W42 – One, Two, Three, Four, Tell Me That You’ll Measure More

W42 – One, Two, Three, Four, Tell Me That You’ll Measure More

Saturday, Oct. 29
10:45 – 11:45 (1 hr)
Meeting Room: Sheraton Hall A (Lower Concourse)
Sarah Jarmain*, MD, FRCPC, CCPE; Nadiya Sunderji, MD, MPH,  FRCPC; Jack Haggarty, MD, FRCPC; Viraj Mehta, MD, FRCPC; Philip Klassen, MD, FRCPC

CanMEDS Roles:

  1. Leader
  2. Collaborator
  3. Scholar

At the end of this session, participants will be able to: 1) Describe the key elements and advantages of evidence-based, measurement-based care approaches; 2) Analyze typical barriers to the implementation of measurement-based care and strategies to address them; and 3) Develop an implementation or change management plan for adopting measurement-based care within their practice or organization.

Measurement-based care involves “the systematic administration of symptom rating scales and use of the results to drive clinical decision making at the level of the individual patient.” (Fortney et al., 2017) A wealth of evidence shows that it outperforms usual care, with benefits for both patients and providers, including enhanced diagnosis and monitoring, earlier treatment adjustments and symptom remission, increased patient engagement, and enhanced therapeutic relationships. (Wright et al., 2019) It can also contribute to patient, provider, and team learning; quality improvement; and more equitable care delivery, achieving population health outcomes. Despite these benefits, studies suggest that measurement-based tools have not been widely adopted. Barriers to implementation include perceived lack of time, lack of familiarity with tools, concerns that care will be depersonalized, and concerns with confidentiality. (Lewis et al., 2018) Drawing on experiences across four tertiary mental health organizations, as well as experiences with collaborative care in primary care settings and guidance from the literature, we will present an overview of the benefits and challenges of implementing measurement-based care and will review key strategies and enablers for successful implementation. Through individual reflection, interactive dialogue, and guided development of work plans, participants will leave the session with a draft implementation or change management plan for implementing measurement-based care within their practice or organization. At least one-half of the session will be dedicated to interactivity, supported by the provision of practical worksheets, to focus on the participants’ specific challenges and needs to translate evidence into their practices.


  1. Wright CV, Goodheart C, Bard D, et al. Promoting measurement-based care and quality measure development: the APA mental and behavioral health registry initiative. Psychol Serv 2020;17:262–70.
  2. Lewis CC, Boyd M, Puspitasari A, et al. Implementing measurement-based care in behavioral health. JAMA Psychiatry 2019;76:324–35.