Which tool is NOT recommended for ensuring quality in office-based addiction treatment?

The choice of "improving performance in practice" as not being a recommended tool for ensuring quality in office-based addiction treatment highlights a key understanding of the role specific, structured tools and systems play in maintaining quality standards in this field.

Prescription drug monitoring programs, physician clinical support systems, and CSAT treatment improvement protocols are all concrete tools that provide data tracking, guidelines, and frameworks that help healthcare professionals ensure they are providing high-quality care consistently. These tools have been specifically developed to create standardized processes that enhance patient safety, monitor treatment outcomes, and support best practices in addiction treatment.

In contrast, while improving performance in practice is an important goal, it's a broad concept rather than a specific, actionable tool or framework that directly ensures quality. It encompasses various strategies and initiatives, which may or may not be systematically implemented or capable of objectively measuring performance enhancements. Thus, it doesn't fit the criteria of being a structured tool used for standardized quality assurance in the context of office-based addiction treatment.