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Original Research

The association between medical comorbidity and Healthcare Effectiveness Data and Information Set (HEDIS) measures of treatment initiation and engagement for alcohol and other drug use disorders

Ingrid A. BinswangerInstitute for Health Research, Kaiser Permanente Colorado, Denver, Colorado, USA; ;Colorado Permanente Medical Group, Aurora, Colorado, USA; ;Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA; Correspondence[email protected]

http://orcid.org/0000-0001-8862-8078 View further author information

, MD, MPH, MS

Nikki M. CarrollInstitute for Health Research, Kaiser Permanente Colorado, Denver, Colorado, USA; View further author information

, MS,

Brian K. AhmedaniHenry Ford Health System, Detroit, Michigan, USA; View further author information

, PhD,

Cynthia I. CampbellDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA; View further author information

, PhD,

Irina V. HallerEssentia Institute of Rural Health, Essentia, Essentia Health, Duluth, Minnesota, USA; View further author information

, PhD, MS,

Rulin C. HechterDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, California, USA; View further author information

, MD, PhD,

Jennifer McNeelyDepartment of Population Health, New York University School of Medicine, New York, New York, USA; View further author information

, MD, MS,

Bobbi Jo H. YarboroughCenter for Health Research, Kaiser Permanente Northwest, Portland, Oregon, USA; View further author information

, PsyD,

Andrea H. Kline-SimonDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA; View further author information

, MS,

Derek D. SatreDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA; ;Department of Psychiatry, Weill Institute for Neurosciences, University of CaliforniaSan Francisco, San Francisco, California, USA; View further author information

, PhD,

Constance WeisnerDivision of Research, Kaiser Permanente Northern California, Oakland, California, USA; ;Department of Psychiatry, Weill Institute for Neurosciences, University of CaliforniaSan Francisco, San Francisco, California, USA; View further author information

, DrPH, MSW &

Gwen T. LaphamKaiser Permanente Washington Health Research Institute, Seattle, Washington, USA; ;Department of Health Services, University of Washington School of Public Health, Seattle, Washington, USAView further author information

, PhD, MPH, MSW show all

Figures & data

Table 1. Demographic and clinical characteristics of a study cohort of patients with alcohol and other drug (AOD) use disorders at 7 health systems (N = 86,565) stratified by AOD treatment initiation and engagement status, October 2014 through August 2015.

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Table 2. Among all patients with an alcohol or drug (AOD) in 7 health systems, prior-year prevalence of Healthcare Cost and Utilization Project (HCUP)Citation²³ body system disease or disorder and any of 21 substance abuse-related medical conditions (SAMCs).Citation²⁴

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Table 3. Among those identified with an alcohol or drug (AOD) use disorder in an outpatient or emergency department setting (n = 69,965), characteristics associated with initiation of AOD treatment.

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Table 4. Among patients identified with an alcohol or drug use disorder (AOD) in an inpatient setting who initiated AOD treatment (n = 16,193), characteristics associated with AOD treatment engagement.

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Table 5. Among patients identified as having an alcohol or drug (AOD) use disorder in an outpatient or emergency department setting and initiated treatment (n = 7,963), characteristics associated with AOD treatment engagement.

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Table 6. Among patients identified with an alcohol and other drug (AOD) use disorder in any setting who initiated AOD treatment (n = 24,188), characteristics associated with AOD use disorder treatment engagement.

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The association between medical comorbidity and Healthcare Effectiveness Data and Information Set (HEDIS) measures of treatment initiation and engagement for alcohol and other drug use disorders

Table 1. Demographic and clinical characteristics of a study cohort of patients with alcohol and other drug (AOD) use disorders at 7 health systems (N = 86,565) stratified by AOD treatment initiation and engagement status, October 2014 through August 2015.

Table 2. Among all patients with an alcohol or drug (AOD) in 7 health systems, prior-year prevalence of Healthcare Cost and Utilization Project (HCUP)Citation²³ body system disease or disorder and any of 21 substance abuse-related medical conditions (SAMCs).Citation²⁴

Table 3. Among those identified with an alcohol or drug (AOD) use disorder in an outpatient or emergency department setting (n = 69,965), characteristics associated with initiation of AOD treatment.

Table 4. Among patients identified with an alcohol or drug use disorder (AOD) in an inpatient setting who initiated AOD treatment (n = 16,193), characteristics associated with AOD treatment engagement.

Table 5. Among patients identified as having an alcohol or drug (AOD) use disorder in an outpatient or emergency department setting and initiated treatment (n = 7,963), characteristics associated with AOD treatment engagement.

Table 6. Among patients identified with an alcohol and other drug (AOD) use disorder in any setting who initiated AOD treatment (n = 24,188), characteristics associated with AOD use disorder treatment engagement.

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The association between medical comorbidity and Healthcare Effectiveness Data and Information Set (HEDIS) measures of treatment initiation and engagement for alcohol and other drug use disorders

Figures & data

Table 1. Demographic and clinical characteristics of a study cohort of patients with alcohol and other drug (AOD) use disorders at 7 health systems (N = 86,565) stratified by AOD treatment initiation and engagement status, October 2014 through August 2015.

Table 2. Among all patients with an alcohol or drug (AOD) in 7 health systems, prior-year prevalence of Healthcare Cost and Utilization Project (HCUP)Citation23 body system disease or disorder and any of 21 substance abuse-related medical conditions (SAMCs).Citation24

Table 3. Among those identified with an alcohol or drug (AOD) use disorder in an outpatient or emergency department setting (n = 69,965), characteristics associated with initiation of AOD treatment.

Table 4. Among patients identified with an alcohol or drug use disorder (AOD) in an inpatient setting who initiated AOD treatment (n = 16,193), characteristics associated with AOD treatment engagement.

Table 5. Among patients identified as having an alcohol or drug (AOD) use disorder in an outpatient or emergency department setting and initiated treatment (n = 7,963), characteristics associated with AOD treatment engagement.

Table 6. Among patients identified with an alcohol and other drug (AOD) use disorder in any setting who initiated AOD treatment (n = 24,188), characteristics associated with AOD use disorder treatment engagement.

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Table 2. Among all patients with an alcohol or drug (AOD) in 7 health systems, prior-year prevalence of Healthcare Cost and Utilization Project (HCUP)Citation²³ body system disease or disorder and any of 21 substance abuse-related medical conditions (SAMCs).Citation²⁴