Contributions of a central registry to monitor methadone -treatment through the HEALing Communities Study.

Q3 Medicine
Katherine R Marks, Jeffery Talbert, Lindsey R Hammerslag, Michelle R Lofwall, Laura C Fanucchi, Holly Broce, Sharon L Walsh
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引用次数: 0

Abstract

Objective: To describe the process of establishing a Methadone Central Registry (MCR) as part of the HEALing (Helping to End Addiction Long-termSM) Communities Study (HCS) and to support recommendations with evidence of its functionality relative to Medicaid claims data for monitoring utilization of methadone, an evidence-based treatment for opioid use disorder.

Design and participants: The manuscript authors were active participants in establishing the MCR and include representation from state government, Opioid Treatment Programs (OTPs), and HCS university partners. Secondary data were obtained from Kentucky's (KY's) MCR and Medicaid claims from July 2020 through June 2021. The functionality of data obtained from the MCR, as measured by data completeness and timeliness, is compared with Medicaid claims, the current standard.

Main outcomes: Central registry and Medicaid data were each aggregated statewide and at the HCS-KY county level. Dual levels of analysis were selected to inform stakeholders at the study and state levels. Descriptive statistics were calculated for the number of patients in methadone treatment.

Results: Statewide, the MCR provided a daily record of all individuals receiving methadone through an OTP within 72 hours. In contrast, Medicaid claims processing lagged 9 months and captured 57-62 percent of patients in the MCR.

Conclusions: Replacing a fax-based system, an MCR meets the converging need of providers, regulatory authorities, and researchers to monitor utilization, patient dual enrollment, and treatment outcomes. Implementation strategies included key stakeholder engagement, state partner leadership, training, and federal funding. Adoption of an MCR is recommended.

中央注册中心通过HEALing社区研究监测美沙酮治疗的贡献。
目的:描述建立美沙酮中央注册中心(MCR)的过程,作为HEALing(帮助结束成瘾长期SM)社区研究(HCS)的一部分,并支持与医疗补助索赔数据相关的功能性建议,以监测美沙酮的使用情况,美沙酮是一种基于证据的阿片类药物使用障碍治疗方法。设计和参与者:手稿作者是建立MCR的积极参与者,包括州政府、阿片类药物治疗计划(OTP)和HCS大学合作伙伴的代表。二级数据来自肯塔基州2020年7月至2021年6月的MCR和医疗补助申请。通过数据完整性和及时性来衡量从MCR获得的数据的功能,并将其与当前标准Medicaid索赔进行比较。主要结果:中央登记和医疗补助数据分别在全州和HCS-KY县一级汇总。选择了双重层面的分析,以告知研究和州层面的利益相关者。对接受美沙酮治疗的患者人数进行描述性统计。结果:在全州范围内,MCR提供了所有在72小时内通过OTP接受美沙酮治疗的个人的每日记录。相比之下,医疗补助申请处理滞后了9个月,在MCR中捕获了57-62%的患者。结论:MCR取代了基于传真的系统,满足了提供者、监管机构和研究人员监测利用率、患者双重登记和治疗结果的共同需求。实施战略包括关键利益相关者的参与、州合作伙伴的领导、培训和联邦资金。建议采用MCR。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of opioid management
Journal of opioid management Medicine-Anesthesiology and Pain Medicine
CiteScore
1.00
自引率
0.00%
发文量
54
期刊介绍: The Journal of Opioid Management deals with all aspects of opioids. From basic science, pre-clinical, clinical, abuse, compliance and addiction medicine, the journal provides and unbiased forum for researchers and clinicians to explore and manage the complexities of opioid prescription.
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