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.
CDR is committed to a data-driven social systems that benefits all parties. Towards this end, we have developed a model which seeks to increase collaboration between patients, providers and payers, and which facilitates high-quality care. Below are some key benefits to providers implementing CDR systems
Software: CDR’s DataPool starts as an outcomes tool for clinicians. Utilizing communimetric tools such as the CANS and ANSA, the DataPool provides a structured assessment, ensuring that clients are thoroughly assessed. The software then provides instant feedback in the form of reports, severity measures, and graphs that are instantly helpful to clinicians and families in discussing disposition, and progress over time. Likewise, supervisors are able to review individual cases and programs from a higher vantage point: looking at case mixes, comparing the outcomes of multiple programs, and other data related clinical insights. In all, the DataPool provides a means for clinical and quality organization hitherto not possible in social services and community behavioral health.
CDR’s software is more than just a tool for managing internal clinical outcomes, but ultimately a tool improving coordination and communication with payers, government or oversight entities, and the public. With appropriate permissions, the application can be made available to families who want to see their own progress, and to payers for collaborative and improved authorization and review processes. It produces outcomes reports the whole community can understand, and which demonstrate your organization’s impact and value. Thus the DataPool helps make your agency’s data impactful in the community.
Data Analysis: CDR provides helpful analytic tools and supports for provider members. First, the application comes with several built-in reports on client progress and severity, as well as aggregate reports on programs and entire agencies. Further, the DataPool provides decision-support algorithms, developed by CDR, which link clients to appropriate evidence-based care based on their unique needs.
CDR also provides “Do It Yourself” Data Analysis trainings for clinical leaders, in which we show providers how to access their agency’s own data, and then how to use common software like Excel to answer your own questions of the data.