OnTrackNY's learning healthcare system

Jennifer L Humensky; Iruma Bello; Igor Malinovsky; Ilana Nossel; Sapana Patel; Genevra Jones; Leopoldo J Cabassa; Marleen Radigan; Tarek Sobeih; Caroline Tobey; Cale Basaraba; Jennifer Scodes; Thomas Smith; Melanie Wall; Christa Labouliere; Barbara Stanley; Lisa B Dixon

doi:10.1017/cts.2020.35

OnTrackNY's learning healthcare system

J Clin Transl Sci. 2020 Apr 6;4(4):301-306. doi: 10.1017/cts.2020.35.

Authors

Jennifer L Humensky^{1

2}, Iruma Bello^{1

2}, Igor Malinovsky^{1

2}, Ilana Nossel^{1

2}, Sapana Patel^{1

2}, Genevra Jones³, Leopoldo J Cabassa⁴, Marleen Radigan⁵, Tarek Sobeih⁶, Caroline Tobey⁶, Cale Basaraba^{2

7}, Jennifer Scodes^{2

7}, Thomas Smith^{1

2

5}, Melanie Wall^{2

7}, Christa Labouliere^{1

2}, Barbara Stanley^{1

2}, Lisa B Dixon^{1

2}

Affiliations

¹ Division of Behavioral Health Services and Policy Research, New York State Psychiatric Institute, New York, NY, USA.
² Department of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.
³ Department of Psychiatry and Behavioral Neurosciences, University of South Florida, Tampa, FL, USA.
⁴ The Brown School, Washington University St. Louis, St. Louis, MO, USA.
⁵ Office of Performance Measurement and Evaluation, New York State Office of Mental Health, Albany, NY, USA.
⁶ Innovative Clinical Research Solutions, Nathan Kline Institute, Orangeburg, NY, USA.
⁷ Mental Health Data Science, New York State Psychiatric Institute, New York, NY, USA.

Abstract

Worldwide, early intervention services for young people with recent-onset psychosis have been associated with improvements in outcomes, including reductions in hospitalization, symptoms, and improvements in treatment engagement and work/school participation. States have received federal mental health block grant funding to implement team-based, multi-element, evidence-based early intervention services, now called coordinated specialty care (CSC) in the USA. New York State's CSC program, OnTrackNY, has grown into a 23-site, statewide network, serving over 1800 individuals since its 2013 inception. A state-supported intermediary organization, OnTrackCentral, has overseen the growth of OnTrackNY. OnTrackNY has been committed to quality improvement since its inception. In 2019, OnTrackNY was awarded a regional hub within the National Institute of Mental Health-sponsored Early Psychosis Intervention Network (EPINET). The participation in the national EPINET initiative reframes and expands OnTrackNY's quality improvement activities. The national EPINET initiative aims to develop a learning healthcare system (LHS); OnTrackNY's participation will facilitate the development of infrastructure, including a systematic approach to facilitating stakeholder input and enhancing the data and informatics infrastructure to promote quality improvement. Additionally, this infrastructure will support practice-based research to improve care. The investment of the EPINET network to build regional and national LHSs will accelerate innovations to improve quality of care.

Keywords: First episode psychosis; community-based participatory research; informatics; learning healthcare system; recent-onset psychosis; suicide prevention.

Abstract

Grants and funding