Table 1.
Quality measures related to the treatment of opioid use disorder.
| Construct | Clearinghouse | Quality measure identifying detail | Developer | Year endorsed by NQF* | Type | Specific to OUD? |
|---|---|---|---|---|---|---|
| MAT retention for 180+ days among MAT initiators | NQF clearinghouse | #3715 Continuity of pharmacy for OUD (percent with 180+ days retained on MAT among those who initiate MAT) | RAND | 2017 | Process | Yes |
| AOD service following substance-related ED visit | NQF clearinghouse | #2605 Follow up AOD service after emergency department visit for AOD (percent within 7 days and percent within 30 days) | NCQA | 2015 | Process | No |
| Referrals at discharge for inpatients with SUDs | AHRQ NQMC and NQF clearinghouse | #010148 Percent with AOD diagnosis
that receives or refuses a MAT or referral at hospital
discharge (Comparable to NQF #1664 Sub3: AOD treatment provided/offered at discharge from inpatient hospitalization) |
TJC | 2014 | Process | No |
| Referrals at discharge for inpatients with SUDs | AHRQ NQMC and NQF clearinghouse | #010149 Percent with AOD diagnosis
that receives a MAT or referral at hospital discharge (Comparable to NQF #1664 Sub3a: AOD treatment provided/offered at discharge from inpatient hospitalization) |
TJC | 2014 | Process | No |
| Initiation of AOD treatment among those with a
SUD (HEDIS Initiation measure) |
AHRQ NQMC and NQF clearinghouse | #009966 identical to: #010574
percent with initiation AOD treatment within 14 days of new SUD
diagnosis (Comparable to NQF #0004 Initiation and Engagement of AOD treatment) |
NCQA | 2009 | Process | No |
| Engagement in treatment among those with a
SUD (HEDIS engagement measure) |
AHRQ NQMC and NQF clearinghouse | #009967 identical to: #010575
Percent with engagement in AOD treatment (2+ visits) within 30
days of initiation (Comparable to NQF #0004 initiation and engagement of AOD treatment) |
NCQA | 2009 | Process | No |
| Counseling on treatment types for those with OUD | AHRQ NQMC | #004208 Percent > 18 years with current opioid addiction counseled on psychosocial and pharmacologic treatments | APA NCQA PCPI |
N/A | Process | Yes |
NQF = National Quality Forum; AOD = Alcohol or Other Drug; AHRQ NQMC = Agency for Healthcare Research and Quality National Quality Measure Clearinghouse; TJC = The Joint Commission; PCPI = Physician Consortium for Performance Improvement.