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Adm Policy Ment Health. 2013 May;40(3):190-8. doi: 10.1007/s10488-011-0393-5.

Challenges to quality assurance and improvement efforts in behavioral health organizations: a qualitative assessment.

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School of Social Work, Arizona State University, 411 N. Central Ave., Suite 800, Phoenix, AZ 85004-0689, USA.


Behavioral health organizations have been increasingly required to implement plans to monitor and improve service quality. This qualitative study explores challenges that quality assurance and improvement (QA/I) personnel experience in performing their job in those practice settings. Sixteen QA/I personnel from different agencies in St. Louis, Missouri, U.S.A., were interviewed face-to-face using a semi-structured instrument to capture challenges and a questionnaire to capture participant and agency characteristics. Data analysis followed a grounded theory approach. Challenges involved agency resources, agency buy-in, personnel training, competing demands, shifting standards, authority, and research capacity. Further research is needed to assess these challenges given expected outcomes.

[Indexed for MEDLINE]

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