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Center to Improve System Performance of Substance Use Disorder Treatment

提高药物滥用治疗系统性能中心

基本信息

批准号：
10494628
负责人：
HAIDEN A. HUSKAMP
金额：
$ 141.68万
依托单位：
BRANDEIS UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-07-01 至 2027-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10494628
关键词：
Accident and Emergency department Affect American Attention Caring Clinic Collaborations Decision Making Development Effectiveness Enrollment Environment Fertilization Goals Health Health Services Research Healthcare Systems Improve Access Individual Interdisciplinary Study Joints Knowledge Leadership Learning Managed Care Managed Care Programs Measurement Medicaid Mentors Methods Modeling Nature Paper Performance Persons Pharmaceutical Preparations Pharmacy facility Policies Policy Maker Primary Health Care Private Sector Privatization Process Provider Public Health Quality of Care Research Research Design Research Personnel Research Project Grants Resources Role Science Services Site Stretching Substance Use Disorder System Time Training Translating Work addiction base beneficiary bundled payment career cost design ethnic diversity experience health plan improved innovation lens medical specialties multidisciplinary next generation opioid use disorder patient oriented payment programs racial and ethnic ranpirnase service delivery telehealth treatment services

项目摘要

This Core Center of Excellence application (P30) for the renewal of the Brandeis/Harvard Center to Improve System Performance of Substance Use Disorder Treatment proposes to enhance the effectiveness and impact of existing research on delivery and payment of substance use disorder (SUD) treatment services, and offer a national resource for those researching and designing SUD treatment systems and policy in the context of ongoing, dramatic changes in the US health care system. The Center’s goal is to conduct and extend research on service delivery and payment to synergistically expand the research base, informing policy and practice decisions that will profoundly affect the cost, quality, and availability of SUD services. The intertwined nature of delivery and payment systems requires attention to both in order to achieve sustainability of high value systems innovations. While continuing to emphasize innovations in delivery and payment systems broadly defined, the proposed renewal will also bring intentional focus to low-barrier settings for treatment (i.e., wholly outside of or extensions of specialty SUD settings such as emergency departments, pharmacies, and telehealth), as well as quality improvement, inequities in the provision and financing of services, and factors that influence sustainability of innovation. The renewal also will expand the science around Medicaid managed care, given the importance of Medicaid as a payer of SUD services, and the dominant role of private Medicaid health plans. The Center will build on three Component research projects, as well as related research at Brandeis, Harvard and elsewhere, and support the development of new research to provide crucial and timely evidence that can inform the design and implementation of effective policy and practice. The Administrative, Research, Policy/Dissemination, and Pilot/Mentoring Cores provide the organizational engine to promote cross-fertilization of findings across projects to support the Center’s aims: 1) advance the science by conducting and stimulating research and knowledge development about payment and delivery system innovation for SUD treatment; 2) drive the next generation of research by mentoring and training a racially/ethnically diverse pool of early career investigators and creating networks of early career and senior researchers; and, 3) engage with key stakeholders in a bidirectional exchange to produce timely and relevant research that informs and influences policy and practice. The Center will achieve these aims by extending the research base to include critical analyses of timely and emerging topics identified in close collaboration with key stakeholders. We will do this through activities that include empirical and conceptual papers; short- and longer-term analyses targeted at pressing issues for policy and practice; and multiple mentoring programs and activities to support early career investigators. Further, we will translate and disseminate findings to an expansive audience of policy makers, payers, providers, persons with lived experience of SUD, and researchers to inform the changing environment of delivery and payment of SUD treatment services.

本核心卓越中心申请（P30）更新布兰迪斯/哈佛中心改进