National Outcome Measures

Manit, Jill

doi:10.4135/9781412964500.n217

Encyclopedia of Substance Abuse Prevention, Treatment, &Amp; Recovery 2009

DOI: 10.4135/9781412964500.n217

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National Outcome Measures

Jill Manit¹

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Using risk adjustment approaches in child welfare performance measurement: Applications and insights from health and mental health settings

Raghavan

2010

Children and Youth Services Review

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Federal policymaking in the last decade has dramatically expanded performance measurement within child welfare systems, and states are currently being fiscally penalized for poor performance on defined outcomes. However, in contrast to performance measurement in health settings, current policy holds child welfare systems solely responsible for meeting outcomes, largely without taking into account the effects of factors at the level of the child, and his or her social ecology, that might undermine the performance of child welfare agencies. Appropriate measurement of performance is predicated upon the ability to disentangle individual, as opposed to organizational, determinants of outcomes, which is the goal of risk adjustment methodologies. This review briefly conceptualizes and examines risk adjustment approaches in health and child welfare, suggests approaches to expanding its use to appropriately measure the performance of child welfare agencies, and highlights research gaps that diminish the appropriate use of risk adjustment approaches – and which consequently suggest the need for caution – in policymaking around performance measurement of child welfare agencies.

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Using risk adjustment approaches in child welfare performance measurement: Applications and insights from health and mental health settings

Raghavan

2010

Children and Youth Services Review

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Advancing performance measures for use of medications in substance abuse treatment

Thomas

Garnick

Horgan

et al. 2011

Journal of Substance Abuse Treatment

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Performance measures have the potential to drive high quality health care. However, technical and policy challenges exist in developing and implementing measures to assess substance use disorder (SUD) pharmacotherapy. Of critical importance in advancing performance measures for use of SUD pharmacotherapy is recognition that different measurement approaches may be needed in the public and private sectors, and will be determined by the availability of different data collection and monitoring systems. In 2009, the Washington Circle convened a panel of nationally recognized insurers, purchasers, providers, policy makers, and researchers to address this topic. The charge of the panel was to identify opportunities and challenges in advancing use of SUD pharmacotherapy performance measures across a range of systems. This paper summarizes those findings by identifying a number of critical themes related to advancing SUD pharmacotherapy performance measures, highlighting examples from the field, and recommending actions for policy makers.

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National Outcome Measures

Cited by 2 publications

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Using risk adjustment approaches in child welfare performance measurement: Applications and insights from health and mental health settings

Using risk adjustment approaches in child welfare performance measurement: Applications and insights from health and mental health settings

Advancing performance measures for use of medications in substance abuse treatment

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