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Enhancing Patient Care Through Innovative Management at CAP Quality Care, Inc.

CAP Quality Care, Inc. is committed to delivering exceptional mental health and substance abuse treatment. Led by Medical Director Katie Sawyer, our team includes eight nurses, twelve counselors, and two clinical supervisors, ensuring comprehensive care. Our patient demographic is diverse, with a significant portion being young adults. Our innovative AIM plan focuses on increasing admissions while improving patient retention through effective management cycles. Results show significant increases in screenings, revenue reclamation, and encounter rates, demonstrating our commitment to evolving and enhancing patient engagement and care.

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Enhancing Patient Care Through Innovative Management at 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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