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Table 2 ECHO-AMPLIFI performance data measures

From: Augmenting project ECHO for opioid use disorder with data-informed quality improvement

Outcome

Numerator/denominator

Description

Practice procedures: treatment initiation

 1.  Number of days from contact to prescription

 

Number of days from first request for MAT from patient or referring agency to date of first prescription

 2. Number of days between assessment and prescription

 

Number of days between documented MAT assessment/diagnostic criteria and date of first prescription (potentially a negative number)

 3. Percent of clinic patients screened for substance use

Number of patients completed screening/Patients checked in for screening eligible clinic visits

Routine screening performance per practice using an evidence-based tool. Collect number of patients in the month who checked in for screening eligible clinic visits and number of patients screened for SUD

 4. Percent of patients with OUD diagnostic criteria documented at assessment

Number with diagnostic criteria documented/Number of all patients on MAT

Assurance that medications are being prescribed to people who meet diagnostic criteria for OUD. Collect number of MAT patients with diagnosis documented using ICD-10 or DSM-5 criteria

 5. Percent of patients on MAT for whom the PDMP was queried before first prescription

Number of patients with initial PDMP query/Number of all patients on MAT

Ascertain if PDMP was queried on date of first prescription or in the preceding month

Practice procedures: ongoing care

 6. Average length of current MAT episode of care

Number of days in active MAT/7

(days calculated by subtracting date of first prescription for this episode of care from date of most recent prescription. Number of days then averaged for total number of active MAT patients)

Practice-level average number of weeks MAT patients are in treatment

Collect date of first MAT prescription from this episode of care and date of most recent MAT prescription

 7. Percent of patients on MAT for whom naloxone has been provided or prescribed

Number prescribed naloxone or provided a kit/Number of all patients on MAT

Collect number of MAT patients prescribed or provided naloxone by the practice

 8. Percent of patients on MAT for whom the PDMP was queried every 3 months

Number of patients with PDMP query every 3 months/Number of all patients on MAT

Collect date of most recent PDMP query

 9. Percent of patients on MAT receiving drug tests at least monthly

Number of patients who received drug tests monthly/Number of all patients on MAT

Collect date of most recent drug test

 10. Percent of patients diagnosed with OUD not receiving MAT

Number prescribed MAT + number receiving MAT elsewhere /Number with OUD diagnosis in chart

MAT is the standard of care for patients with OUD. Collect the number of current MAT patients and all patients at the practice with an OUD diagnosis.