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Enhancing Engagement by Increasing Frequency of Early Contact

Berks Counseling Center. Enhancing Engagement by Increasing Frequency of Early Contact. A Project of BCC’s NAITX Change Team: 4/22/12. AIM: Keeping patients in treatment longer. Baseline : Percentage of clients who attended the fourth counseling session.

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Enhancing Engagement by Increasing Frequency of Early Contact

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  1. Berks Counseling Center Enhancing Engagement by Increasing Frequency of Early Contact A Project of BCC’s NAITX Change Team: 4/22/12

  2. AIM: Keeping patients in treatment longer • Baseline: Percentage of clients who attended the fourth counseling session. • Use of three clinicians to minimize differences based on counselor style or case load. • At baseline, clients were scheduled according to counselor “availability”; some appointments were two to three weeks apart.

  3. The results!Implementing weekly individual sessions to enhance engagement/retention…. Percentage of clients who attended the fourth counseling session The tangible and non tangible rewards Average increase in percentage attending fourth session was 21% No show rates associated with these appointments decreased from 43% to 24% Both clients and their counselors felt weekly counseling was a more positive experience

  4. Adopt, Adapt or Abandon……..Adopt! • Positive impact on engagement: as measured by attendance at fourth session! • Reduction in no show rates! • Counselor and client positive feedback!

  5. Next Steps: Sustainability • Administrative support/intervention is needed to allow sufficient space in counselor schedules for weekly appointments • Getting back up to a full complement of staff • Set limits as to how many new clients a counselor can accept • BCC scheduler remains a member of the change team • Strategize ways to keep the momentum going and expand this throughout our counseling programs • Sustainability Team including administration

  6. Recapturing Lost Revenue Before the change: Revenue available if all appointments were attended = $12,375 Revenue realized= $7,050 amounting to 56% of available revenue. After the change: Revenue available: if all appointments were attended= $8,325 Revenue realized= $6,300 amounting to75.6% of available revenue Average revenue generated one year of Suboxone Tx= $4,000 50 patients per year= $200,000 Increase revenue collected in one year from $112,000 to $151,200= $39,200

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