iCentrix Corp. - Clinical Outcomes Solution
iCentrix Corp.

Fortunately data warehousing and business intelligence can be a big help to organizations looking to analyze and report on outcomes. Data warehousing is important because the data required to analyze outcomes is often stored in different places (e.g., clinical treatment patterns in the billing/clinical system and outcomes in a separate outcomes database). Business intelligence is also important, because it provides the tools needed to allow outcomes data to be sliced different ways on an as-needed basis to analyze and report on trends. The tricky part is how to set up structures that connect all of the data together in all of the possible ways needed to provide meaningful reports to behavioral health and substance abuse experts.



After many iterations of developing outcomes data warehouses and reporting systems, we were able to develop a clinical analysis database model that effectively anticipates the types of questions that behavioral health/substance abuse experts may ask (referred to as the “clinical model”). This was a great leap forward for us in developing outcomes reporting projects because it allows us “jump start” the analysis process. It would no longer be required to ask questions to determine every possible way that outcomes should be looked at, because the model already has the structures needed to address wide ranging questions about outcomes built in. An example is shown in the figure above.

This example illustrates a “longitudinal” view of outcomes, allowing analysts and managers to look at outcomes for a cohort of clients over time and isolate differences in results for different subpopulations (such as by treatment team, diagnosis, etc.). This type of analysis can be effective for a wide range of outcomes types, ranging from “real world” outcomes such as hospitalizations, involvement with the criminal justice system (e.g., days jail, number of arrests), independent living or employment, to outcomes generated from assessment instruments such as GAF scores, CAFAS, Basis-24, CANS, Ohio Scales, OEI, YSS, OQ/YOQ, Milestones of Recovery, and many others.

Another type of outcomes report is a report that shows whether certain outcomes objectives are being met. An example of this is shown in the figure below. This report shows, for clients who are in the supported employment program, what percentage are employed full-time or part-time after a given number of months of service. If a program requires certain outcomes rates to be met, the organization can use reports such as these to determine whether their track record indicates that the program goals can be met.

 
       
   
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