Under the changing health care landscape, clinical mental health counselors (CMHCs) and other mental health providers now have the opportunity to integrate behavioral health metrics into measurement systems across payers. This is especially true as purchasers and payers are implementing integrated care delivery systems and payment reform strategies, especially efforts emanating from the Affordable Care Act such as accountable care organizations (ACOs). The concept of performance measurement is well established in the medical sector where most purchasers, clinicians and policymakers, and increasingly some consumers now take for granted and indeed expect that performance measures for medical conditions will be calculated, published, and scrutinized.#PerformanceMeasures