Domain | Theme | Indicator | N (cases revised)* | Standard | Compliance | ||
---|---|---|---|---|---|---|---|
At baseline | At follow up | Change | |||||
Care pathway | Process of admittance | 1. Ensure follow up visits after user contacts and hospitalizations. | 2476 | 75% | 100.0% | 100.0% | 0.0% |
Process of care | 2. Offer an individualized treatment plan in appropriate timeframe. | 1312 | 90% | 100.0% | 95.5% | -4.5% | |
3. Offer vaccination against hepatitis B to all users at risk. | 757 | 90% | 40.9% | 63.6% | 55.5% | ||
4. Provide access to counseling services to HIV positive users. | 703 | 85% | 4.5% | 57.1% | 1168.9% | ||
5. Provide a list of treatments and services, including a description of the nature of the intervention. | 184 | 100% | 45.5% | 86.4% | 89.9% | ||
Pharmacological treatment | 6. Register patients drug prescriptions properly. | 1223 | 100% | 72.7% | 90.9% | 25.0% | |
Follow up care | 7. Follow up users in the methadone maintenance programme at least every 6 months. | 1119 | 90% | 90.9% | 77.3% | -15.0% | |
8. Support the user in adhering to the care pathway. | 14256 | 85% | 65.0% | 86.4% | 32.9% | ||
9. Actively follow up patients that do not attend the dispensing of methadone. | 542 | 90% | 50.0% | 50.0% | 0.0% | ||
Prevention | 10. Promote and participate in prevention activities (on own initiative, in coordination with community agencies or by indication of agencies). | 64 | 100% | 95.5% | 95.5% | 0.0% | |
Harm reduction program | 11. Have standardized guidelines for the prevention of risk behaviors associated with substance use and sexual behavior. | 152 | 100% | 63.6% | 90.9% | 42.9% | |
12. Provide injection equipment (syringes) to intravenous drug users. | 52 | 100% | 59.1% | 100.0% | 69.2% | ||
13. Have programs aimed at (potential) users not yet in contact with the center. | 53 | 100% | 86.4% | 90.9% | 5.2% | ||
Relations and user rights | Confidentiality | 14. Ensure confidentiality of all user-related data. | 83 | 100% | 40.9% | 72.7% | 77.7% |
Information | 15. Ensure that users have all the necessary information to take an informed decision regarding all health-related actions. | 1150 | 100% | 4.5% | 22.7% | 404.4% | |
User satisfaction | 16. Demonstrate a system of dealing with complaints (ensuring feedback within two weeks).. | 59 | 80% | 80.0% | 76.9% | -3.9% | |
17. Assess the satisfaction of users with the services received. | 100 | 100% | 36.4% | 36.4% | 0.0% | ||
Family involvement | 18. Have an action plan with families, encompassing monitoring and periodic contacts, every six months. | 683 | 80% | 90.9% | 86.4% | -4.9% | |
Community involvement | 19. Promote the reintegration of the user in the community. | 528 | 80% | 100.0% | 95.5% | -4.5% | |
20. Engage in efforts to improve community acceptance. | 57 | 100% | 100.0% | 95.5% | -4.5% | ||
21. Conduct activities to improve social acceptance of care in collaboration with associations, councils, regional councils, etc. | 56 | 90% | 86.4% | 95.5% | 10.5% | ||
Environment and infrastructure | Appropriateness of the facilities | 22. Designate a space reserved for the intake and dispensing of methadone. | 53 | 100% | 81.8% | 95.5% | 16.7% |
Organization and waiting times | 23. Provide written information to the population at risk about the services, including information on treatment, hours, place of care. | 124 | 100% | 40.9% | 95.5% | 133.5% | |
24. Anticipate the provision of services to patients outside opening hours. | 61 | 100% | 63.6% | 81.8% | 28.6% | ||
25. Initiate diagnosis and therapy in a period no longer than 2 weeks of initial visit. | 1325 | 80% | 88.2% | 76.2% | -13.6% | ||
Documentation systems and registries | 26. Document the clinical history for all users actively attended in center. | 1266 | 100% | 59.1% | 86.4% | 46.2% | |
27. Make accessible the clinical documentation generated during the visits to all members of the multi-professional team. | 1321 | 95% | 95.5% | 100.0% | 4.7% | ||
Organization and management | Multi-professionalcare | 28. Assess all patients in the care at least once by the professionals who comprise the multi-professional team. | 1197 | 75% | 31.8% | 63.6% | 100.0% |
Protocols | 29. Demonstrate protocols for the triage of users with organic pathologies. | 159 | 100% | 36.4% | 90.9% | 149.7% | |
30. Demonstrate protocols for the triage of users with psychopathologies. | 81 | 100% | 45.5% | 72.7% | 59.8% | ||
31. Demonstrate protocols for the triage of pregnant woman users. | 101 | 100% | 40.9% | 90.9% | 122.2% | ||
Continuing education | 32. Professional should participate in continuing education activities. | 375 | 80% | 45.5% | 63.6% | 39.8% | |
Professionals' opinion | 33. Carry out regular surveys on the opinion of professionals. | 57 | 100% | 18.2% | 40.9% | 124.7% | |
Coordination with other levels of care | 34. Establish stable relationships and coordination with affiliated social services and legal agencies. | 170 | 100% | 45.5% | 68.2% | 49.9% | |
35. Coordinate work plan with the health care area administration, mental health centers and referral hospitals. | 219 | 100% | 54.5% | 72.7% | 33.4% |