More data leads to more informed decisions: Success story for behavioral health
About Outreach
Outreach populates eight behavioral health outpatient
sites and four residential sites, with nearly 200 clinicians
among those locations. Serving more than 5,000 clients per
year, the New York-based agency provides a wide variety
of treatments and programs, including drug and alcohol
services. Outreach knew the value of better understanding
the populations they serve as well as using measurements
to help adjust services and operational approaches based
on needs.
Gaining access to meaningful data
Finding success in a value-based payment model requires
provider organizations to not only have access to data but
the ability to easily understand and leverage the analytics.
If an organization is unable to quickly comprehend and use
data to their advantage, then the metrics will never come
to life in a meaningful way. Outreach wanted to find a way
to both efficiently gather actionable data and use those
analytics to both drive decisions and measure outcomes in
order to better serve their client community.
“We wanted to use meaningful data for basic demographic
exploration, payment trends, addressing potential gaps in
care, as well as other elements of our operation,” Director of
Quality and Information Kelsey Silver, LMFT said. “Then we
could use that data to show us where we’re successful and
areas we need to work on, which is essential with value-based
payment.”
We wanted to use meaningful data for basic demographic exploration, payment trends, addressing potential gaps in care, as well as other elements of our operation.
Kelsey Silver, LMFT, Director of Quality and Information
In order to gain access to actionable and easy-toread
data, Outreach implemented Netsmart KPI
Dashboards. The data analytics solution tracks key
performance indicators (KPIs) and offers a simple yet
dynamic visualization for users to efficiently measure
clinical, operational and financial metrics. Outreach is
able to create configured sheets and dashboards to
help leadership and clinicians target insights based
on programs, service types, consumer access to care
and more. A daily performance dashboard visualization
allows users to measure successes, view areas for
improvement, and analyze services and populations,
all at a glance.
Data tailored to organizational needs
Outreach serves as a trauma-informed agency,
therefore it’s vital they fully understand and have
accurate, up-to-date information on clients. Silver
noted that a large number of their women’s day
program clients have experienced trauma, however
they know that trauma exposure spans throughout their
continuum and is not limited to one demographic.
In order to better identify trauma exposure in a more
informed approach, Outreach created a trauma
screen dashboard within KPI that allows users to see
differing populations and respective experiences,
whether a trauma screen was completed before or
after a psychiatric assessment, and PTSD diagnosis,
among other metrics. KPI Dashboards helped them
identify several new populations and sites that didn’t
initially have visibility into their high concentration of
trauma exposed clients, and some sites that didn’t have as many diagnoses as expected. By drilling down
data based on organization specific settings, Outreach
was able to better understand both the operational and
clinical standings for trauma treatment. This allowed
the organization to set new guidelines and programs to
better serve complex populations who weren’t always
receiving tailored services necessary for recovery.
Easy visualizations within KPI makes it possible to see where things need to be quickly switched to addressed, which is a must during a volatile situation like COVID.
Kelsey Silver, LMFT, Director of Quality and Information
Addressing operational and financial stability
In addition to trauma-informed care, Outreach leveraged
KPI Dashboards amid the pandemic. As with many
provider organizations, COVID-19 posed a threat to
the financial and operational stability of Outreach.
In order to determine what their collections or incoming
revenue was pre and post-COVID, Outreach started
looking at where the differences stood. They needed
to visualize client census, services performed and
reimbursement for those services. Through KPI
Dashboards, Silver and staff were able to see where
they needed to expand services to meet new needs as
well as determine reasons for differing reimbursement
rates. This allowed Outreach to reorganize services and
prompted them to adjust billing policies and service
codes for sites conducting virtual care.
“Easy visualizations within KPI makes it possible to see
where things need to be quickly switched to addressed,
which is a must during a volatile situation like COVID,”
Silver said.
Assessing staff engagement based on analytics
Staff engagement is another critical piece of successful
care delivery. If clinicians aren’t satisfied or performing
to the best of their ability, it’s important for leadership
to be aware so they can better support staff in need
or address potential gaps in service delivery. In
order assess clinical engagement and performance,
Outreach created a sheet within KPI Dashboards to
track percentages of successful discharges based on
a clinician. If the discharge rate stood below agency
average, leadership could reach out to the clinician
and see why.
In some cases, if a staff member had a poor
discharge rate it was because they were struggling
with cancelations and no-shows. Another staff
member who was showing poor discharge rates
was working with a lot of justice-involved
individuals, making discharge look a little different
in the dashboard. This allowed Outreach to change
the clinician’s metrics regarding community reentry
to better fit her clientele. Having a bird’s eye view
of operational performance allows Outreach to
better understand potential barriers clinicians face
that affect successful discharge rates. Access to
these metrics gives leadership the opportunity to
implement changes or new standards to better
support staff engagement and performance.
Staff involvement is key
When beginning to leverage data and configure
sheets for specific needs, it is important
stakeholders within the organization participate in
the KPI process. Clinicians, leadership and staff
can decipher the information they want from the
data analytics solution and then work with KPI
Dashboards liaison to build the sheet together.
This gives the staff ownership of the data rather than
telling them what they needed or what they’re going
to get from KPI Dashboards.
“By having the users actually participate in building
the product, they have a significant amount of
ownership over the chosen sheets,” Silver said.
“I would hold weekly office hours and training where
we would build the KPI together. If they don’t care
about the data they are given, then it’s useless.
By involving them initially, they feel more inclined to
use the solution because it’s the information most
applicable to what they want.”
Unlike many data analytics tools, KPI Dashboards
allows users to uniquely configure content for
their own organizational needs. With less robust
tools, staff often have trouble understanding or
interpreting data because the display is cumbersome or confusing to digest. This can lead to skeptics and
an inability to leverage data. With KPI Dashboards,
users can get the exact metric they’re looking for and
effortlessly comprehend it through an easy-to-read
visualization, eliminating any distrust or frustration.
“Once I show the data through the solution, I am able
to instill trust from our executives,” Silver said. “Then,
there becomes an inherit trust in KPI. They let go of
their hesitancy and allow themselves to have full trust
in the data to help drive improvements and efficiencies
throughout Outreach.”