CQAIMH - center for quality assessment and improvement in mental health
CQAIMH - center for quality assessment and improvement in mental health

CQAIMH faculty and staff conduct research on methods of quality assessment, determinants of quality of care, and strategies for quality improvement. Listed below are publications authored or co-authored by center faculty or staff.


Quality Assessment and Improvement

  • Goren JL, Parks JJ, Ghinassi FA, Milton CG, Oldham JM, Hernandez P, Chan J, Hermann RC: When is Antipsychotic Polypharmacy Supported by Research Evidence? Implications for Quality Improvement. The Joint Commission Journal on Quality and Patient Safety 2008; 34(10): 571-582. Full Text
  • Hermann RC, Chan JA, Provost SE, Chiu WT. Statistical benchmarks for process measures of quality of care for mental and substance use disorders. Psychiatric Services. 2006 Oct;57(10):1461-7. Abstract Full Text
  • Hermann RC, Mattke S, Somekh D, Silfverhielm H, Goldner E, Glover G, P. J, Mainz J and Chan JA. Quality indicators for international benchmarking of mental health care. International Journal for Quality in Health Care. September 2006;18(Suppl 1):31-38. Abstract Full Text
  • Hermann RC, Chan JA, Zazzali JL, Lerner D. Aligning Measurement-based Quality Improvement with Implementation of Evidence-based Practices. Administration and Policy in Mental Health and Mental Health Services Research. 2006 Nov;33(6):636-645. Abstract Full Text
  • Hermann RC. Improving Mental Healthcare: A Guide to Measurement-Based Quality Improvement. Washington DC: American Psychiatric Press, Inc.; 2005. More Info
  • Hermann RC, Palmer RH, Leff HS, Shwartz M, Provost SE, Chan J, Chiu WT, Lagodmos G. Achieving Consensus Across Diverse Stakeholders on Quality Measures for Mental Healthcare. Medical Care. 2004;42(12):1246-1253. Abstract Full Text
  • Hermann RC, Mattke S, Members of the Organisation for Economic Co-operation and Development (OECD) Mental Health Care Panel. Selecting Indicators for the Quality of Mental Health Care at the Health Systems Level in OECD Countries. 2004. Full Text
  • Brown GS, Hermann RC, Jones E, Wu J. Using self-report to improve substance abuse risk assessment in behavioral health care. Joint Commission Journal on Quality and Safety. 2004;30(8):448-454. Abstract Full Text
  • Hermann RC, Rollins CK. Quality Measurement in Health Care: A Need for Leadership amid a New Federalism. Harvard Review of Psychiatry 2003; 11(4): 215-219. Full Text
  • Hermann RC, Provost S. Interpreting Measurement Data for Quality Improvement: Means, Norms, Benchmarks, and Standards. Psychiatric Services 2003; 54(5): 655-57. Full Text
  • Hermann RC, Chan J, Chiu WT, Provost SE. Interpreting findings from quality measurement initiatives in mental health and substance abuse: use of prior results and statistical benchmarks. Report for the U.S. Substance Abuse and Mental Health Services Administration: Center for Quality Assessment and Improvement in Mental Health. Full Text
  • Hermann RC, Palmer RH. Common Ground: A framework for selecting core quality measures for mental health and substance abuse care. Psychiatric Services 2002; 53(3). Abstract Full Text
  • Hermann RC, Finnerty M, Provost S, Palmer RH, Chan J, Lagodmos G, Teller T, Myrhol BJ. Process Measures for the Assessment and Improvement of Quality of Care for Schizophrenia. Schizophrenia Bulletin 2002; 28(1): 95-104. Abstract Full Text
  • Hermann RC: Linking outcome measurement with process measurement for quality improvement. IsHak, Burt, and Sederer, eds. Outcome Measurement in Psychiatry: A Critical Review. Washington DC, American Psychiatric Press, 2002. Full Text
  • Shaul JA, Eisen SV, Stringfellow V, Clarridge BR, Hermann RC, Nelson D, Kubrin AC, Matlack R, Laird S, Leff HS, Cleary PD: Use of Consumer Ratings for Quality Improvement in Behavioral Health Insurance Plans. Journal on Quality Improvement. 2001 April; 27(4): 216-29. Abstract
  • Hermann RC, Leff HS, Palmer RH, Jakubiak C, Yang D, Teller T, Provost S, Chan J. Quality measures for mental health care: Results from a national inventory. Medical Care Research and Review, 2000;57(Supp. 2): 135-153. Abstract Full Text
  • Hermann RC, Regner JL, Erickson P: Developing a quality management system for behavioral healthcare: the Cambridge Health Alliance experience. Harvard Review of Psychiatry. 2000;8(5):251-260. Abstract Full Text
  • Hermann RC, Ettner SL, Dorwart RA, Langman-Dorwart N, Kleinman S: Diagnoses of Patients treated with electroconvulsive therapy: comparing evidence-based standards with reported use. Psychiatric Services. 1999;50:1059-1065. Abstract  Full Text
