New Jersey Department of Human Services Division of Addiction Services

1. New Jersey Department of Human ServicesDivision of Addiction Services Substance Abuse Treatment Services Provider Performance Report

2. Provider Performance Report • An agency-specific version of the report is being sent tomorrow to all addictions treatment provider agencies funded by DAS • The report includes treatment admissions and discharge data for the period April 1, 2006 through March 31, 2007

3. Provider Performance Report • The report includes the following data reported on the New Jersey Substance Abuse Monitoring System (NJ-SAMS): • Statewide treatment admission and discharge data for all agencies • Admission and discharge data for each agency • National Outcome Measures (NOMs) data for each modality provided by each agency compared with statewide averages for that modality

4. Treatment Admission Data • Admission: • Primary substance of abuse/dependence • Level of care • Referral Source • Prior Treatment History • Referral Source • Education • Legal Problems • Age, race, gender • County of Residence

5. Treatment Discharge Data • Discharge: • Level of care • Drug/Alcohol Use at Discharge • Employment Status at Discharge • Living Arrangements at Discharge • Client Goals Achieved at Discharge • Reason for Discharge • Age, race, gender • County of Residence

6. National Outcomes Measures Domains with Defined Provider-Level Measures Included in Current Reports Domain: Reduced Morbidity • Outcome: Abstinence from Alcohol/Drug Use • Measure: Absolute Percent change of clients not using alcohol/drugs at admission v. discharge Domain: Employment • Outcome: Increased/Retained Employment • Measure: Absolute percent change in employment status at admission v. discharge

7. National Outcomes Measures Domains with Defined Provider-Level Measures Included in Current Reports Domain: Crime and Criminal Justice • Outcome: Decreased Criminal Justice Involvement • Measure: Absolute percent change of client arrests in past 30 days at admission v. discharge Domain: Stability in Housing • Outcome: Increased Stability in Housing • Measure: Absolute percent change of homeless clients at admission v. discharge

8. National Outcomes Measures Domains with Defined Provider-Level Measures Included in Current Reports Domain: Retention • Outcome: Increased Retention in Treatment • Measures: Average length of stay; % of clients successfully completing treatment plan

9. National Outcomes Measures Domains with Defined Systems-Level Measures Included in Current Reports Domain: Access/Capacity • Outcome: Increased Access to Services • Measure: Unduplicated number of persons served; penetration rate - numbers served compared to those in need (statewide assessment of need, capacity, and utilization)

10. National Outcomes Measures Domains with Measures Under Development by SAMHSA Domain: Social Connectedness • Outcome: Increased Social Supports/Social Connectedness Domain: Perception of Care • Outcome: Client Perception of Care

11. National Outcomes Measures Domains with Measures Under Development by SAMHSA Domain: Use of Evidence-Based Practices • Outcome: Use of Evidence-Based Practices Domain: Cost-Effectiveness • Outcome: Cost-Effectiveness (average cost) • Measure: Number of States providing substance abuse treatment services within approved cost per person bands by the type of treatment

12. New Jersey’s Performance • New Jersey is one of only five states reporting NOMs data within the federal data targets • States that do not meet this level of NOMs reporting are subject to penalties via a reduction in the federal substance abuse prevention and treatment block grant award

13. New Jersey’s Performance • Statewide, New Jersey’s NOMs measures indicate positive change Our system as a whole is: • promoting abstinence from drugs and alcohol • reducing homelessness • increasing employment • reducing involvement with criminal justice

14. Data Accuracy and Integrity • Agency-specific data included in the reports reflects what has been entered into NJ-SAMS by your agency staff • Agencies may want to consider reviewing your internal processes for ensuring accurate data collection and entry • Technical assistance and training on the use of NJ-SAMS is available from DAS, if needed

15. Next Steps • The outcomes data included on the forthcoming reports is rendered by level of care • DAS will be exploring specific variables, such as caseload mix, acuity, population, and geographic region served, that might be most relevant or meaningful when interpreting these data

16. Next Steps • DAS encourages agencies to utilize the information in these reports to focus on areas of improvement within each agency and to set individual agency performance targets for 2008 • DAS is also interested in identifying additional performance measures that will help us to evaluate performance of our treatment system as a whole, and welcomes suggestions on specific variables and additional measures to be included in future reports

17. Next Steps • The Center for Substance Abuse Treatment (CSAT) has indicated that statewide performance on these measures will be taken into consideration in future block grant awards • Provider performance assessment is an important part of the Division’s overall effort to make data-informed decisions that are transparent to the field and to the public at large

18. Next Steps • DAS is not sharing individual agency performance with the public at this time • We will be developing baseline information and establishing benchmarks for quality indicators that will be shared in the near future • We look forward to a continuing dialogue regarding comparability across the service system, promoting informed consumer choice, educating the public, and continuing to effect positive change for our clients