Evaluation

This program includes an evaluation component to assess the effectiveness of expanding access to MAT through provider education, training and tailored consultative expert support. The evaluation will improve understanding of barriers to providing treatment for OUD in rural primary care and how to address those barriers. This information will be used to improve MAT implementation for other PCPs practicing in rural Oklahoma and across the country. We are committed to actively disseminating lessons learned to inform policymakers, providers, communities, and researchers. The planned evaluation will collect practice-level, provider-level, and patient-level data.


Evaluation Activities

Providers and their office staff who support the effort will be asked to:

  • Complete a pre and post implementation survey.
  • Obtain a signed consent form from patients who are opioid dependent and receiving MAT.
  • Ask patients, who consent to share their data, to agree to receiving a follow-up survey from the AIR team.
  • Be able to report on number of patients screened, how many were positive for OUD, and referrals to behavioral health and other needed services
  • At the end of the evaluation period, we will ask practices to pull medical record data on patients who have consented to participate in the evaluation.

 

Providers may also be asked to participate in a brief interview about their experiences with OUD patients and MAT.

Patients will be asked in the consent form if we can contact them to complete an experience survey 6 months later. We will ask them if they prefer to be contacted by email or mail or if we can use both methods.

Stipend

Participating practices will receive a small stipend to offset the cost of data collection for the evaluation. Both a base stipend and a medical records stipend are offered.

  1. The amount of the base stipend varies for Wave 1 and Wave 2 practices, because the study period is longer for Wave 1 practices. This “base” component of the stipend is $640 for Wave 1 practices and $480 for Wave 2 practices.
  2. The medical records component of the stipend will support staff time needed for a one-time medical records pull approximately 10 months after the start of the program. It will vary based on the number of MAT patients in each practice who consent to their medical records being shared with the research team. On average, we estimate that the medical records stipend will provide the practice with an additional $280.

Thus, we estimate an average total stipend of $920 for Wave 1 practices and $760 for Wave 2 practices.