Measures of success in health care reform: efficiency and recovery

Flaherty points out that the issue of resources has to be noted as the efficiencies of early identification and screening as well as de-institutionalization from hospitals and jails will improve care only if thoughtfully implemented with a true understanding of the nature of addiction and recovery. In a system already short of resources, these efficiencies will not be sufficient alone to support the needed treatment and recovery support services across the continuum of care and the sheer numbers needing attention for it--at whatever specialty site or generalist home. New payment methodologies must also better align to quality and transformation and will help establish further efficiencies and recovery.