The readiness of addiction treatment agencies for health care reform

Substance Abuse Treatment, Prevention, and Policy

Carol K Sherbeck¹  Michael G Boyle¹  Victor A Capoccia¹  Todd Molfenter¹ 

[1] NIATx, University of Wisconsin–Madison, 1513 University Ave, Madison, WI 53715, USA

关键词: Health reform readiness index;    Care delivery;    Organizational change;    Behavioral health;    SUD;    Substance use disorder treatment;    Addiction treatment;    Health care reform;   

Others  :  834514
DOI  :  10.1186/1747-597X-7-16

 received in 2011-11-13, accepted in 2012-04-09,  发布年份 2012

【 摘 要 】

The Patient Protection and Affordable Care Act (PPACA) aims to provide affordable health insurance and expanded health care coverage for some 32 million Americans. The PPACA makes provisions for using technology, evidence-based treatments, and integrated, patient-centered care to modernize the delivery of health care services. These changes are designed to ensure effectiveness, efficiency, and cost-savings within the health care system.

To gauge the addiction treatment field’s readiness for health reform, the authors developed a Health Reform Readiness Index (HRRI) survey for addiction treatment agencies. Addiction treatment administrators and providers from around the United States completed the survey located on the http://www.niatx.net webcite website. Respondents self-assessed their agencies based on 13 conditions pertinent to health reform readiness, and received a confidential score and instant feedback.

On a scale of “Needs to Begin,” “Early Stages,” “On the Way,” and “Advanced,” the mean scores for respondents (n = 276) ranked in the Early Stages of health reform preparation for 11 of 13 conditions. Of greater concern was that organizations with budgets of < $5 million (n = 193) were less likely than those with budgets > $5 million to have information technology (patient records, patient health technology, and administrative information technology), evidence-based treatments, quality management systems, a continuum of care, or a board of directors informed about PPACA.

The findings of the HRRI indicate that the addiction field, and in particular smaller organizations, have much to do to prepare for a future environment that has greater expectations for information technology use, a credentialed workforce, accountability for patient care, and an integrated continuum of care.

【 授权许可】

   
2012 Molfenter et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1 .

【 参考文献 】

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