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    • Benchmarking for Organizational Excellence in Addiction Treatment Paul M. Lefkovitz, Ph.D. President, Behavioral Pathway Systems
    • The Measurement of Organizational Performance
      • Performance is measured in all addiction treatment settings
      • How helpful is performance data?
      • Does data drive organizational vision?
      • Does data drive organizational decision-making?
    • The Limitations of Outcomes
      • A thermometer reading would be of no value as a measure of your health…
      • If you didn't know that 98.6 is the “average” temperature!
    • The Limitations of Outcomes in Your Organization
      • Similarly, knowing that your missed appointment rate is 27% is of little value in evaluating the health of your agency… if you don’t know how others are performing
    • Data without Meaning
      • We are deluged with data without meaning
      • Data without a context is just a bunch of numbers
      • What is the answer?
    • The Role of Benchmarking
      • Benchmarks provide the vital external context for understanding your outcomes
    • Benchmarking Defined
      • Gift and Mosel (1994) define benchmarking as “the continual and collaborative discipline of measuring and comparing the results of key work processes”
      • Gift, R. and Mosel, D. (1994). Benchmarking in Health Care , American Hospital Association
    • A Tiered Model of Benchmarking
      • Descriptive Benchmarking
      • Comparative Benchmarking
      • Process Benchmarking
      • Each builds on the preceding type
    • Descriptive Benchmarking
      • Most common form of benchmarking
      • Industry overviews, government reports
      • Static snapshot of industry performance
      • No formal or statistical comparisons between an organization’s performance and industry norms
      • “ Eyeball analysis” can be misleading
    • Comparative Benchmarking
      • Formal comparison of an organization’s performance against a descriptive benchmark
      • Typically reported as percentile rankings but can be reported in graph form also
    • The Importance of Formal Comparative Benchmarks
    • The Limitations of Benchmarking
      • Benchmarks profile your organization against others and help identify opportunities for improvement
    • Improve? How?
      • Benchmarks do not give any indication as to how to improve
    • The “How”: Process Benchmarking
      • Based on a simple premise: The methods of top performers differ from those of others
      • Process benchmarking systematically compares tactics of top performers with those of others
      • Methods that distinguish between top performers and others may be regarded as potential best practices
    • Benchmarks: Where are They?
      • Readily accessible, relevant and affordable comparative benchmarking data is hard to come by
    • Benchmarking for Organizational Excellence in Addiction Treatment
      • SAAS, NIATx, and Behavioral Pathway Systems are partnering to sponsor an addiction-specific national benchmarking initiative
      • BPS specializes in behavioral health and human services benchmarking and has numerous state and national benchmarking initiatives underway
    • Objectives of Benchmarking Initiative
      • Provide SAAS with information it needs to advocate for its members
      • Provide participating organizations with individualized comparative benchmark data that can serve as a vital context for understanding measured outcomes
      • Provide a powerful vehicle for the identification of best practices and organizational improvement through process benchmarking and the application of NIATx principles
    • Benchmark Selection Process
      • National interest survey conducted
      • Interest
      • Availability of Data
      • 354 respondents
      • Survey findings guided Steering Committee decisions
    • Scope of Benchmarks
      • Comprehensive range of benchmarks
      • Operational, clinical, organizational climate, and financial domains of performance
      • 21 benchmark dimensions
      • Approximately 150 input metrics
    • Operational Benchmarks
      • Initial Access
      • Length of Stay/Utilization, by Level of Care
      • Subsequent Access (Number of days from intake to first treatment appt)
      • Average Caseload Size of Clinician, by Level of Care
      • Outpatient Productivity
      • Average Group Size
    • Clinical Benchmarks
      • Engagement/Retention, by Level of Care
      • Outpatient No-Show/Cancellation Rates
      • Client Satisfaction/Perceptions of Care
      • Degree of Engagement with Recovery Support Services
      • Involvement of Significant Others
    • Organizational Climate
      • Staff Morale/Satisfaction (25 Item Measure and automated administration and scoring to be provided)
      • Staff Retention/Turn-Over
      • Percent of Staff Position Vacancies (Counselors)
    • Financial Benchmarks
      • Cost per Unit of Service, by Level of Care
      • Salaries, by Role
      • Administrative Overhead as a Percent of Total Expenses
      • Payer Mix
      • Current Ratio (Assets Divided by Liabilities)
      • Net Days in Accounts Receivable
      • Days of Cash on Hand
    • Data Submission
      • On-line benchmarking survey
      • Aggregated anonymous data-no complicated encounter-level data
      • No software needed
      • User-friendly, encrypted and secure
      • Available 24/7
      • Submit relevant and available data--no reporting requirements
      • State-of-the-art on-line data validation
    • Benchmarking Reports
      • Standard Report
      • Executive Summary Report
      • Organizational Climate Report
      • Run Charts
    • Standard Benchmarking Report
      • Normative Data
        • Sample Size
        • Mean
        • Median
        • Standard Deviation
      • Comparative Data
        • Overall Percentile Rankings
        • Peer Group Comparisons (budget size, geographic area, setting) “Apples to Apples”
        • Maine Norms
      • Previous Scores
    • Standard Benchmarking Report
    • Executive Summary Report
      • Designed for busy senior leaders and boards
      • Graphic representation of scores
      • Brief, key highlights
    • Executive Summary Report
    • Executive Summary Report II
    • Run Charts
      • Track your data over time
      • Trend analysis
      • Examine interplay among different benchmarking dimensions
    • Accommodations for Multiple Locations
      • Satellite locations easily accommodated
      • Each location can be benchmarked independently to produce a separate report
      • No limit to number of additional locations
    • Moving Beyond “the Numbers”
      • Benchmarking is not just about data
      • When data is generated, real fun begins
      • Identify potential best practices through process benchmarking and other vehicles
      • Enhance organizational performance through NIATx principles
      • Emphasis on shared learning from one another and from “top performers”
      • A learning community
    • Shared Activities and Available Resources
      • Monthly audio-conferences/user support meetings
      • Monthly newsletter to educate and inform
      • Telephonic and E-Mail user support
      • Free telephonic consultation in interpreting your data and developing improvement strategies
      • Articles and other resources
    • One Year Subscription Fee
      • Annual Subscription Fee: $1,000
      • Includes all benefits described
      • Brochure/Order form available through SAAS
    • Questions?
      • Contact:
      • Paul M. Lefkovitz, Ph.D.
      • President, Behavioral Pathway Systems
      • 877-330-9870 (Toll-Free)
      • [email_address]
      • www.bpsys.org