Fig. 1
From: Healthcare quality measures in implementation research: advantages, risks and lessons learned
Change in rank and performance on the MOUD/OUD healthcare quality measure before and after redefinition. Change in rank of the MOUD/OUD measure for the 12 VHA facilities (i.e., sites) that moved from or to the bottom quartile (out of a total of 140 facilities). The parentheses indicate the site rank out of 140 facilities, with lower ranks indicating better MOUD/OUD ratios. The area below the dashed line denotes the lowest-performing quartile. Facilities in the lowest quartile, defined by the lowest MOUD/OUD ratios, were classified as low-adopting. None of the facilities depicted were in our intervention arm