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Addiction Science & Clinical Practice
Published in: Addiction Science & Clinical Practice 1/2012

Open Access 01-12-2012 | Meeting Report

Performance measures for substance use disorders – what research is needed?

Authors: Deborah W Garnick, Constance M Horgan, Andrea Acevedo, Frank McCorry, Constance Weisner

Published in: Addiction Science & Clinical Practice | Issue 1/2012

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Abstract

In 2010, the Washington Circle convened a meeting, supported by the National Institute on Drug Abuse (NIDA) and the Substance Abuse and Mental Health Services Administration (SAMHSA), for a multidisciplinary group of experts to focus on the research gaps in performance measures for substance use disorders. This article presents recommendations in three areas: development of new performance measures; methodological and other considerations in using performance measures; and implementation research focused on using performance measures for accountability and quality improvement.
Literature
1.
Institute of Medicine: Medicare: A Strategy for Quality Assurance, Volume II. 1990, Washington, DC: National Academies Press
2.
Pincus HA, Spaeth-Rublee B, Watkins KE: Analysis & commentary: The case for measuring quality in mental health and substance abuse care. Health Aff Millwood. 2011, 30 (4): 730-736. 10.1377/hlthaff.2011.0268.CrossRefPubMed
3.
4.
Institute of Medicine: Improving the Quality of Health Care for Mental Health and Substance Use Conditions. 2006, Washington, DC: National Academies Press
5.
6.
McCarty D, McConnell KJ, Schmidt LA: Priorities for policy research on treatments for alcohol and drug use disorders. J Subst Abuse Treat. 2010, 39 (2): 87-95. 10.1016/j.jsat.2010.05.003.CrossRefPubMed
7.
National Quality Forum: National Voluntary Consensus Standards for the Treatment of Substance Use Conditions: Evidence-Based Treatment Practices—A Consensus Report. 2007, Washington, DC: National Quality Forum
8.
McGlynn EA: Choosing and evaluating clinical performance measures. The Joint Commission journal on quality improvement. 1998, 24 (9): 470-479.PubMed
9.
10.
The Joint Commission: Comprehensive Accreditation Manual for Behavioral Healthcare. 2011, Oakbrook Terrace, Illinois: Joint Commission Resources
11.
McConnell KJ, Hoffman KA, Quanbeck A, McCarty D: Management practices in substance abuse treatment programs. J Subst Abuse Treat. 2009, 37 (1): 79-89. 10.1016/j.jsat.2008.11.002.PubMedCentralCrossRefPubMed
12.
Garnick DW, Lee MT, Chalk M, Gastfriend D, Horgan CM, McCorry F, McLellan AT, Merrick EL: Establishing the feasibility of performance measures for alcohol and other drugs. J Subst Abuse Treat. 2002, 23 (4): 375-385. 10.1016/S0740-5472(02)00303-3.CrossRefPubMed
13.
Garnick DW, Lee MT, Horgan CM, Acevedo A: Washington Circle Public Sector W: Adapting Washington Circle performance measures for public sector substance abuse treatment systems. J Subst Abuse Treat. 2009, 36 (3): 265-277. 10.1016/j.jsat.2008.06.008.PubMedCentralCrossRefPubMed
14.
Garnick DW, Lee MT, Horgan C, Acevedo A, Botticelli M, Clark S, Davis S, Gallati R, Haberlin K, Hanchett A: Lessons from five states: Public sector use of the Washington Circle performance measures. J Subst Abuse Treat. 2011, 40 (3): 241-254. 10.1016/j.jsat.2010.11.008.PubMedCentralCrossRefPubMed
15.
16.
