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CAP Quality Care, Inc.

CAP Quality Care, Inc. Katie Sawyer, LCPC-C, LADC Jen Mascaro, LCPC-C, LADC. Clinic Staff. Medical Director and Nurse Practitioner Eight Nurses Twelve Counselors: All level of credentials, 5 dually licensed Two clinical supervisors Four support staff

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CAP Quality Care, Inc.

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  1. CAP Quality Care, Inc. Katie Sawyer, LCPC-C, LADC Jen Mascaro, LCPC-C, LADC

  2. Clinic Staff • Medical Director and Nurse Practitioner • Eight Nurses • Twelve Counselors: All level of credentials, 5 dually licensed • Two clinical supervisors • Four support staff • Program Administrator and Program Director • Two Pharmacist and one Pharmacy Tech

  3. Patient Population • 45% Female, 55 % Male • 30% Private Pay, 70 % Medicaid • Age range: 18 yrs to 69, 49% are between the ages of 25-34 • 33% work full time, 14% work part-time, 18% disabled • 84% screen positive on AC-OK for Trauma, Mental Health and Substance Abuse

  4. AIM (plan) Increase admissions and continuation in program

  5. CHANGE (do) • Cycle 1: Connect callers seeking admission directly to a live person who completes phone screening immediately • Cycle 2: Institute contingency management for payment of fees • Cycle 3: Limit sign-up to one group at a time • Cycle 4: Assign primary counselor within first 48 hours of treatment

  6. RESULTS (study) • Cycle 1: 56% increase in screenings completed • Cycle 2: Reclaimed $2000 in overdue balances, largely from $2 copays • Cycle 3: 12% decrease in group no-shows • Cycle 4: 27% increase in encounters in 1st 45 days • Averaged 28% increase in continuation during NIATx OTP Project

  7. NEXT STEPS (act) • Rework Cycle 1 to maintain improvement through change in staffing assignments • Implement intensive “105 Day”/ “Induction Specialist” Program

  8. IMPACT (business case, lessons learned) Increase Admissions and Continuation • Cycle 1: Increases personalization of services • Cycle 2: Directly and daily impacts income, by preventing financial withdrawal from program • Cycle 3: Maintains compliance; reduces patient anxiety through reduction in number of scheduled appointments • Cycle 4: Engages patients in treatment early • Spreads high cost of maintaining new patients over longer period of revenue production • Maintains census and profitability

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