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Health Reform Readiness Index

	Patients at our organization are not involved in choosing their level of care, type of treatment, or treatment plan. Family members are not involved in assessment.1
	Clinicians at our organization ask patients about their goals and involve family members in assessment, but clinicians make the decisions about patients' level of care and treatment plan.1
	Patients at our organization understand their options for levels and types of care and are actively involved in selecting them. Families are involved in assessment and invited to some clinical sessions and social events.1
	Patients at our organization have the information they need to be full partners in setting goals and making treatment plans. Families are involved in assessment; invited to some clinical sessions and social events; and also participate in treatment.1

	Our organization does not currently use any National Quality Forum-designated practice standards (e.g., for psychosocial therapies, pharmacotherapy, and continuing care).2
	Clinicians at our organization have access to prescribing medication, and learn about NQF-approved clinical interventions through external training.2
	Our organization has on-staff prescribing capacity, and we offer in-service training for NQF-approved clinical interventions.2
	Our organization has on-staff prescribing capacity, which is widely used. We have in-service staff training and mechanisms for reviewing and improving our fidelity to NQF-approved practice standards. These mechanisms include audio or videotaping of treatment sessions, which are then scored by clinical supervisors, and remedial training.2

	Our patient records document the care we provide within our organization over time.3
	Our patient records document the care we provide within our organization over time, and document information from the patient about care received elsewhere.3
	Our patient records document care we provide within our organization over time. We also document information from the patient and other health care organizations about care received elsewhere.3
	Our patient records document care we provide within our organization over time. We also document information from the patient and other health care organizations about care received elsewhere. Patients identify our organization as responsible for their health care (or as their medical home).3

	We offer a single level of care.4
	We have control of or direct access to multiple levels of addiction or mental health care.4
	We have control of or direct access to all levels of addiction and mental health care.4
	We have control of or direct access to all levels of addiction, mental health, and primary care.4

	Our board doesn't know very much about parity and health care reform.5
	Our board knows about opportunities presented by parity and health reform legislation.5
	Our board knows about and supports staff efforts to take advantage of opportunities presented by parity and health reform legislation.5
	Our board assures that all our activities take advantage of opportunities presented by parity and health reform legislation—whether the opportunities arise in finance, operations, human resources, treatment quality, or programming.5

	Less than 20% of our clinicians are licensed.6
	More than 20% of our clinicians are licensed. Patients have access to nurse practitioners, physicians, and physician assistants. We expect clinicians to acquire CEUs and maintain their credentials.6
	More than 33% of our clinicians are licensed, and more than 10% of our staff are medical personnel. We expect clinicians to acquire CEUs and maintain their credentials. All staff have a development plan, and turnover is less than 15% per year.6
	More than 50% of our clinicians are licensed and more than 15% of staff can prescribe medications. We expect clinicians to acquire CEUs and maintain their credentials. All staff have a development plan, and turnover is less than 15% per year.6

	Our organization uses only paper records.7
	Our organization uses electronic records.7
	Our organization uses pre-formatted electronic records and integrates them into data management and billing systems.7
	Our organization uses pre-formatted electronic records and integrates them into data management and billing systems. We share clinical information and patient registries electronically with other health care partners.7

	We provide only specialty substance abuse treatment. We do not refer patients to other providers for primary care or support services.8
	We provide specialty substance abuse treatment and refer patients to other providers for primary care or support services, but do not have a formal referral agreement with those providers.8
	We provide specialty substance abuse treatment that includes an assessment of a patient's physical and psychosocial health. We have formal agreements with other organizations to refer patients for other health care and support services.8
	We provide specialty substance abuse treatment that includes an assessment of a patient's physical and psychosocial health. We can transfer patients and their records to other organizations for health care and support services.8

	We collect data on dates and types of service.9
	We collect data on dates and types of service, admissions, and length of stay. We use this data for process improvement activities.9
	We collect data on dates and types of service, admissions, length of stay, and patient functioning during treatment. We use that data for process improvement activities.9
	We collect data on dates and types of service, admissions, length of stay, patient functioning during treatment and outcome measures such as patients’ substance use, employment, education, and housing. We use data for process improvement activities.9

