Quality and performance improvements: What’s a program to do?

A confluence of forces is challenging traditional approaches to issues of quality in substance abuse care. The availability of effective, research-based interventions, the Federal emphasis on performance measurement and outcomes, and national initiatives to improve quality and data infrastructure are driving a transition from a static, compliance-oriented approach to a more dynamic performance improvement model. This new way of achieving and documenting quality will produce better outcomes for consumers and greater confidence in the value of substance abuse services, but first it will require new behaviors from all parties involved in the delivery of substance abuse prevention and treatment services. This article describes some of the shifts already under way, including descriptions of some of the programs currently looking at evidence-based practices, including NIDA’s National Drug Abuse Treatment Clinical Trials Network (CTN), SAMHSA’s National Registry of Evidence-Based Programs and Practices (NREPP), and the University of Wisconsin’s Network for Improvement of Addiction Treatment (NIATx). It also offers advice on how organizations can get ready for the coming changes, and ends with a three-page commentary about the article, featuring Linda Bradshaw, MA, Deborah Garnick, ScD, and Daniel R. Kivlahan, PhD.