Recovery Quality System
Recovery Is Not a Program.
It Is a System.
RQS helps regions build measurable, coordinated recovery infrastructure that improves outcomes and aligns funding with results.
14
Counties served
1,150+
Intake assessments
188
Connected to treatment
125
Obtained permanent housing
First nineteen months of the UCHRA pilot in rural Tennessee. Outcome data is currently being compiled and validated through a REDCap research database in partnership with East Tennessee State University.
The problem
Communities already fund the pieces. What is missing is the system that connects them.
- Gaps between services — people are handed a phone number instead of a next step.
- No shared measurement — every provider counts something different.
- Outcomes invisible to funders — spending cannot be tied to results.
- People lost at transitions — discharge, release, and relocation are where the system fails.
Despite billions invested annually, most regions still have no coordinated continuum of recovery.
The approach
Four disciplines, applied to recovery
System Thinking
Recovery succeeds when housing, employment, health, transportation and social support operate as one system rather than as separate programs.
Recovery Capital Measurement
Long-term recovery is more than abstinence — and it can be measured. RQS uses standardized Recovery Capital measurement to guide care and evaluate outcomes.
Continuous Improvement
Proven quality methods from healthcare and manufacturing, applied to recovery services: measure, learn, improve, share.
Collective Impact
Shared goals, shared measures and coordinated action across independent partners, held together by a regional backbone organization.
The model
From fragmented services to a coordinated system

A Regional Recovery Hub convenes the partners a community already has, coordinates the handoffs between them, and measures whether people actually move forward.
Credibility
Built with partners who are accountable for results
East Tennessee State University
Research and outcome validation
Adaptient
Quality system and implementation
UCHRA
Fourteen-county pilot implementation
Bring RQS to your region.
Tell us about your region and we will show you what a 90–180 day pilot would look like.