  • Dickey B, Hermann RC, Eisen S: Assessing the quality of psychiatric care: methods in research and clinical practice. Harvard Rev Psychiatry 1998;6:88-96. Abstract
Risk Adjustment TOP OF PAGE
  • Hermann RC. Template for Risk Adjustment Information Transfer (TRAIT), Report of the Working Group on Methods and Implementation, Forum on Performance Measures in Behavioral Healthcare: Center for Mental Health Services, U.S. Substance Abuse and Mental Health Services Administration. November 9, 2003. Full Text
  • Hermann RC. Risk Adjustment for Mental Healthcare. In: Iezzoni L, ed. Risk Adjustment for Measuring Health Care Outcomes. Ann Arbor: Health Administration Press; 2003.
  • Hermann RC, Rollins CK, Chan JA: Risk Adjusting Outcomes for Mental Health and Substance-Related Care: A Review of the Literature. Harvard Review of Psychiatry. 2007;15(2): 52-69. Abstract Full Text
  • Ettner SL, Frank RG, McGuire TG, Hermann RC: Risk adjustment alternatives in paying for behavioral health care under Medicaid. Health Services Research 2001 Aug; 36(4): 739-811. Abstract
Mental Health Practice PatternsTOP OF PAGE
  • Hermann RC, Yang D, Ettner SL, Marcus S, Yoon C, Abraham M: Antipsychotic Drug Use in Office-based Physician Practice in the United States, 1989 – 1997. Psychiatric Services 2002; 53(4). Abstract Full Text
  • Hermann RC, Dorwart RA, Hoover CW, Brody J: Variation in ECT Use in the United States. A J Psychiatry 1995;152:869-875. Abstract Full Text
  • Hermann RC: Variation in Psychiatric Practices: Implications for Health Care Policy and Financing. Harvard Review Psychiatry, 1996;4:98-101. Abstract
  • Hermann RC, Dorwart RA, Ettner SL, Hoover CW, Yeung E: Characteristics of Psychiatrists Performing ECT. Am J Psychiatry 1998;155:7:889-894. Abstract  Full Text
  • Ettner SL, Hermann RC: The Role of Profit Status Under Imperfect Information: Evidence from the Treatment Patterns of Elderly Medicare Beneficiaries Admitted to Psychiatric Hospitals. J of Health Economics 2000; 20(1):23-49. Abstract  Full Text
  • Ettner SL, Hermann RC, Tang H: Differences between the general medical and mental health specialty sectors in the expenditures and utilization patterns of Medicare beneficiaries treated for psychiatric disorders. Health Services Research. 1999;34:737-760. Abstract
  • Ettner SL, Hermann RC: Inpatient Psychiatric Treatment of Elderly Medicare Beneficiaries, 1990-1991. Psychiatric Services 1998;18:1173-1179. Abstract
  • Rosenbach ML, Hermann RC, Dorwart RA: Use of electroconvulsive therapy in the Medicare population: 1987-1992. Psychiatric Services. Psychiatric Services 1997;48:1537-1542. Abstract
  • Ettner SL, Hermann RC: Provider specialty choice among Medicare beneficiaries treated for psychiatric disorders. HCFA Review 1997;18:43-59. Abstract
Cost-Effectiveness of Mental Health PracticesTOP OF PAGE
  • Neumann PJ, Hermann RC, Kuntz KM, Duff S, Araki SS, Leon J, Berenbaum P, Goldman P, Williams L, Weinstein MC. Cost-effectiveness of donepezil in the treatment of mild or moderate Alzheimer’s Disease. Neurology. 1999;52:1138-45. Abstract
  • Neumann P, Hermann RC, Weintein MC. Measuring QALYs and Dementia. In: Winblad B, ed. Health Economics of Dementia. Sussex, England: John Wiley & Sons, Ltd., 1998.
  • Neumann PJ, Hermann RC, Schaffler P, Weinstein MC: Using cost-effectiveness analysis to assess the impact of new drugs for Alzheimer’s disease. Psychiatric Services 1997;48:1440-1444. Abstract
Mental Health Screening in Primary CareTOP OF PAGE
  • Hermann RC, Joseph R, Erickson P, Bor D: Improving the detection of mental disorders in primary care. In: Dickey B and Sederer LI, eds. Achieving Quality in Psychiatric and Substance Abuse Practice Washington DC, American Psychiatric Press, Inc., 2001, pp. 325-337.
  • Joseph R, Hermann RC: Screening for psychiatric disorders in primary care. Harvard Rev Psychiatry 1998; 6: 165-170. Abstract
Other Mental Health Services ResearchTOP OF PAGE
  • Leon J, Neumann PJ, Hermann RC, Hsu M, Cummings JL, Doraiswamy M, Marin D: Health-related quality-of-life and service utilization in Alzheimer�s disease: A cross-sectional study. American Journal of Alzheimer's Disease 2000; 15(2):94-108.
  • Neumann PJ, Kuntz KM , Leon J, Araki SM, Hermann RC, Hsu M, Weinstein MC. Health utilities in Alzheimer’s disease: A cross-sectional study of patients and caregivers. Medical Care 1999;37: 27-32. Abstract
  • Hermann RC, Ettner SL, Dorwart RA.The influence of psychiatric disorders on patients' ratings of satisfaction with health care.Med Care. 1998 May;36(5):720-7. Abstract Full Text


