Integrated care practitioners have personal experience and anecdotal evidence that their work is valuable. Health system leaders, however, must choose among many worthy programs for investment. They look for clinical efficacy and economic benefit to support decision-making. Using the SBIRT process for substance use as an example, the presenters will show how to incorporate clinical and cost outcomes into retrospective quantitative research using real-world pragmatic data. They will walk through development of research questions to address integrated care value proposals, creation of study samples with inclusion and exclusion criteria, identification and measurement of variables, engagement with data analytics staff and systems to develop clinical and cost data and use of statistical analyses to show effectiveness. The presentation will conclude with the implications of effectiveness research for advocacy within the context of health reform and the future of integrated care.
- Develop ideas for turning integrated care value propositions into convincing effectiveness research with clinical and cost outcomes.
- Identify the steps of the research process and how they might apply them to their own ideas.
- Assess how their research fits within the broader agenda of integrated care for health systems, insurers, and government policy.
- Barbosa, C., Cowell, A., Bray, J., & Aldridge, A. (2015). The cost-effectiveness of alcohol Screening, Brief Intervention and Referral to Treatment (SBIRT) in emergency and outpatient medical settings. Journal of Substance Abuse Treatment, 53, 1-8.
- Crown, W. H. (2014). Propensity-score matching in economic analyses: Comparison with regression models, instrumental variables, residual inclusion, differences-in-differences, and decomposition methods. Applied Health Economics and Health Policy, (12), 7-18.
- Glass, J. E., Bohnert, K. M., & Brown, R. L. (2016). Alcohol screening and intervention among United States adults who attend ambulatory care. Journal of General Internal Medicine, 31, 739-745.
- Drummond, M. F., Sculpher, M. J., Claxton, K., Stoddard, G. L., & Torrance, G. W. (2015). Methods for the economic evaluation of health care programmes. New York, NY: Oxford University Press.
- Fornili, K. S. (2016b). Part 2: Screening, brief intervention and referral to treatment plus recovery management. Journal of Addictions Nursing, 27, 86-93.