Harris AH, Humphreys K, Bowe T, Tiet Q, Finney JW: Does meeting the HEDIS substance abuse treatment engagement criterion predict patient outcomes?. J Behav Health Serv Res. 2010, 37 (1): 25-39. 10.1007/s11414-008-9142-2.CrossRefPubMed
17.
Harris AH, Humphreys K, Finney JW: Veterans Affairs facility performance on Washington Circle indicators and casemix-adjusted effectiveness. J Subst Abuse Treat. 2007, 33 (4): 333-339. 10.1016/j.jsat.2006.12.015.CrossRefPubMed
18.
Hoffman KA, Ford JH, Choi D, Gustafson DH, McCarty D: Replication and sustainability of improved access and retention within the Network for the Improvement of Addiction Treatment. Drug Alcohol Depend. 2008, 98 (1–2): 63-69.PubMedCentralCrossRefPubMed
19.
McCarty D, Gustafson D, Capoccia VA, Cotter F: Improving care for the treatment of alcohol and drug disorders. J Behav Health Serv Res. 2009, 36 (1): 52-60. 10.1007/s11414-008-9108-4.PubMedCentralCrossRefPubMed
20.
Capoccia VA, Cotter F, Gustafson DH, Cassidy EF, Ford JH, Madden L, Owens BH, Farnum SO, McCarty D, Molfenter T: Making "stone soup": improvements in clinic access and retention in addiction treatment. Jt Comm J Qual Patient Saf. 2007, 33 (2): 95-103.PubMed
21.
McCarty D, Gustafson DH, Wisdom JP, Ford J, Choi D, Molfenter T, Capoccia V, Cotter F: The Network for the Improvement of Addiction Treatment (NIATx): enhancing access and retention. Drug Alcohol Depend. 2007, 88 (2–3): 138-145.PubMedCentralCrossRefPubMed
22.
23.
Thomas CP, Garnick DW, Horgan CM, McCorry F, Gmyrek A, Chalk M, Gastfriend DR, Rinaldo SG, Albright J, Capoccia VA: Advancing performance measures for use of medications in substance abuse treatment. J Subst Abuse Treat. 2011, 40 (1): 35-43. 10.1016/j.jsat.2010.08.005.PubMedCentralCrossRefPubMed
24.
Thomas CP, Horgan C, Garnick DW: A Standardized Measure for Assessing Use of Pharmacotherapy in Treating Substance Use Disorders: Rationale, Conceptualization and Pilot Test Results. , Working manuscript
25.
Fussell HE, Rieckmann TR, Quick MB: Medicaid reimbursement for screening and brief intervention for substance misuse. Psychiatr Serv. 2011, 62 (3): 306-309. 10.1176/appi.ps.62.3.306.CrossRefPubMed
26.
Garnick DW, Horgan CM, Lee MT, Panas L, Ritter GA, Davis S, Leeper T, Moore R, Reynolds M: Are Washington Circle performance measures associated with decreased criminal activity following treatment?. J Subst Abuse Treat. 2007, 33 (4): 341-352. 10.1016/j.jsat.2007.03.002.PubMedCentralCrossRefPubMed
27.
Campbell KM: Impact of record-linkage methodology on performance indicators and multivariate relationships. J Subst Abuse Treat. 2009, 36 (1): 110-117. 10.1016/j.jsat.2008.05.004.CrossRefPubMed
28.
Garner BR, Godley MD, Funk RR, Lee MT, Garnick DW: The Washington Circle continuity of care performance measure: predictive validity with adolescents discharged from residential treatment. J Subst Abuse Treat. 2010, 38 (1): 3-11. 10.1016/j.jsat.2009.05.008.PubMedCentralCrossRefPubMed
29.
Harris AH, Kivlahan DR, Bowe T, Finney JW, Humphreys K: Developing and validating process measures of health care quality: an application to alcohol use disorder treatment. Med Care. 2009, 47 (12): 1244-1250. 10.1097/MLR.0b013e3181b58882.CrossRefPubMed
30.
Mant J: Process versus outcome indicators in the assessment of quality of health care. Int J Qual Health Care. 2001, 13 (6): 475-480. 10.1093/intqhc/13.6.475.CrossRefPubMed
31.
