New Jersey Department of Human Services Division of Addiction Services

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New Jersey Department of Human ServicesDivision
of Addiction Services

• Substance Abuse Treatment Services
• Provider Performance Report

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Provider Performance Report

• An agency-specific version of the report is being
  sent tomorrow to all addictions treatment
  provider agencies funded by DAS
• The report includes treatment admissions and
  discharge data for the period April 1, 2006
  through March 31, 2007

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Provider Performance Report

• The report includes the following data reported
  on the New Jersey Substance Abuse Monitoring
  System (NJ-SAMS)
• Statewide treatment admission and discharge data
  for all agencies
• Admission and discharge data for each agency
• National Outcome Measures (NOMs) data for each
  modality provided by each agency compared with
  statewide averages for that modality

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Treatment Admission Data

• Admission
• Primary substance of abuse/dependence
• Level of care
• Referral Source
• Prior Treatment History
• Referral Source
• Education
• Legal Problems
• Age, race, gender
• County of Residence

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Treatment Discharge Data

• Discharge
• Level of care
• Drug/Alcohol Use at Discharge
• Employment Status at Discharge
• Living Arrangements at Discharge
• Client Goals Achieved at Discharge
• Reason for Discharge
• Age, race, gender
• County of Residence

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National Outcomes Measures

• Domains with Defined Provider-Level Measures
  Included in Current Reports
• Domain Reduced Morbidity
• Outcome Abstinence from Alcohol/Drug Use
• Measure Absolute Percent change of clients not
  using alcohol/drugs at admission v. discharge
• Domain Employment
• Outcome Increased/Retained Employment
• Measure Absolute percent change in employment
  status at admission v. discharge

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National Outcomes Measures

• Domains with Defined Provider-Level Measures
  Included in Current Reports
• Domain Crime and Criminal Justice
• Outcome Decreased Criminal Justice Involvement
• Measure Absolute percent change of client
  arrests in past 30 days at admission v. discharge
• Domain Stability in Housing
• Outcome Increased Stability in Housing
• Measure Absolute percent change of homeless
  clients at admission v. discharge

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National Outcomes Measures

• Domains with Defined Provider-Level Measures
  Included in Current Reports
• Domain Retention
• Outcome Increased Retention in Treatment
• Measures Average length of stay of clients
  successfully completing treatment plan

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National Outcomes Measures

• Domains with Defined Systems-Level Measures
  Included in Current Reports
• Domain Access/Capacity
• Outcome Increased Access to Services
• Measure Unduplicated number of persons served
  penetration rate - numbers served compared to
  those in need (statewide assessment of need,
  capacity, and utilization)

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National Outcomes Measures

• Domains with Measures Under Development by
  SAMHSA
• Domain Social Connectedness
• Outcome Increased Social Supports/Social
  Connectedness
• Domain Perception of Care
• Outcome Client Perception of Care

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National Outcomes Measures

• Domains with Measures Under Development by
  SAMHSA
• Domain Use of Evidence-Based Practices
• Outcome Use of Evidence-Based Practices
• Domain Cost-Effectiveness
• Outcome Cost-Effectiveness (average cost)
• Measure Number of States providing substance
  abuse treatment services within approved cost per
  person bands by the type of treatment

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New Jerseys Performance

• New Jersey is one of only five states reporting
  NOMs data within the federal data targets
• States that do not meet this level of NOMs
  reporting are subject to penalties via a
  reduction in the federal substance abuse
  prevention and treatment block grant award

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New Jerseys Performance

• Statewide, New Jerseys NOMs measures indicate
  positive change
• Our system as a whole is
• promoting abstinence from drugs and alcohol
• reducing homelessness
• increasing employment
• reducing involvement with criminal justice

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Data Accuracy and Integrity

• Agency-specific data included in the reports
  reflects what has been entered into
  NJ-SAMS by your agency staff
• Agencies may want to consider reviewing your
  internal processes for ensuring accurate data
  collection and entry
• Technical assistance and training on the use of
  NJ-SAMS is available from DAS, if needed

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Next Steps

• The outcomes data included on the forthcoming
  reports is rendered by level of care
• DAS will be exploring specific variables, such as
  caseload mix, acuity, population, and geographic
  region served, that might be most relevant or
  meaningful when interpreting these data

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Next Steps

• DAS encourages agencies to utilize the
  information in these reports to focus on areas of
  improvement within each agency and to set
  individual agency performance targets for 2008
• DAS is also interested in identifying additional
  performance measures that will help us to
  evaluate performance of our treatment system as a
  whole, and welcomes suggestions on specific
  variables and additional measures to be included
  in future reports

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Next Steps

• The Center for Substance Abuse Treatment (CSAT)
  has indicated that statewide performance on these
  measures will be taken into consideration in
  future block grant awards
• Provider performance assessment is an important
  part of the Divisions overall effort to make
  data-informed decisions that are transparent to
  the field and to the public at large

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Next Steps

• DAS is not sharing individual agency performance
  with the public at this time
• We will be developing baseline information and
  establishing benchmarks for quality indicators
  that will be shared in the near future
• We look forward to a continuing dialogue
  regarding comparability across the service
  system, promoting informed consumer choice,
  educating the public, and continuing to effect
  positive change for our clients