A scoping review of healthcare effectiveness data and information set (HEDIS) substance use disorder measures

Introduction:  There is a need to assess the delivery of interventions to improve substance use disorder (SUD) treatment, as measured by the Healthcare Effectiveness Data and Information Set (HEDIS®) metrics. The goal was to characterize published articles reporting HEDIS® SUD measures and recommend...

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Main Authors: Oliver Ethan Goal, Isca Amanda, Cameron Adams, Maria Adela Grando
Format: Article
Language:English
Published: Taylor & Francis Group 2025-12-01
Series:Annals of Medicine
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Online Access:https://www.tandfonline.com/doi/10.1080/07853890.2024.2447413
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author Oliver Ethan Goal
Isca Amanda
Cameron Adams
Maria Adela Grando
author_facet Oliver Ethan Goal
Isca Amanda
Cameron Adams
Maria Adela Grando
author_sort Oliver Ethan Goal
collection DOAJ
description Introduction:  There is a need to assess the delivery of interventions to improve substance use disorder (SUD) treatment, as measured by the Healthcare Effectiveness Data and Information Set (HEDIS®) metrics. The goal was to characterize published articles reporting HEDIS® SUD measures and recommend future work on applying and investigating SUD HEDIS® metrics and their effect on SUD treatments.Materials and Methods: The PRISMA-ScR scoping review protocol was used to find published work and investigate the most common reported baseline characteristics, HEDIS® metric outcomes, and knowledge gaps. Peer-reviewed papers available through PubMed, Academic Search Premier, Elsevier/ScienceDirect, and Medline were searched up to August 14, 2022.Results:  Twenty-eight articles were included after removing 92 duplications. Twenty-five articles were retrospective cohort studies, two were RCTs, and there was a mixed-method study. SUD metrics were studied in diverse settings, including ED, primary care, mental health care, and SUD specialty care. Twenty-seven papers utilized the Initiation and Engagement of Substance Use Disorder Treatment (IET) measure, and 13 had similar data sources, study populations, and authors. Eight papers presented IET results by substance used, primarily alcohol, cannabis, and opioids.Conclusions:  More research is needed on the HEDIS® SUD metrics and their usefulness in informing SUD prevention and treatment, policy, and public health outcomes.
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spelling doaj-art-aad87d4f0869417883506ef553a88ee02025-01-09T11:04:42ZengTaylor & Francis GroupAnnals of Medicine0785-38901365-20602025-12-0157110.1080/07853890.2024.2447413A scoping review of healthcare effectiveness data and information set (HEDIS) substance use disorder measuresOliver Ethan Goal0Isca Amanda1Cameron Adams2Maria Adela Grando3College of Health Solutions, Arizona State University, Phoenix, Arizona, USACollege of Health Solutions, Arizona State University, Phoenix, Arizona, USAArizona Health Care Cost Containment System, Phoenix, Arizona, USACollege of Health Solutions, Arizona State University, Phoenix, Arizona, USAIntroduction:  There is a need to assess the delivery of interventions to improve substance use disorder (SUD) treatment, as measured by the Healthcare Effectiveness Data and Information Set (HEDIS®) metrics. The goal was to characterize published articles reporting HEDIS® SUD measures and recommend future work on applying and investigating SUD HEDIS® metrics and their effect on SUD treatments.Materials and Methods: The PRISMA-ScR scoping review protocol was used to find published work and investigate the most common reported baseline characteristics, HEDIS® metric outcomes, and knowledge gaps. Peer-reviewed papers available through PubMed, Academic Search Premier, Elsevier/ScienceDirect, and Medline were searched up to August 14, 2022.Results:  Twenty-eight articles were included after removing 92 duplications. Twenty-five articles were retrospective cohort studies, two were RCTs, and there was a mixed-method study. SUD metrics were studied in diverse settings, including ED, primary care, mental health care, and SUD specialty care. Twenty-seven papers utilized the Initiation and Engagement of Substance Use Disorder Treatment (IET) measure, and 13 had similar data sources, study populations, and authors. Eight papers presented IET results by substance used, primarily alcohol, cannabis, and opioids.Conclusions:  More research is needed on the HEDIS® SUD metrics and their usefulness in informing SUD prevention and treatment, policy, and public health outcomes.https://www.tandfonline.com/doi/10.1080/07853890.2024.2447413Scoping reviewHEDIS metricsaddiction
spellingShingle Oliver Ethan Goal
Isca Amanda
Cameron Adams
Maria Adela Grando
A scoping review of healthcare effectiveness data and information set (HEDIS) substance use disorder measures
Annals of Medicine
Scoping review
HEDIS metrics
addiction
title A scoping review of healthcare effectiveness data and information set (HEDIS) substance use disorder measures
title_full A scoping review of healthcare effectiveness data and information set (HEDIS) substance use disorder measures
title_fullStr A scoping review of healthcare effectiveness data and information set (HEDIS) substance use disorder measures
title_full_unstemmed A scoping review of healthcare effectiveness data and information set (HEDIS) substance use disorder measures
title_short A scoping review of healthcare effectiveness data and information set (HEDIS) substance use disorder measures
title_sort scoping review of healthcare effectiveness data and information set hedis substance use disorder measures
topic Scoping review
HEDIS metrics
addiction
url https://www.tandfonline.com/doi/10.1080/07853890.2024.2447413
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