“Making The Opioid Use Disorder Cascade Of Care A Reality, Despite Data Limitations, " Health Affairs Blog
October 23, 2018.
DOI: 10.1377/hblog20181018.540807
Recent discussion on the Health Affairs Blog has described both the development of a cascade of care model and corresponding quality measures to assess addiction treatment system performance, as well as the collection of data needed to implement the cascade of care. In this follow up, we offer an approach that combines administrative data sets and provides a starting point for the nation and individual states to measure progress and barriers to success in addressing the opioid epidemic. Despite imperfect data collection and reporting systems, we are past due for an honest attempt to create baseline measures of opioid use disorder management from which to improve. We propose a method to develop baseline calculations that uses approved Healthcare Effectiveness Data and Information Set (HEDIS) measures and national survey and administrative claims data organized into a cascade of care.
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