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. 2011 Apr;40(3):241-54.
doi: 10.1016/j.jsat.2010.11.008. Epub 2011 Jan 22.

Lessons from five states: public sector use of the Washington Circle performance measures

Deborah W Garnick  1 , Margaret T Lee, Constance Horgan, Andrea Acevedo, Michael Botticelli, Spencer Clark, Steven Davis, Robert Gallati, Karin Haberlin, Andrew Hanchett, Dawn Lambert-Wacey, Tracy Leeper, James Siemianowski, Minakshi Tikoo
Affiliations

Lessons from five states: public sector use of the Washington Circle performance measures

Deborah W Garnick et al. J Subst Abuse Treat. 2011 Apr.

Abstract

Five states (Connecticut, Massachusetts, New York, North Carolina, and Oklahoma) have incorporated the Washington Circle (WC) substance abuse performance measures in various ways into their quality improvement strategies. In this article, we focus on what other states and local providers might learn from these states' experiences as they consider using WC performance measures. Using a case study approach, we report that the use of WC measures differs across these five states, although there are important common themes required for adoption and sustainability of performance measures, which include leadership, evaluation of specification and use of measures over time, state-specific adaptation of the WC measure specifications, collaboration with consultants and partners, inclusion of WC measures in the context of other initiatives, reporting to providers and the public, and data and resource requirements. As additional states adopt some of the WC measures, or adopt other performance measurement approaches, these states' experiences could help them to develop implementations based on their particular needs.

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Figures

Figure 1
Figure 1
Connecticut - Continuity of Care Rates for Substance Abuse Consumers Discharged from Treatment (Inpatient, Residential, and Partial Hospitalization/Intensive Outpatient services) during State Fiscal Year 2009
Figure 2
Figure 2
Massachusetts—Analysis of Transition After Detoxification Data
Figure 3
Figure 3
New York Example of Early Engagement Report in STAR-QI Web Application
Figure 4
Figure 4
North Carolina – Substance Abuse Engagement in Substance Abuse Services
Figure 5
Figure 5
Oklahoma—Outpatient Initiation Trend line
See this image and copyright information in PMC

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