Rosenheck R, Kasprow W, Frisman L, Liu-Mares W: Cost-effectiveness of supported housing for homeless persons with mental illness. Arch Gen Psychiatry. 2003, 60 (9): 940-951. 10.1001/archpsyc.60.9.940.CrossRefPubMed
32.
Rickards LD, McGraw SA, Araki L, Casey RJ, High CW, Hombs ME, Raysor RS: Collaborative initiative to help end chronic homelessness: introduction. J Behav Health Serv Res. 2009, 37 (2): 149-166.CrossRefPubMed
33.
Kresky-Wolff M, Larson MJ, O'Brien RW, McGraw SA: Supportive housing approaches in the Collaborative Initiative to Help End Chronic Homelessness (CICH). J Behav Health Serv Res. 2010, 37 (2): 213-225. 10.1007/s11414-009-9206-y.CrossRefPubMed
34.
35.
36.
McLellan AT, McKay JR, Forman R, Cacciola J, Kemp J: Reconsidering the evaluation of addiction treatment: from retrospective follow-up to concurrent recovery monitoring. Addiction. 2005, 100 (4): 447-458. 10.1111/j.1360-0443.2005.01012.x.CrossRefPubMed
37.
38.
Dausey DJ, Pincus HA, Herrell JM: Performance measurement for co-occurring mental health and substance use disorders. Subst Abuse Treat Prev Policy. 2009, 4: 18-10.1186/1747-597X-4-18.PubMedCentralCrossRefPubMed
39.
Kilbourne AM, Farmer Teh C, Welsh D, Pincus HA, Lasky E, Perron B, Bauer MS: Implementing composite quality metrics for bipolar disorder: towards a more comprehensive approach to quality measurement. Gen Hosp Psychiatry. 2010, 32 (6): 636-643. 10.1016/j.genhosppsych.2010.09.011.PubMedCentralCrossRefPubMed
40.
Hermann RC, Rollins CK, Chan JA: Risk-adjusting outcomes of mental health and substance-related care: a review of the literature. Harv Rev Psychiatry. 2007, 15 (2): 52-69. 10.1080/10673220701307596.CrossRefPubMed
41.
Nyweide DJ, Weeks WB, Gottlieb DJ, Casalino LP, Fisher ES: Relationship of primary care physicians' patient caseload with measurement of quality and cost performance. JAMA. 2009, 302 (22): 2444-2450. 10.1001/jama.2009.1810.PubMedCentralCrossRefPubMed
42.
McLellan T: What is recovery? Revisiting the Betty Ford Institute Consensus Panel definition: The Betty Ford Consensus Panel and Consultants. J Subst Abuse Treat. 2010, 38 (2): 200-201. 10.1016/j.jsat.2009.11.002.CrossRefPubMed
43.
Betty Ford Institute Consensus P: What is recovery? A working definition from the Betty Ford Institute. J Subst Abuse Treat. 2007, 33 (3): 221-228.CrossRef
44.
Ghitza U, Lindblad R, Gore-Langton RE, Sparenborg S, Tai B: Implication of Adopting Standardized Common Data Elements in Health IT Systems of Drug-Abuse Treatment Providers. Poster presented in: College on Problems of Drug Dependence (CPDD) Annual Meeting: 2011. 2011, Hollywood, Florida
45.
Chan KS, Fowles JB, Weiner JP: Review: electronic health records and the reliability and validity of quality measures: a review of the literature. Med Care Res Rev. 2010, 67 (5): 503-527. 10.1177/1077558709359007.CrossRefPubMed
46.
Whitlock EP, Polen MR, Green CA, Orleans T, Klein J, Force USPST: Behavioral counseling interventions in primary care to reduce risky/harmful alcohol use by adults: a summary of the evidence for the U.S. Preventive Services Task Force. Ann Intern Med. 2004, 140 (7): 557-568.CrossRefPubMed
47.
Doty MM, Abrams MK, Hernandez SE, Stremikis K, Beal AC: Enhancing the Capacity of Community Health Centers to Achieve High Performance: Findings from the 2009. 2010, Commonwealth Fund National Survey of Federally Qualified Health Centers,http://​www.​commonwealthfund​.​org.
48.
49.
