a panacea: A case series in quality improvement for primary care mental health services
U1 - Education & Workforce; Financing & Sustainability; Health Disparities; HIT & Telehealth
U2 - 18441317
U3 - 10.1177/0009922808315215
VL - 47
VO - 0009-9228; 0009-9228
Y1 - 2008
ER -