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.
Highlights
Two decades ago, the Institute of Medicine defined quality as “the degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge” [1]
The increased focus on performance measures that address the prevention and treatment of substance use disorders has been driven by new legislative initiatives
We briefly review the context for developing a research agenda for performance measures for substance use disorders and present the recommendations
Summary
Methodological and other considerations in using performance measures In addition to developing performance measures, additional research is needed to critically examine performance measures in three areas: design issues and their impact on measure development and use; new sources of information, electronic health records; and integration of performance measures with settings outside the specialty substance abuse treatment and with performance measures for medical conditions. Qualitative studies are needed immediately to explore treatment programs’ and clinicians’ views about how incorporating into EHRs performance measures or clinical decision-making software that is designed to improve performance can help their care of individuals with substance use disorders. With a new focus on EHR, might treatment programs or clinicians be prompted to elicit clients’ permission to share clinical information?
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