  • Hermann RC. Measurement-Based Quality Improvement: Making it Work in Behavioral Health Care. Institute for Healthcare Improvement (IHI) National Forum, Orlando, FL, December 2006. Presentation
  • Hermann RC. Quality Improvement in Mental Healthcare: The Measures Matter. Grand Rounds, Baystate Medical Center Department of Psychiatry, Springfield, MA, June 2006. Presentation
  • Hermann RC, Dausey DJ, Kilbourne AM, Fullerton C. Measuring Quality of Care for Co-Occurring Conditions. RWJF Depression in Primary Care Program. February, 2006. Presentation
  • Hermann RC. Quality Improvement in Mental Health Care: The Measures Matter. Mental Health Research Conference: Advancing Mental Health through Research, Innovation and Knowledge Translation. Alberta Mental Health Board; Banff, Ontario, November, 2005. Presentation
  • Hermann RC. Aligning Measurement-Based QI with Evidence-Based Practice Implementation. Brandeis University Conference on Implementing Evidence-Based Practices & Performance Measures for Massachusetts Mental Health Services. Waltham, MA. September 2005. Presentation
  • Hermann RC, Leff HS, Provost SE, Chiu WT, Lagodmos G, Chan JA. Process Measures Used in Quality Assessment and Improvement: Are They Based on Research Evidence? 15th NIMH Services Research Conference- Evidence in Mental Health Services Research: What Types, How Much, and Then What? April 2002. Presentation
  • Hermann RC. Quality Measurement for Mental Health & Substance-Related Disorders. Training for Centers for Medicare & Medicaid Services' Quality Improvement Organizations. Boston, MA. June, 2002. Presentation
  • Provost S, Hermann RC. Social Work’s Role in Behavioral Health Quality Improvement. Massachusetts NASW Symposium. Marlborough, MA. May 9-10, 2002. Presentation

Toolkits / Other

  • Hermann RC, Leff HS, Lagodmos G. Selecting Process Measures for Quality Improvement in Mental Healthcare. Cambridge MA, the Evaluation Center@HSRI, 2002. Toolkit
  • Hermann RC, Fullerton C, Dausey DJ, Kilbourne AM. Quality Measure Tables: Co-Occurring Psychiatric, Substance Use & Medical Conditions. February, 2006. Tables
Center for Quality Assessment & Improvement in Mental Health