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To the Editor: Mr Joranson and colleagues¹ discussed the uses and limitations of emergency department data from the Drug Abuse Warning Network (DAWN). Recognizing these limitations, the Substance Abuse and Mental Health Services Administration (SAMHSA) convened a panel of outside experts to consider the utility of DAWN and whether changes in the health care delivery system, particularly the growth of managed care, have affected the drug abuse cases that are treated in emergency departments. The panel recommended that SAMHSA update its procedures.

In response, SAMHSA has undertaken a comprehensive evaluation of DAWN, which will result in recommendations for its redesign. Using a wide range of study methods, the redesign has addressed the following questions:

• Who are the users of DAWN data and what information do they need?
  
• Does DAWN collect data from the right settings?
  
• Does DAWN collect data on the right set of patients?
  
• Does DAWN collect the right . . . [Full Text of this Article]

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