Evidence-Based Treatment and Quality Improvement: Results from Integration of a NIDA-Sponsored ASI-Based Automated Outcome System into Routine CD Treatment

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Evidence-Based Treatment and Quality
Improvement Results from Integration of a
NIDA-Sponsored ASI-Based Automated Outcome System
into Routine CD Treatment
Addiction Health Services Research
Conference Polaris Health Directions Grant
Grissom, Ph.D. Linda Toche-Manley, Ph.D
October 7, 2004
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Introduction
Polaris CD Development

• ASI
• Matching Research
• Risk Factors (relapse, dropout)
• Software for clinical integration

Polaris systems can help differentiate provider
organizations. The information Polaris systems
collect can fundamentally change service
decision-making and improve outcomes and
cost-effectiveness.
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What is Polaris CD?
Clinically useful reports for the provider
Brief computer-based assessment
Treatment providers
Patient self-report assessment
Firewall
Master Database
Aggregate reports for providers and administrators
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Polaris CD Utilization

• Clinical
• Individual patient (Treatment planning and
  monitoring)
• Program
• Clinical supervision
• Documentation of outcomes
• Quality Improvement
• Region
• Best Practices
• Value to purchasers

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Documenting Outcomes On-Line Aggregate Analysis
Site A 03/05/03 to 09/10/04
My life has meaning and purpose.
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The graph below shows the distribution of
patients whose Update PSYCHIATRIC severity
(percentile) score, compared to Intake, was
better, the same, and worse.  The graph includes
only patients who (a) received treatment at
site A, (b) took an Intake between 04/06/01 and
09/24/04, (c) had an Intake PSYCHIATRIC severity
(percentile) score greater than or equal to 25,
and (d) took an Update between 0 and 60 days
after Intake.  (For patients who took more than
one survey in this time period, the graph
includes only the survey that is closest to the
mid-point of the time period.)
Documenting Outcomes On-Line Aggregate Analysis
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Documenting Outcomes Economic Value

• Missed Work (50 reduction)
• Been late for work (43 reduction)
• Were less than productive than usual at work (26
  reduction)
• Had conflict with their managers (34 reduction)
• Had conflict with their co-workers (33 reduction)

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Documenting Outcomes.. Economic Value
 
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Documenting Outcomes Best Practices Illustration
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Documenting Outcomes QI Case Study
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Documenting Outcomes QI Case Study
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Documenting Outcomes QI Case Study
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Documenting Outcomes QI Case Study
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Documenting Outcomes QI Case Study