NRI Webinar: Using State Claims Data to Evaluate Impact of IDDT on Service Utilization and Cost

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Debra Hrouda of the Center for Evidence-Based Practices (CEBP)—and its Ohio SAMI CCOE initiative—has been invited to present results of a CEBP study of Ohio behavioral-healthcare claims data during a free webinar hosted by the the National Research Institute (NRI), Inc. on August 2, 2011. The study showed that  Integrated Dual Disorder Treatment (IDDT) helped save Ohio $1.4 million in service costs for a group of 160 people diagnosed with a severe mental illness and a co-occurring substance use disorder.

Register online today. Visit the sponsoring organization's webiste. (See "More Info" section below or click here).

The implementation of evidence-based practices (EBPs) has become an expectation of many state and local mental-health authorities. As behavioral-health dollars shrink and with healthcare reform a reality, policymakers are increasingly interested in the most clinically- and cost-effective interventions. While EBPs have been shown to produce better clinical outcomes, they are perceived to be more expensive services. This webinar presents the results of a cost-effectiveness study of Ohio's implementation of Integrated Dual Disorders Treatment (IDDT), a SAMHSA-recognized evidence-based practice.

Researchers from the Center for Evidence-Based Practices (CEBP) at Case Western Reserve University collaborated with Ohio mental-health and addictions authorities to develop the "IDDT Affiliation Code" within the state's behavioral-health claims processing system. The code is entered at the person level and, therefore, allows for service tagging across providers and systems. This methodology provides a more robust dataset of all services and settings accessed by the individual IDDT recipient. Successful implementation of the Affiliation Code relies upon the participation of service providers as well as county-level authorities.

This project involved the following: establishing, disseminating, and providing technical assistance to IDDT providers for assigning the Affiliation Code; applying an appropriate data-analysis plan; conducting a secondary-data analysis of the claims data to report cost effectiveness of IDDT. For a subset of individuals, IDDT implementation realized a savings of over $1.4 million after the first year of service. The results point to the critical role that context plays in gathering and interpreting state-level claims data. This phase-one analysis also identified several implementation challenges and solutions that will be incorporated into phase two.

Objectives of the event. Participants will be able to ...

  1. Describe the importance and usefulness of a mechanism to tie together the multiple state-level computer databases.
  2. Identify the easy steps to using the IDDT Affiliation Code.
  3. Describe the importance of putting data results in context of the team and local implementation
Debra R. Hrouda, MSSA, LISW-S, director of quality improvement at the Center for Evidence-Based Practices (CEBP) at Case Western Reserve Universty and its Ohio SAMI CCOE initiative.

"Data analysis of Integrated Dual Disorder Treatment reveals cost savings for State of Ohio" (click here)

NRI, INC. | National Association of State Mental Health Program Directors (NASMHPD), National Research Institute, Inc. NRI's "Spring 2011 Tuesday Talk Series" is focusing upon outcome-driven behavioral healthcare systems.

Visit the NRI, Inc. website (click here).


Debra Hrouda, PhD, MSSA, LISW-S


  • Policymakers
  • Researchers
  • Administrators
  • Direct-service providers
  • Students
  • Advocates


Debra R. Hrouda, PhD, MSSA, LISW-S, is director of quality improvement and TRAC project lead at the Center for Evidence-Based Practices (CEBP) at Case Western Reserve University and its Ohio Substance Abuse and Mental Illness Coordinating Center of Excellence. Her work focuses upon evidence-based practices, emerging best practices, and other strategies that improve quality of life and other outcomes for people with mental illness and substance use disorders.

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August 2, 2011
2:00 PM - 3:00 PM

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December 31, 1969 (11:59 PM) EST is the deadline to cancel your registration for this event and request a refund.