Examining the Specification Validity of the HEDIS Quality Measures for Substance Use Disorders

Journal of Substance Abuse Treatment
Alex H S HarrisJodie Trafton

Abstract

Accurate operationalization is a major challenge in developing quality measures for substance use disorder treatment. Specification validity is a term used to describe whether a quality measure is operationalized such that it captures the intended care processes and patients. This study assessed the specification validity of the 2009 Healthcare Effectiveness Data and Information Set (HEDIS®) substance use disorder initiation and engagement measures by examining whether encounters assumed to include relevant treatment have corroborating evidence in the clinical progress notes. The positive predictive values were excellent (>90%) for residential and outpatient records selected from addiction treatment programs but more modest for records generated in non-addiction settings, and were highly variable across facilities. Stakeholders using these measures to compare care quality should be mindful of the clinical composition of the data and determine if similar validation work has been conducted on the systems being evaluated.

Citations

Mar 10, 2016·Journal of General Internal Medicine·Julia C PrenticeSteven D Pizer
Aug 8, 2015·Journal of Substance Abuse Treatment·Alex H S HarrisKatherine J Hoggatt
Aug 30, 2016·Journal of Substance Abuse Treatment·Katherine E WatkinsGreer Sullivan
Sep 22, 2017·Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality·Soeren MattkeKatherine E Watkins
Mar 21, 2018·Journal of Addiction Medicine·Andrea Acevedo
Jan 19, 2019·Substance Abuse : Official Publication of the Association for Medical Education and Research in Substance Abuse·Gwen T LaphamIngrid A Binswanger
Nov 24, 2019·Hepatology : Official Journal of the American Association for the Study of Liver Diseases·Shari RogalKevin L Kraemer
Mar 5, 2016·Journal of Addiction Medicine·Alex H S HarrisCindy Parks Thomas
Apr 4, 2021·The American Journal of Gastroenterology·Shari RogalKevin Kraemer

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