Payers and Oversights
Community Data Roundtable implements cross-entity outcomes monitoring and decision support systems. Payers and oversights gain unique vantage on their jurisdictions, gaining the ability to track outcomes, and implement system changes in collaborative and successful manner. Some key components of our approach:
Software: CDR DataPool software is an outcomes application for the provider, and a review tool for the payer/oversight, all in one. It is used by frontline clinicians to track member progress and receive decision support. Further on the provider side, supervisors use the DataPool to manage the outcomes and clinical review of their population through helpful reports and tools. Simultaneously, this information is made available to care managers and reviewers, in order to facilitate management and authorization processes.
Data Analysis: Beyond collecting the data, CDR works with local communities to analyze their systems of care, finding opportunities for positive impact. The most important analytic tool developed for oversight and planning is CDR’s Communimetric Service Match (CSM) algorithms. These algorithms identify members in need of specific evidence-based programs, expediting timely and appropriate referrals. Other measures and insights are always being developed, including measures of clinical change and improvement, autism severity, riskiness, and more.
Collaboration: CDR is a nonprofit organization dedicated to developing a data-driven social services system. We believe that the data generated in social and mental health services is a public good: all should have access to it, all should have the tools to understand it, and all should utilize its insights in their daily activities. Towards this end, CDR focuses on making outcomes and decision-support relevant to all stakeholders. CDR hosts regular stakeholder “Roundtables” to review the data and to plan a course for intervention based on the data; provides “Do It Yourself” Data trainings for entities ready to dive in themselves; and provides public dashboards for open review of progress on initiatives. This activation around the data, results in a powerful and transformative implementation, since everyone experiences the benefits to themselves of the data-system.