Specific aim | Definition | Primary data source (secondary data source) |
---|---|---|
Aim 1 (primary aim): treatment initiation and engagement | ||
Treatment initiation | Outpatient MAT encounter within 14Â days of hospital discharge | Medicaid claims and encounter data (EHR data) |
Treatment engagement | Receipt of 2 + additional MAT services within 30 days of initiation | Medicaid claims and encounter data (EHR data) |
Aim 2: Treatment retention | ||
Rate of treatment retention | Continuous retention in treatment for 6Â months | Medicaid claims and encounter data (EHR data) |
Aim 3: Acute care utilization and OD deaths | ||
Acute care | Hospital and ED admissions in 6Â months following discharge | Medicaid claims and encounter data (EHR data) |
OD death | Poisoning death involving opioid(s) | DOHMH overdose data (Medicaid claims and encounter data) |
Aim 4: Implementation outcomes a | ||
Reach | Received any CATCH service(s) | EHR data |
Adoption | Referrals made to CATCH by clinical staff | EHR data |
Implementation fidelity | Ability to reach target population and deliver MAT | Interviews with CATCH staff and patients Monthly reports on CATCH activities |
Implementation barriers and facilitators | Intervention characteristics, inner setting, outer setting, and characteristics of individuals that impact intervention delivery | Interviews with CATCH staff and patients |