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MyOutcomes A fast, easy and relevant tool for tracking and improving outcomes from behavioral health services

MyOutcomes A fast, easy and relevant tool for tracking and improving outcomes from behavioral health services

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Page 1: MyOutcomes A fast, easy and relevant tool for tracking and improving outcomes from behavioral health services

MyOutcomes

A fast, easy and relevant tool for tracking and improving outcomes from behavioral health services

Page 2: MyOutcomes A fast, easy and relevant tool for tracking and improving outcomes from behavioral health services

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What is MyOutcomes?

MyOutcomes is the only interactive, web-based clinical tool that improves outcomes from behavioral health services by promoting partnership between providers and clients.

Current customers include Magellan Health Services, US Navy and Workplace Options.

Page 3: MyOutcomes A fast, easy and relevant tool for tracking and improving outcomes from behavioral health services

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What Is MyOutcomes?

Implements the Partners for Change Outcome Management System– Developed by Dr. Barry Duncan, Psy.D.

and Dr. Scott Miller, Ph.D.– Over seven years of development,

research and publication in peer-reviewed journals

– Proven valid and reliable

Page 4: MyOutcomes A fast, easy and relevant tool for tracking and improving outcomes from behavioral health services

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The Theory of MyOutcomes

“The general trajectory of change in successful therapy is predictable”1

Measures of client progress and experience of the therapeutic alliance can be used to “determine the appropriateness of the current therapy … [and] the need for further treatment … [and to] prompt a clinical consultation for patients who [are] not progressing at expected levels.”2

“Clients … quickly tire of measures that lack obvious face validity, require more than a few minutes to complete, or use time spent with the clinician.”3

Page 5: MyOutcomes A fast, easy and relevant tool for tracking and improving outcomes from behavioral health services

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What is MyOutcomes?

Administers two brief, four-item measures at each session of service– Outcome Ratings Scale (ORS) or Child Outcome

Ratings Scale (CORS)– Session Ratings Scale (SRS) or Session Ratings

Scale (CSRS) Provides outcomes reporting at all levels of

an organization, identifies cases at risk for service failure, and provides empirically-based feedback messages.

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Benefits of MyOutcomes

Improves service outcomes Boosts revenues and efficiencies by reducing

no-shows, dropouts, length of stay, and overutilization

Gets provider participation because client feedback process is fast, easy and relevant

Provides automated, quantifiable results to validate performance

Empowers client with a voice in the service process

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Improves Service Outcomes

More than doubles the effectiveness of services, according to published, peer-reviewed research.

In a study with over 6,000 clients of a Texas Employee Assistance Program, effect size increased 65% from baseline levels.4

A Minnesota alcohol and drug treatment center improved client completion rates from 50% to 82%, achieving the state’s best rate.

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Boosts Revenue and Efficiencies

Boosts revenue by reducing no shows and cancellations.

Boosts efficiencies by reducing dropouts, length-of-stay, and overutilization.

In a three year Florida study of 2130 cases, average number of sessions dropped by 40%, cancellations by 40%, no shows by 25% and long-term cases with no improvement by 80%. Created savings of $489,600.

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Gets Provider Participation

Providers participate because the system is fast, easy and relevant

Real-time results and empirically-based feedback messages enhance service delivery

Studies demonstrate over 80% provider participation and minimal complaints from providers or clients.5

Page 10: MyOutcomes A fast, easy and relevant tool for tracking and improving outcomes from behavioral health services

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Validates Performance

Provides quantifiable evidence of benefits of service delivered for managers, administrators and payers

Identifies reliably outstanding clinicians and those in need of further training

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Empowers Clients

Empowers clients to have a voice in services, shaping the goals, methods and measurement of their progress.

Implements President’s New Freedom Commission mandates for recovery-driven services and consumer partnership.

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Benefits of MyOutcomes

For Clients• Gives clients a voice in services.• Boosts client satisfaction and service outcomes.

For Clinicians• Identifies in real time clients who are at-risk for negative or

null outcomes• Provides empirically-based suggestions that enable

adjustments when services are at risk-for a negative or null outcomes.

