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.

• 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.

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

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!

•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

Recapturing Lost RevenueBefore 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= $4,00050 patients per year= $200,000Increase revenue collected in one year from $112,000 to $151,200= $39,200