Quality Metrics and Systems Transformation: Are We Advancing Alcohol and Drug Screening in Primary Care?

ABSTRACT:

Objective

To examine the influence of Oregon's coordinated care organizations (CCOs) and pay-for-performance incentive model on completion of screening and brief intervention (SBI) and utilization of substance use disorder (SUD) treatment services.

Data sources/study setting

Secondary analysis of Medicaid encounter data from 2012 to 2015 and semiannual qualitative interviews with stakeholders in CCOs.

Study design

Longitudinal mixed-methods design with simultaneous data collection with equal importance.

Data collection/extraction methods

Qualitative interviews were recorded, transcribed, and coded in ATLAS.ti. Quantitative data included Medicaid encounters 30 months prior to CCO implementation, a 6-month transition period, and 30 months following CCO implementa

SUBMITTER: Rieckmann T 

PROVIDER: S-EPMC5980159 | biostudies-literature | 2018 Jun

REPOSITORIES: biostudies-literature