| Vision | The COMMIT Program’s vision is to increase patient access to medications for opioid use disorder (MOUD) and addiction specialty services by implementing a Hub and Spoke Model of MOUD and providing all agencies involved in the COMMIT Program in Washington County, Pennsylvania with the knowledge, skills, and tools to provide the highest quality MODU and substance use disorder (SUD) treatment services for all patients who suffer from SUD. |
| Objective/Goals | The project aims to: – Decrease OUD within Washington County by increasing the number of patients with OUD receiving clinically matched, evidence based MOUD provided in conjunction with SUD and mental health treatment, and other needed services coordinated via a case management team – Engage the community on topics such as SBIRT, identifying patients with OUD, reducing buprenorphine diversion, improving patient engagement and retention, and reducing unnecessary opioid prescribing – Utilize robust data collection, analysis, and reporting for required (GPRA) and targeted data and performance assessment data in order to implement continuous quality improvement (CQI) initiatives and evaluate the impact of the program on patient outcomes – Develop a sustainable funding mechanism to support ongoing billing and reimbursement and disseminate MAT best practices – Utilize telehealth and healthcare information technology (IT) to support providers, mitigate patient diversion, and improve patient treatment retention. |
| Project Partners | Washington Drug and Alcohol Commission |
| Timeline of Project | September 2018 – September 2021 |
| Funder | Substance Abuse and Mental Health Services Administration (SAMHSA) |
| Location/Implementation site(s) | – Washington County, Pennsylvania – Washington Drug and Alcohol Commission – Hickory Family Practice – Cornerstone Care Community Health Centers (Burgettstown and Washington locations) – Washington Health System OBGYN Care – Washington Health System Family Medicine Center |
| Innovations | – Capacity Building – Health Information Exchanges – Electronic Health Record Integration – Community Capacity Development – Telehealth Implementation Consultation – Training and Education – Patient-Centered Interventions – Clinical Assessments – Physical/Behavioral Health Screening – Value-Based Payment Models |
| Expected Outcomes/ Sustainability | – Increase access to appropriate SUD and MOUD services in Washington County – Develop a Hub-and-Spoke model of SUD treatment in Washington County – Reduce the number of ED visits in Washington County Integrate SBIRT into EHRs and clinical workflows at participating sites – Increase the number of health care professionals trained in SUD identification, treatment, and management Improved reimbursement models for provision of SBIRT services |
