Implementing for Sustainability: Promoting Use of a Measurement Feedback System for Innovation and Quality Improvement

  • Susan DouglasEmail author
  • Suzanne Button
  • Susan E. Casey
Point of View


Measurement feedback systems (MFSs) are increasingly recognized as evidence-based treatments for improving mental health outcomes, in addition to being a useful administrative tool for service planning and reporting. Promising research findings have driven practice administrators and policymakers to emphasize the incorporation of outcomes monitoring into electronic health systems. To promote MFS integrity and protect against potentially negative outcomes, it is vital that adoption and implementation be guided by scientifically rigorous yet practical principles. In this point of view, the authors discuss and provide examples of three user-centered and theory-based principles: emphasizing integration with clinical values and workflow, promoting administrative leadership with the ‘golden thread’ of data-informed decision-making, and facilitating sustainability by encouraging innovation. In our experience, enacting these principles serves to promote sustainable implementation of MFSs in the community while also allowing innovation to occur, which can inform improvements to guide future MFS research.


Measurement feedback system Implementation Innovation Quality improvement Sustainability 



This paper was partially supported by the National Institute of Mental Health of the National Institutes of Health under Award Number R01MH087814. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.


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Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  • Susan Douglas
    • 1
    Email author
  • Suzanne Button
    • 2
  • Susan E. Casey
    • 3
  1. 1.Vanderbilt UniversityNashvilleUSA
  2. 2.Astor Services for Children & FamiliesBronxUSA
  3. 3.Providence Services CorporationBowdoinhamUSA

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