Addiction Treatment Services of Johns Hopkins Bayview Medical Center Earns
The Joint Commission’s 2007 Ernest Amory Codman Award
(OAKBROOK TERRACE, Ill. – November 6, 2007) The Joint Commission today named Addiction Treatment Services of Johns Hopkins Bayview Medical Center, Baltimore, Maryland, a 2007 recipient of the 11th annual Ernest Amory Codman Award. The award recognizes excellence in the use of outcomes measurement by health care organizations to achieve improvements in the quality and safety of health care.
“We are pleased to recognize the 2007 Codman Award recipients for their innovative approaches and commitment to using performance measurement to improve the quality and safety of health care,” says Dennis S. O'Leary, M.D., president, The Joint Commission. “Their achievements demonstrate the progress that can be made when performance measurement leads to meaningful practices that benefit patients.”
Addiction Treatment Services (ATS) of Johns Hopkins Bayview Medical Center is the recipient of the award in the behavioral health care category and is being recognized for an initiative to implement an adaptive treatment model as an alternative to standard methadone maintenance approaches. The adaptive treatment approach with attendance reinforcement is consistently associated with low rates of opiate and cocaine use (10 percent and 13 percent, respectively) and high rates of attendance (75 percent) at scheduled counseling sessions.
“Receiving the 2007 Ernest Amory Codman Award is a terrific honor and recognition,” says Robert Brooner, Ph.D., director of Addiction Treatment Services at Johns Hopkins Bayview Medical Center. “It validates the program’s success in bringing together research and everyday practice to treat substance use disorder.”
Named for the physician regarded in health care as the “father of outcomes measurement,” the Ernest Amory Codman Award showcases the effective use of performance measurement by health care organizations to improve the quality and safety of health care.
The Joint Commission also recognizes an individual who has played a significant leadership role in promoting the use of performance measures to improve health care services, or who has made major contributions to the development and testing of performance measures or the science and art of quality improvement. A panel of national experts in quality measurement and improvement selected the seven recipients of the 2007 Awards.
ATS developed the adaptive Motivated Stepped Care (MSC) treatment model which includes a patient/provider matching protocol that systematically adjusts the type and amount of services patients receive based on objective indicators of clinical response. The MSC model also provides a specific set of behavioral contingencies to reinforce attendance to scheduled services. Using this approach, patients with poor responses to the lower intensities (steps) of care are advanced to higher steps of care until they are clinically improved, then returned to lower intensities for continuing care. One important goal of the MSC model is to use the least intensive and least costly services necessary to achieve and sustain good clinical response.
Johns Hopkins Bayview Medical Center is a 700-bed academic medical center that is home to a comprehensive neonatal intensive care unit, an area-wide trauma center, Maryland’s only adult burn unit and nationally renowned geriatrics programs. The ATS program provides long-term ambulatory care to patients with chronic opioid dependence. In addition, the program offers a variety of counseling approaches, patient and family education services, medical services and medication interventions.
ATS will formally receive the award on November 12, during The Joint Commission and Joint Commission Resources’ Annual Conference on Quality and Safety in Chicago. Additional award recipients in the following categories are:
· Behavioral Health Care: Addiction Treatment Services of Johns Hopkins Bayview Medical Center, Baltimore, Maryland.
· Hospital: Broward General Medical Center, Fort Lauderdale, Florida; Christiana Care Health Services, Wilmington, Delaware; and Saint Joseph Healthcare, Lexington, Kentucky.
· Long Term Care: Sea View Hospital Rehabilitation Center and Home, Staten Island, New York.
· Multiple Organization: Seton Family of Hospitals, Austin, Texas.
· Individual: John E. Wennberg, M.D., M.P.H., director of the Center for Evaluative Clinical Services at Dartmouth Medical School in Lebanon, New Hampshire.