NIATx200: Influence of Organizational Quality Attributes on Study Outcomes

The final NIATx200 session presentation builds on the main outcome presentation. NIATx 200, the largest randomized controlled trial of process improvement methods within addiction treatment, examines which of four study interventions: interest circle calls, coaching, learning sessions, and a combination of these three services was most effective at improving wait times, continuation in treatment, and client admissions. This session will report on the results of a supplemental moderator analysis that explores how organizational attributes related to quality improvement and specific co-variates impact the variation in the primary outcomes across and within the study interventions. The quality improvement attributes include organizational readiness for change and propensity to sustain change; management commitment to quality improvement, and accreditation by an outside agency such as CARF or Joint Commission. Other co-variates include number of CEOs in the past five years, non-profit status, organizational type, and rural vs. urban. Preliminary results of this supplemental analysis indicate that organizational readiness for change has a marginally significant moderation effect for the coaching intervention arm on wait time and a statistically significant moderation effect for the interest circle intervention. These initial results also indicate that accreditation and the organizational propensity to sustain change had a marginally significant moderation effect on continuation in the full study arm and that an organizational focus on quality improvement had a marginally significant moderation effect on continuation in the interest circle and coaching intervention. The session will examine the moderation effect on admissions. Implications for future quality improvement research will be discussed.