	We document quality indicators required for licensing and payer contracts. We do not have a quality management department or officer.10
	We document quality indicators required for licensing and payer contracts. We have a staff member who monitors requirements for licensing, payer contracts, and accreditation. We do not have a quality management department or officer.10
	We document quality indicators required for licensing and payer contracts. We have a staff member who monitors requirements for licensing, payer contracts, and accreditation. We have a quality management officer and regular quality reviews of clinical management and business and operating processes.10
	We document quality indicators required for licensing and payer contracts. We have a staff member who monitors requirements for licensing, payer contracts, and accreditation. We have a quality management officer and regular quality reviews of clinical management and business and operating processes. We have a culture of continuous quality improvement and a high level of accreditation.10

	We do not collect data to use in treatment, using electronic media.11
	Our patients complete assessment tools provided by our organization, using electronic media.11
	Our patients complete assessment tools provided by our organization, using electronic media. They also have electronic access to their records, tests and clinician communication.11
	Our patients have electronic access to assessment tools, records and tests and communicate with clinicians electronically. We provide electronic treatment and recovery support using handheld and other electronic applications that provide support, direction, and interactive responses.11

	We have paper and/or electronic systems that do not interact.12
	Our Information Technology (IT) system collects and manages utilization and financial information for billing and accounting purposes.12
	Our Information Technology (IT) system collects and manages utilization and financial information for billing and accounting purposes, and links directly to our billing system.12
	Our Information Technology (IT) system collects and manages utilization and financial information for billing and accounting purposes, and links directly to our billing system. We have an integrated data system for management, billing, human resources, and clinical data.12

	Our revenue comes mostly from grants, which reimburse us for costs. We do not bill third-party payers.13
	Up to 10% of our revenue comes from third-party payers. All our services have unit costs.13
	Up to 30% of our revenue comes from third party payers. All our services have unit costs. We have cash reserves of up to 90 days.13
	Up to 50% of our revenue comes from third party payers. All our services have unit costs. We have cash reserves of up to 90 days.13

About Us

Contact

How to Get Involved

Stay Connected

Sign-up for the NIATx E-News

Follow Us

Using NIATx

Getting Started

Step-By-Step Guides

Tools and Support

Downloads

Forms and TemplatesSee all

Popular Downloads

Health Care Resources

Current Initiatives See all

Training

Change Leader Academy

BHbusiness: Mastering Essential Business Operations (external site)

Webinars

Marketing with Social Media

NIATx Support

The ATTC/NIATx BlogSee all

Discussion Forum

Instant Help

NIATx Coaches

My NIATx

Health Reform Readiness Index

Organization Information

Instructions

Building Blocks Instructions

Condition 1 of 13: Patient/Family Role

Needs Improvement:

Optimal Quality:

Building Blocks Instructions

Condition 2 of 13: Evidence-based Treatment

Needs Improvement:

Optimal Quality:

Building Blocks Instructions

Condition 3 of 13: Accountability for Patient Care

Needs Improvement:

Optimal Quality:

Building Blocks Instructions

Condition 4 of 13: Integrated Continuum of Care

Needs Improvement:

Optimal Quality:

Your Organization Instructions

Condition 5 of 13: Board of Directors

Needs Improvement:

Optimal Quality:

Your Organization Instructions

Condition 6 of 13: Workforce

Needs Improvement:

Optimal Quality:

Your Organization Instructions

Condition 7 of 13: Clinical Systems and Services: Patient Record

Needs Improvement:

Optimal Quality:

Your Organization Instructions

Condition 8 of 13: Clinical Systems and Services: Holistic Care

Needs Improvement:

Optimal Quality:

Your Organization Instructions

Condition 9 of 13: Clinical Systems and Services: Outcomes

Needs Improvement:

Optimal Quality:

Your Organization Instructions

Condition 10 of 13: Clinical Systems and Services: Quality Management

Needs Improvement:

Optimal Quality:

Your Organization Instructions

Condition 11 of 13: Clinical Systems and Services: Health Technology

Needs Improvement:

Optimal Quality:

Your Organization Instructions

Condition 12 of 13: Business Systems: Information Technology

Needs Improvement:

Optimal Quality:

Your Organization Instructions

Condition 13 of 13: Business Systems: Finance

Needs Improvement: