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Protocol - Substance Abuse Treatment Quality

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Description:

The protocol is based on extracting data for the initiation and engagement of alcohol and other drug dependence treatment measure in the Healthcare Effectiveness Data and Information Set (HEDIS) 2009 and 2010 using the National Committee for Quality Assurance’s (NCQA’s) Quality Compass tool. Researchers can then use this tool to obtain quality performance data for enhanced analysis and research on treatment services in specific communities.

Protocol:

Quality Compass is an indispensable tool for examining quality improvement and benchmarking plan performance.

Customized Reports

Researchers are able to generate custom reports by selecting measures and benchmarks for up to 3 years of trended data. Results are offered in table or graph format.

Data Exporter

This option features downloads, custom-built reports as well as the complete All-Measure Download directly from the online tool into spreadsheets for enhanced analysis and research opportunities. Also included with the Data Exporter are confidence intervals.

This is a set of measures based on records of services received and is designed to describe how well a system of care or insurance plan is providing substance abuse treatment.

  • Identification Rate is defined as the number of individuals identified as needing substance treatment divided by the number in the eligible population in the past year.
  • Initiation Rate is defined as the number of individuals who are admitted to treatment (or receive subsequent substance abuse treatment service) within 14 days of initial assessment divided by the number identified within the past year.
  • Engagement Rate is the percent of individuals who received two additional services within 30 days divided by the number of people initiating treatment within the past year.
  • Continuing Care Rate is the percent of people who initiate outpatient treatment within 14 days after discharge from residential treatment.
Protocol Name from Source:

This section will be completed when reviewed by an Expert Review Panel.

Availability:

Proprietary

Personnel and Training Required

Knowledge of the National Committee for Quality Assurance’s Quality Compass. The data need to be analyzed in order to interpret the data.

Equipment Needs

Access to a desktop/laptop computer with Internet access to download raw data. Statistical packages (e.g., SPSS, SAS) for data manipulation.

Requirements
Requirement CategoryRequired
Major equipment No
Specialized training No
Specialized requirements for biospecimen collection No
Average time of greater than 15 minutes in an unaffected individual No
Mode of Administration

Secondary Data Analysis

Life Stage:

Infant, Toddler, Child, Adolescent, Adult, Senior, Pregnancy

Participants:

Not applicable: Derived from publicly available secondary data

Specific Instructions:

The National Committee for Quality Assurance’s (NCQA’s) Quality Compass is a proprietary instrument. A fee must be paid to NCQA to gain access to the data.

Selection Rationale

The Healthcare Effectiveness Data and Information Set (HEDIS) is used by 90% of U.S. health plans to measure health care. Over the past 20 years, the National Committee for Quality Assurance has been developing, testing, implementing, and refining these HEDIS performance measures. The indicators are widely used by researchers, clinicians, policy makers, and consumers in analyzing health care delivery. Every 3 years, HEDIS measures are reviewed against evidence-based guidelines. HEDIS measures can also be derived by state-level data on publicly funded treatment and/or from specific providers.

The protocol text includes the substance abuse treatment performance measures developed by the Washington Circle Group (WCG).

Language

English

Standards
StandardNameIDSource
Common Data Elements (CDE) Substance use Treatment Quality Assessment Description Text 3373326 CDE Browser
Process and Review

This section will be completed when reviewed by an Expert Review Panel.

Source

The Quality Compass is a proprietary instrument and be obtained through:
National Committee for Quality Assurance (NCQA) Department 4038
Washington, DC 20042-4038
www.ncqa.org/QualityCompass/aspx
1-888-275-7585

General References

Dennis, M. L., Ives, M. L., White, M. K., & Muck, R. D. (2008). The Strengthening Communities for Youth (SCY) initiative: A cluster analysis of the services received, their correlates and how they are associated with outcomes. Journal of Psychoactive Drugs, 40(1), 3-16.

Garner, B. R., Godley, M. D., Funk, R. R., Lee, M. T., & Garnick, D. W. (2010). The Washington Circle continuity of care performance measure: Predictive validity with adolescents discharged from residential treatment. Journal of Substance Abuse Treatment, 38, 3-11.

Garnick, D. W., Lee, M. T., Horgan, C., Acevedo, A., Botticelli, M., Clark, S., Davis, S., Gallati, R., Haberlin, K., Hanchett, A., Lambert, D., Leeper, T., Siemianowski, J., & Tikoo, M. (2011). Lessons from five states: Public sector use of the Washington Circle performance measures. Journal of Substance Abuse Treatment, 40, 241-254.

Ives, M. L., Chan, Y. F., Modisett, K. C., & Dennis, M. L. (2010). Characteristics, needs, services, and outcomes of youths in juvenile treatment drug courts as compared to adolescent outpatient treatment. Drug Court Review, 7(1), 10-56. Retrieved from http://www.ndci.org/publications/publication-resources/national-drug-court-institute-review

Protocol ID:

550601

Variables:
Export Variables
Variable NameVariable IDVariable DescriptionVersiondbGaP Mapping
PX550601000000 Protocol 550601 - proprietary. Check DCW for contact 4 N/A
Research Domain Information
Measure Name:

Substance Abuse Treatment Quality

Release Date:

February 24, 2012

Definition

A measure of the quality of treatment services, based on data from the Healthcare Effectiveness Data and Information Set (HEDIS).

Purpose

Using the Healthcare Effectiveness Data and Information Set (HEDIS) tool, this measure examines the initiation and engagement of alcohol and other drug dependence treatment.

Keywords

Healthcare Effectiveness Data and Information Set, HEDIS, National Committee for Quality Assurance, NCQA, Treatment quality, Treatment performance, Alcohol treatment, Drug dependence treatment, Washington Circle Group, WCG, SAA, Substance Use-related Community Factors, proprietary