LDI Research Seminar Series

Donald M. Steinwachs, Ph.D.
Professor and Chair, Department of Health Policy and Management
Johns Hopkins School of Hygiene and Public Health

"Quality of Care and Mental Illness: Lessons Learned from Schizophrenia and Comparsions to Medical Quality "

June 1, 2001, 12:00 p.m.
Colonial Penn Center Auditorium
(3641 Locust Walk)

Abstract Biosketch

The Schizophrenia PORT project found that less than half of Americans with schizophrenia (estimated to be 2.5 million) are receiving care consistent with evidence-based standards. These findings are reviewed and compared to findings regarding quality of care for medical conditions. The results suggest common quality of care problems between schizophrenia and chronic medical conditions, including inappropriate use of medications, failures to treat co-occurring conditions, and lack of use of effective treatments for rehabilitation and/or maintenance of function. However, mental illnesses continue to face special problems related to stigma and access to services. Strategies for addressing these problems are discussed.

Donald M. Steinwachs, Ph.D. is Chair and Professor of the Department of Health Policy and Management in the Johns Hopkins School of Hygiene and Public Health and has joint appointments in the Department of Mental Hygiene, School of Hygiene and Public Health, in the Department of Medicine and the Department Psychiatry and Behavioral Sciences, School of Medicine and the School of Nursing. In addition, Dr. Steinwachs is Director of the Johns Hopkins University Health Services Research and Development Center.

His current research includes: (1) studies of medical effectiveness and patient outcomes for individuals with specific medical (e.g., asthma), surgical (cataract surgery), and psychiatric (e.g., schizophrenia) conditions, (2) studies of the impact of managed care and other organizational and financial arrangements on access to care, quality, utilization, and cost, and (3) studies to develop better methods to measure the effectiveness of systems of care, including case mix (e.g., Ambulatory Care Groups), quality profiling, and indicators of outcome. He has a particular interest in the role of routine management information systems (MIS) as source of data for evaluating the effectiveness and cost of health care. This includes work on the integration of outcomes management systems with existing MIS in managed care settings.

Dr. Steinwachs is also Director of the Johns Hopkins and University of Maryland Center for Research on Services for Severe Mental Illness (SMI). The Center was established in 1987 and receives core support from the National Institute of Mental Health. The interdisciplinary faculty conducts research directed at policy, organization, finance and treatment related issues for persons with mental illnesses.

Dr. Steinwachs is past President of the Association for Health Services Research and is a member of the Institute of Medicine of the National Academy of Sciences. He serves as a consultant to federal agencies and private foundations, and serves on the board of directors of Mathematica Policy Research.

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