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How and why addiction
facilities should
measure OUTCOMES
September 28, 2019
Eva Hibnick - One Step Software

Table of Contents
I. Our Industry’s Take on Data
II. What is outcomes data?
III. Why you should collect outcomes data
IV. How to decide which outcomes data to collect
V. How to make sure the data is actually collected
VI. How to enact change at your facility

I. Our Industry’s Take on Data

Data can help businesses:
● Measure the efficacy of a certain business practice
● Improve business processes
● Increase efficiencies
● Decrease costs
● Spend resources smarter
● Save time
● Improve client experience
● Increase revenue

How to Measure Outcomes in Addiction Treatment

Why are most addiction facilities not
bothering to measure data?!

The Joint Commission now requires
facilities to use “a standardized tool to
measure outcomes.”

Outcomes Data is:
● “aggregated data points for your program which captures
performance and results for your client’s success”
● This could include an improvement in personal health, life
accomplishments (e.g., employment), and/or reductions
or abstinence from drugs/alcohol

III. Why you should collect
outcomes data

Treatment centers can use the data collected to:
● Improve patient experiences
● Measure the success of their programs
● Identify which type of patients do the best at their
programs
● Distinguish their programs
● Get in-network with providers
● Get grants from the federal and local governments

Government: millions invested in treatment (2016 numbers)

IV. How to decide which outcomes
data to collect

Deciding which outcomes metrics your program is
going to collect is largely based on what type of
program you are, how long your program is, who at
your organization is going to be responsible for
collecting data etc.
Here are some examples of metrics programs have
used:

Aggregate - Program Level Data
● Percentage changes in outcomes data:

● Monthly / incremental percentages:

● Client MAT percentages:

● Substance of choice & Reason for discharge:

Individual - Patient Level Data
● Client program data points: PTSD Civilian Survey

Outcomes Surveys:
Brief Addiction Monitor (BAM) Clinical Institute Withdrawal
Assessment Scale –
Benzodiazepines (CIWA-B)
Patient Health Questionnaire
(PHQ-9)
Center for Epidemiologic
Studies Depression Scale
Revised (CESD-R)
Family Assessment Device
(FAD)
Personal Drug Use
Questionnaire (SOCRATES
8D)
Child and Adolescent
Disruptive Behavior Inventory –
Parent Survey (CADBI)
Functional Assessment
Device – General Functioning
(FAD-GF)
Five Facet Mindfulness
Questionnaire (FFMQ)
Clinical Institute Withdrawal
Assessment of Alcohol Scale,
Revised (CIWA-Ar)
Generalized Anxiety
Disorder-7 (GAD-7)
Suicide Behaviors
Questionnaire- Revised (SBQ-
R)

Individual - Alumni Level Data
● Post Program Survey:

V. How to make sure the data is
actually collected

Procedures
● It’s important to set clear policies & procedures
for your staff to ensure that the data you want is
collected.
○ When to collect data: Upon intake? Upon
discharge? Every week? Post-program?
○ Who is in charge of collecting data?
○ Who is in charge of overseeing and making
sure all data is collected on a daily basis?

Training
● Make sure all new staff are trained on how to
collect data
● Make sure you emphasize how important it is for
the program to gather accurate data

VI. How to enact change at your
facility

Program data
● Have quarterly reviews of the data
● Share the data with clinicians and C-Suite
● For each data point - establish an actionable plan for improvement
○ Break each data point down into multiple steps for
improvement
○ Set goals for next quarter and review monthly progress to
course correct and adjust strategy as needed

Individual client data
● Daily reviews of the data with clinicians
● Review surveys and look at trends (decrease/increase)
● Adjust treatment plan accordingly

eva@onestepsoftware.com
Questions?

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How to Measure Outcomes in Addiction Treatment

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