For Agencies, Managed Care Entities & EAPs• Improves revenue and efficiencies• Enables clinical supervision that improves provider

performance• Provides quantitative measures of success

Page 13: MyOutcomes A fast, easy and relevant tool for tracking and improving outcomes from behavioral health services

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Reliability & Validity

Reliability and validity of measures used have been demonstrated in published, peer-reviewed research.6-9

ORS: Concurrent validity with Outcome Questionnaire – 45. 2

SRS: Concurrent validity with Helping Alliance Questionnaire II.

Page 14: MyOutcomes A fast, easy and relevant tool for tracking and improving outcomes from behavioral health services

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Platform

On-demand service delivered over the internet using a software-as-a-service model.

Windows Server 2003, Microsoft .NET 2.0, and Microsoft C#, and SQL Server 2005 platform.

Customization and implementation services are available, including development of custom functionality, reporting, and interfaces for front and back-end integration.

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Privacy and Security

Robust protection for privacy and security of clients’ data Controlling authorities

• HIPAA • Business Associate Agreements

Privacy • User roles• De-identification of aggregated data• Hidden directory

Data Security• Physical protection, enterprise-class firewall, network

security• Secure transfer with 128-bit encryption• Automatic logout• User logging and audit trails

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How MyOutcomes Works

Tree view allows for fast and easy navigation among records

User roles provide providers, supervisors, and administrators with access to appropriate records

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How MyOutcomes Works

For each new client, data is collected on the client’s demographics and planned services

Data collection can be customized to develop norms for specific populations or service programs

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How MyOutcomes Works

At each session, clients complete the Outcome Rating Scale

A four-item self-report instrument

Takes less than one minute to complete

Assesses client’s subjective assessment of change

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How MyOutcomes Works

Clients also complete the Session Rating Scale

Assesses the strength of the therapeutic alliance

Four items measure the quality of the relational bond and agreement between therapist and client on goals, methods and approach of therapy

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How MyOutcomes Works

Clients and therapists receive real-time, empirically-based feedback

Feedback messages flag at-risk cases and promote constructive dialogue

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How MyOutcomes Works

ORS scores are plotted in relation to an expected trajectory of change based on the client’s intake score

SRS scores are plotted in relation to the lower limit of established norms

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How MyOutcomes Works

ORS scores are aggregated for providers, programs, sites, and agencies

Supervisors, administrators, and payors can assess relative effectiveness

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MyOutcomes, LLC

MyOutcomes is a product of MyOutcomes, LLC, a joint venture from between the Partners for Change Outcome Management System (PCOMS) and Danya International, Inc. (Danya)

PCOMS• Extensive experience in clinical practice, publications, training,

seminars, and consultations related to the delivery of client-directed, outcome-informed therapy

Danya• Founded in 1997• Service areas include research and evaluation, information

technology, education and training, program management support, and health product development

• U.S. federal agency clients include Substance Abuse and Mental Health Services Administration, National Institute for Mental Health, Centers for Disease Control and Prevention, and the US Navy.

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Pricing, Sales & Information

For a customized price quote or general information, please contact:

Jonathan Hunt-GlassmanProduct Manager, MyOutcomest: (301) 960-2920c: (917) 597-2785e: [email protected]

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References

Works Cited1. Miller S., Duncan, B., Sorrell, R., & Brown, J. (2005). The Partners for Change Outcome

Management System. Journal of Clinical Psychology: In Session, 61, 199-208. 2. Ibid.3. Ibid.4. Miller S., Duncan B. Brown, J., Sorrell, R., & Chalk, M. (2007). Using formal client

feedback to improve outcome and retention. Journal of Brief Therapy, 5, 19-28.5. Miller, S., Duncan B., Brown J., Sparks J., & Claud D. (2003). The Outcome Rating Scale:

A Preliminary Study of the Reliability, Validity, and Feasibility of a Brief Visual Analog Measure. Journal of Brief Therapy, 2, 91-100.

6. Ibid.7. Bringhurst D., Waston C., Miller S., Duncan B. (2006). The Reliability and Validity of the

Outcome Rating Scale: A Replication of a Brief Clinical Measure. