Table 2.
Article | Measure | Setting | Primary outcome | Results | Specific to OUD? |
---|---|---|---|---|---|
Garnick, Lee, Chalk, et al., 2002 | HEDIS initiation and engagement | Administrative data among commercial MCOs | Feasibility among adult enrollees | Use of measures is feasible, meaningful, and informative. Initiation rates ranged from 26%–46%; Engagement rates were more consistent with a range of 14% to 29% | No |
Harris, Reeder, Ellerbe, & Bowe, 2011 | HEDIS initiation and engagement | VHA | Validity of measure to correctly identify SUD treatment services through diagnosis and procedure codes | Concordance with chart review in specialty settings was high (range 92% to 98%). Concordance with chart review in non-specialty settings varied from 46% to 63%). | No |
Garnick, Lee, Horgan, et al., 2011 | HEDIS initiation and engagement | Case studies of five states | Feasibility and implementation | Measures can be satisfactorily implemented but with mixed implications for other states. Measures reflect necessary but insufficient steps for full recovery. | No |
Kim, Saitz, Cheng, et al., 2011 | HEDIS initiation and engagement | RCT in primary care settings | Feasibility of initiation and engagement criteria under a chronic medical disorder model | Feasible in primary care with initiation and engagement rates of 45% and 23% | No |
Thomas, Garnick, Horgan, et al., 2013 | HEDIS initiation and engagement | National data from private health plans, VHA, and Medicaid | Feasibility of expanded measure specifications to include receipt of MAT as a qualifying service | MAT as a qualifying AOD service is feasible across systems but varies widely depending on measure specification | Yes |
Harris et al., 2015 | HEDIS initiation and engagement | VHA | Specification validity | High concordance for residential and outpatient AOD programs (90% and 96%). Concordance in non-addiction settings ranged from 59% to 93%. | No |
Mattke, Predmore, Sloss, Wilks, & Watkins, 2017 | HEDIS initiation and engagement | Commercial health plan claims | Feasibility of expanded measure specifications to include receipt of MAT as a qualifying AOD service | Including MAT was feasible and increased initiation rates by 2.4% (from 38.9% to 39.8%) and engagement rates by 9.9% (from 12.9% to 14%) | Yes |
VHA = Veterans Health Administration; MAT = Medication assisted treatment; RCT = Randomized Controlled Trial; AOD = Alcohol or other drug.