Colton D: Strategies for implementing performance measurement in behavioural health care organisations. J Heal Manag. 2007, 2007 (3): 301-316.CrossRef
50.
de Vos M, Graafmans W, Kooistra M, Meijboom B, Van Der Voort P, Westert G: Using quality indicators to improve hospital care: a review of the literature. Int J Qual Health Care. 2009, 21 (2): 119-129. 10.1093/intqhc/mzn059.CrossRefPubMed
51.
Rosenthal MB, Dudley RA: Pay-for-performance: will the latest payment trend improve care?. JAMA. 2007, 297 (7): 740-744. 10.1001/jama.297.7.740.CrossRefPubMed
52.
Honore PA, Simoes EJ, Moonesinghe R, Kirbey HC, Renner M: Applying principles for outcomes-based contracting in a public health program. J Public Health Manag Pract. 2004, 10 (5): 451-457.CrossRefPubMed
53.
Amundson G, Solberg LI, Reed M, Martini EM, Carlson R: Paying for quality improvement: compliance with tobacco cessation guidelines. Jt Comm J Qual Saf. 2003, 29 (2): 59-65.PubMed
54.
Werner RM, Kolstad JT, Stuart EA, Polsky D: The effect of pay-for-performance in hospitals: lessons for quality improvement. Health Aff. 2011, 30 (4): 690-698. 10.1377/hlthaff.2010.1277.CrossRef
55.
Christianson JB, Leatherman S, Sutherland K: Lessons from evaluations of purchaser pay-for-performance programs: a review of the evidence. Med Care Res Rev. 2008, 65 (6 Suppl): 5S-35S. 10.1177/1077558708324236.CrossRefPubMed
56.
Bremer RW, Scholle SH, Keyser D, Houtsinger JV, Pincus HA: Pay for performance in behavioral health. Psychiatr Serv. 2008, 59 (12): 1419-1429. 10.1176/appi.ps.59.12.1419.CrossRefPubMed
57.
McLellan AT, Kemp J, Brooks A, Carise D: Improving public addiction treatment through performance contracting: the Delaware experiment. Health Policy. 2008, 87 (3): 296-308. 10.1016/j.healthpol.2008.01.010.PubMedCentralCrossRefPubMed
58.
Stewart MT, Horgan CM, Garnick DW, Ritter G, McLellan AT: Performance contracting and quality improvement in outpatient treatment: Effects on waiting time and length of stay. J Subst Abuse Treat. 2012, e-pub
59.
Commons M, McGuire TG, Riordan MH: Performance contracting for substance abuse treatment. Health Serv Res. 1997, 32 (5): 631-650.PubMedCentralPubMed
60.
61.
Brucker DL, Stewart M: Performance-based contracting within a state substance abuse treatment system: a preliminary exploration of differences in client access and client outcomes. J Behav Health Serv Res. 2011, 38 (3): 383-397. 10.1007/s11414-010-9228-5.CrossRefPubMed
62.
Botticelli M: Designing P4P for substance abuse treatment in Massachusetts: Simulations of various reward structures 2009. Presented in: 2009 Addictions Health Services Research Conference. 2009, San Francisco
63.
Activities AIC: Submission for OMB Review; Comment Request. Fed Regist. 2011, 76: 35454-35459.
64.
Government Printing Office: Confidentiality of Alcohol and Drug Abuse Patient Records. Code of Federal Regulations Title 42, Volume 1, Chapter 1, Part 2. 1975, Washington, DC: Government Printing Office
65.
66.
Cotter F: Behavioral Health Quality Measures and Health Care Reform. Presented in: SAAS/NIATx Conference: 2011. 2011, Boston
Metadata
Title
Performance measures for substance use disorders – what research is needed?
Authors
Deborah W Garnick
Constance M Horgan
Andrea Acevedo
Frank McCorry
Constance Weisner
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Addiction Science & Clinical Practice / Issue 1/2012
Electronic ISSN: 1940-0640
DOI
https://doi.org/10.1186/1940-0640-7-18

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