The Abacus, Substance Use Disorder Chronic Disease Management Model

This is a chronic disease management model designed to service substance use disorder disease. It's purpose is to maintain abstinence through a five year period whereby the likelihood of relapse is proven to be in an average of 15%. .

The model includes services and collaboration from Primary Care Physician, Home Health Agency, Managed Care Organization, Ancillary Services and clinical behavioral health specialist. 

The Abacus "adds up to better care with stronger results"

The Abacus is a disease management model model. It includes the family, the individual an in-network home healthcare agency, primary care physician,  specialists, Addiction and family Counselor's. 

The concept calls for quarterly visits to the patients home or place of living. Here an assessment of severity in key indicators is administered. These reports are sent to both primary care physician and managed care case management. 

Established metrics and benchmarks are used as tools to identify potential variances. An adjustment in the plan of care is authorized and outcomes are measured with quarterly reportings.

The model uses other materials provided by Families Impacted by Opioids; 1.  The Family Solution Finder Learning Family Seminars, 2. Best of the Cities Bests Resources Guide, 3. Invest in the Family Ministry for their chosen faith practice. 

The Abacus is an advanced  public health model for patient centered care focused on the both family, individual patient, payor, and physician. 

Alternate Site Healthcare Consortium 

The stakeholders of chronic care disease management  for substance use disorder is an advance design of bringing healthcare into the family and patients life and place of living. This type of model is successful in Asthma, Diabetes, CHF and COPD to include wound care, smoking cessation and weight management (obesity). Incorporating advanced technology will provide cost reduction, timeliness of treatment, access to correct level of care. All these constitute  the metrics needed to have successful outcomes. 

Digital Healthcare Management

Plan of Care is created upon admission and adjusted in accordance with quarterly assessment reportings.

Relapse typically occurs in three stages, Mild, Moderate and Severe. Our digital and virtual group therapy models capture the needs flag in data and allow clinical teams create timely and care appropriate levels of response. The goal is 5 years abstinence.  

Response to Variances 

Variances are responded in accordance with standard treatment algorithms and specialist recommendations. These are based on authorizations  from payor. 

The quarterly in home assessment, digital health management connection and virtual group therapy will assist in timely intervention. 

These measures also aid in capturing data required for artificial intelligence and strong change in plan of care success monitoring. 

Artificial Intelligence 

The Managed Care Organization, The Providers, The Family, The Patient will all benefit from the inclusion of Artificial Intelligence to this model. This will be an advanced segment to our program.

How to learn more

Currently, Families Impacted by Opioids is reviewing potential beta site partners to set up and run this model on a limited test population. 

If this is somehing your organization would like to learn more about please contact us:

Mr. Roy P. Poillon

Executive Director/Founder

Families Impacted by Opioids (nonprofit)

Cleveland, Ohio

Office: 440.385.7605

Eami: [email protected]


This model can be implemented in any state or country. It can also be scaled to the family as a Healthcare Plan of Care monitoring tool for family members to confirm adequate assessment is provide within proper timelines.