STARSI is a partnership between the Center for Substance Abuse Treatment and the Robert Wood Johnson

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Moving toward a Performance Management
Environment
Using Performance and Outcome Measures to Improve
Treatment March 20-21, 2008
STAR-SI is a partnership between the Center for
Substance Abuse Treatment and the Robert Wood
Johnson Foundation.
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OR

• Delaware did a triple back flipWhat if Im
  just learning to dive?
• Enter STAR-SI .

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Program Objectives

• Support State level adoption of process
  improvement methods to improve client access and
  retention in outpatient treatment
• Build a state/provider partnership that promotes
  a culture of quality improvement
• Build state level performance management systems
  that support quality improvement

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National Presence

• STAR-SI States Florida, Illinois, Iowa, Maine,
  Montana, New York, Ohio, Oklahoma,
  Wisconsin, South Carolina

• NIATx 200 States Massachusetts, Michigan, New
  York,
• Oregon, Washington

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At a Glance
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Provider Change Project Results
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Begin With A PilotLearn by Doing

• Build a partnership
• Identify pilot willing providers
• State and providers conduct walkthroughs
• Schedule a Learning Collaborative Launch Meeting
• All stakeholders take part
• Select performance measures
• Begin work on State and Provider Change Project

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Keep Measures Simple

• Start with one measure and one change project
• Do I work on a measure of that is important to me
  or a State defined measure?
• Start simple A single point in time metric
  (continuation from assessment to first tx
  session) is easier to move
• Providers prefer to begin with an access measure
  but how do I collect first request for service?
  (Enter the NIATx spreadsheet!)

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SC Performance Measures
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Launch a peer learning network

• SSA staff has primary responsibility
• Clear support of SSA Director
• Establish a PI Network Mgmt Team - State Change
  team, Coaches and Peer Mentors
• Allow 6-9 months for launch.
• Expect members to use and display change project
  data

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SC Process Improvement Capacity
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SC State-level Change Project

• Goal Reduce intake paperwork and the length of
  intake process.
• Results
• Intake forms reduced by 85 from eight forms to
  one form
• Length of intake process reduced by 41
• Business Case Savings of 111,000

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Admissions to treatment at 9 STAR agencies have
increased as below between Jan 06 Sept 07
without any new dollars for treatment. State
contract timeliness and retention performance
incentives were implemented June 07. STAR
agencies exceed peers on these measures.
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Pilot a performance target

• Involve 8-10 providers
• Evaluate baseline data - experience the AHA
  moment
• Rerun 12 month baseline
• Review 6-9 months of provider change project
  improvement data

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Performance Targets/Outcomes (after 10 months)
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STAR vs. Non STAR Provider Outcomes

• Providers who participate in STAR-SI generally
  did better than those who were not yet in the
  STAR-SI program (Identical baseline and
  performance periods).

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Tweak the Data System

• Involve State data system managers
• Conduct a performance data readiness assessment
• Implement data change projects with providers
• Small data system improvements go a long way
• Innovate with Customer Feedback Reports

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NY State Data Change Project

• We are now applying Process Improvement to
  ourselves at the SSA. We used PI to revise our
  data reporting system to capture needed outcome
  data in real time. The project was implemented
  in less than 4 months with buy in from our
  treatment providers
• NY State Change Leader Susan Brandau

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Development of STAR-QI Web Application
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STAR-QI Report Example by Month
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Pivot Table Agency Profile
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NIATx Reach
Represented in 48 States

• Founding Members 60
• Self Initiated Members 61
• STAR-SI 145
• Advancing Recovery 28
• NIATx 200 200
• ACTION Campaign 540
• Total 1034

These numbers represent distinct payers and
providers.
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For more information.

• STAR-SI Program Directors
• Todd Molfenter, Deputy Director, NIATx
• (todd.molfenter_at_chess.wisc.edu)
• Frances Cotter, Quality Improvement Team Leader,
  CSAT (frances.cotter_at_samhsa.hhs.gov)
• Visit the NIATx website
• www.niatx.net Click STAR-SI