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NRI provides expertise in behavioral healthcare performance measurement.

NRI has excelled in performance measurement and quality improvement since our inception in 1987. In 1997 NRI worked with state mental health agencies to develop a formal framework for performance measures. This landmark framework addressed access to care, appropriateness of care, quality of care, and outcomes of care. NRI developed and standardized the measurement  of each of these performance areas. Benchmarking performance, determining optimal performance levels, and establishing best practices allow for state mental health agencies to promote a high quality of care and improve outcomes for persons served by the public mental health system. NRI’s work with state mental health agencies  led to its collaboration with SAMHSA to develop and test a variety of performance measures, as well as develop the National Outcome Measures.

In 1999, The Joint Commission listed NRI’s performance measurement system as meeting the criteria for inclusion in the accreditation process, and NRI was included on The Joint Commission’s list of acceptable ORYX vendors. NRI remains committed to meeting future criteria established by The Joint Commission.

Through our Behavioral Healthcare Performance Measurement System (BHPMS), NRI collaborates with the National Association of Psychiatric Health System to develop and test common performance measures for public and private psychiatric facilities. This effort has led to our further collaboration with The Joint Commission in the development of the Hospital-Based Inpatient Psychiatric Services (HBIPS) core measure set.

Ultimately, the goals of performance improvement are: 

  • Near-perfect performance
  • Identifying shortcomings 
  • Addressing process issues related to the identified shortcomings

While aggregate data can help identify shortcomings, the utilization of local dis-aggregate data is essential to identifying the clinical processes that require improvement in order to provide patients with the highest standard of care.

NRI commits to the involvement of stakeholders in the development of performance measures. Measures used to hold organizations accountable must include:

  • Clinically relevant indicators
  • Consumer-focused outcomes. 

Measures must be assessed for feasibility. The burden of implementing these measures must be weighed against the benefits that they provide to the organization. NRI has assisted states agencies, professional organizations, and providers in their movements toward meaningful performance measurement metrics and the improvement of their quality of care.

For a free sample of our monthly publication, entitled Technical Notes, dedicated to the education of our members, you may click here.

Please contact for more information.