Evidence map›Paper›PMID 26933875›Full record

ArticleJournal of addiction medicine

Specifying and Pilot Testing Quality Measures for the American Society of Addiction Medicine's Standards of Care.

Alex H S Harris, Constance M Weisner, Mady Chalk, Victor Capoccia, Cheng Chen, Cindy Parks Thomas

Abstract read
In one paragraph

Article in Journal of addiction medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Rural Clients' Continuity Into Follow-Up Substance Use Disorder Treatment: Impacts of Travel Time, Incentives, and Alerts.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Alex H S HarrisCenter for Innovation to Implementation, VA Palo Alto Health Care System, CA (AHSH, CC); University of California, San Francisco, CA (CMW); Division of Research, Kaiser Permanente, Oakland, CA (CMW); Treatment Research Institute, Philadelphia, PA (MC); Academy Health, Washington, DC (VC); and Brandeis University, Waltham, MA (CPT).
Constance M Weisner
Mady Chalk
Victor Capoccia
Cheng Chen
Cindy Parks Thomas

Funding

Improving the Quality of Addiction Treatment Quality MeasurementI01HX000517 · VA · VETERANS ADMIN PALO ALTO HEALTH CARE SYS · PI SOX-HARRIS, ALEX · 2013 to 2013
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HSRD VA I01 HX000517HSRD VA IK6 HX002840HSRD VA RCS 14-232
6 · The paper itself

Abstract

objectivesIn 2013, the American Society of Addiction Medicine (ASAM) approved its Standards of Care for the Addiction Specialist Physician. Subsequently, an ASAM Performance Measures Panel identified and prioritized the standards to be operationalized into performance measures. The goal of this study is to describe the process of operationalizing 3 of these standards into quality measures, and to present the initial measure specifications and results of pilot testing these measures in a large health care system. By presenting the process rather than just the end results, we hope to shed light on the measure development process to educate, and also to stimulate debate about the decisions that were made.

methodsEach measure was decomposed into major concepts. Then each concept was operationalized using commonly available administrative data sources. Alternative specifications examined and sensitivity analyses were conducted to inform decisions that balanced accuracy, clinical nuance, and simplicity. Using data from the US Veterans Health Administration (VHA), overall performance and variation in performance across 119 VHA facilities were calculated.

resultsThree measures were operationalized and pilot tested: pharmacotherapy for alcohol use disorder, pharmacotherapy for opioid use disorder, and timely follow-up after medically managed withdrawal (aka detoxification). Each measure was calculable with available data, and showed ample room for improvement (no ceiling effects) and wide facility-level variability.

conclusionsNext steps include conducting feasibility and pilot testing in other health care systems and other contexts such as standalone addiction treatment programs, and also to study the specification and predictive validity of these measures.

Indexed as

AdultHealth Services ResearchHumansOutcome and Process Assessment, Health CarePilot ProjectsQuality of Health CareSocieties, MedicalStandard of CareSubstance-Related DisordersUnited States

Identifiers

PMID26933875
PMCPMC5001552

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.