#MEQAPI – Tweetchat May 3-2018 3:00ET MH Crisis Quality & Safety

Just a reminder, MEQAPI stands for Monitoring & Evaluation, Quality Assurance, and Process Improvement, and you can visit us at http://www.meqapi.org

Physician’s Weekly held a tweet chat titled “The Mental Healthcare Crisis in the US” in which several features of ongoing and emerging problems in healthcare planning and delivery for mental health were discussed.

In this chat, we will use five of the #PWChat topics and think of the causes and potential remedies from the QI model of general dimensions of Quality & Safety: Methods, Machines, Measurement, Environment, People, and Materials. This will potentially guide our talk about how the MH crisis manifests in your experience, and explore the issues and opportunities from a QI perspective.

MH Crisis


  1. Thinking of the six arms of the QI model: What hinders or helps public education on how to address emergency situations among patients with mental disorders?
  2. What is causing mental illness to be treated as less important than physical illness?
  3. What is causing or what will help address patients who aren’t willing to accept that they have a mental disorder?
  4. What is causing health insurance companies to differentiate mental health disorders from others, what would change that?
  5. When a patient who needs specialized care from a psychiatrist and/or psychologist is left waiting for months, what is causing the delay and what could reduce it?



MEQAPI focuses on healthcare improvement, and in the spirit of shameless borrowing (and efficiency), takes existing perspectives from the IHI, AHRQ, and others.

To quote the IHI on what the Triple Aim encompasses:

The IHI Triple Aim is a framework developed by the Institute for Healthcare Improvement that describes an approach to optimizing health system performance. It is IHI’s belief that new designs must be developed to simultaneously pursue three dimensions, which we call the “Triple Aim”:

  • Improving the patient experience of care (including quality and satisfaction);
  • Improving the health of populations; and
  • Reducing the per capita cost of health care.

The six domains of care quality (STEEEP) mapped out by the Agency for Healthcare Research and Quality (AHRQ) are foundational to healthcare improvement. All care, and by inference quality measures, should be focused on being Safe, Timely, Effective, Efficient, Equitable, and Patient Centered. We expand this to include Affordability, STEEEPA.

The MEQAPI tweetchat aims to give voice to a broad range of stakeholders in healthcare improvement, and it embraces everyone from administrators to zoologists, and includes physicians, nurses, researchers, bed czars, cleaners, and yes, patients and care-givers.


The Author and Moderator: Matthew is a principal analyst for healthcare improvement at the Washington D.C. based firm of Whitney, Bradley, and Brown (WBB), and is a strategic adviser and board member at the Blue Faery Liver Cancer Association. Matthew is a peer reviewer for the international journal of Knowledge Management Research and Practice, and blogs regularly for Physician’s Weekly.



Published by

Matthew Loxton

Healthcare Analyst using Lean Six Sigma, Knowledge Management, & Organizational Learning to improve healthcare http://linkedin.com/in/mloxton

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