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Elevating Patient Voices to Improve Opioid Use Disorder Quality Measurement: A Survey Protocol
Andrew J Barnes1, Caroline Hale2, Zoe D'Angelo2
1Department of Health Policy, Virginia Commonwealth University, Richmond, VA, USA.
Substance Use & Addiction Journal
|July 29, 2026
Summary
Project ELVIS is developing patient-centered quality measures for opioid use disorder (OUD) treatment. This approach integrates patient experiences with administrative data to improve OUD care quality for Medicaid beneficiaries.
Area of Science:
- Health Services Research
- Public Health
- Health Outcomes
Background:
- Public payers fund over half of US opioid use disorder (OUD) treatments.
- Patient-reported outcomes are underutilized in OUD quality improvement initiatives.
- Existing quality measures often lack patient perspectives on treatment engagement and quality of life.
Purpose of the Study:
- To describe the survey protocol for Project ELVIS (Elevating patient Voices to Improve OUD Treatment Quality).
- To test the relationship between patient-reported and claims-based measures of OUD treatment quality.
- To inform quality improvement initiatives by integrating patient experiences into OUD care assessment.
Main Methods:
- Project ELVIS employs iterative engagement with individuals with lived experience and Medicaid policymakers.
- A policy-driven regional survey sampling approach prioritizes Medicaid decision-making relevance.
- Planned linkages between self-reported patient experiences and administrative data quality measures.
Main Results:
- The commentary outlines the innovative survey protocol for Project ELVIS.
- The project aims to link patient experiences with claims-based quality measures.
- This linkage is expected to explain variations in provider performance and patient treatment journeys.
Conclusions:
- Project ELVIS introduces a novel, patient-centered approach to OUD treatment quality measurement.
- Integrating patient experiences can enhance the understanding and utility of quality metrics.
- The project supports the development of process-based measures complementing utilization-based metrics for OUD care.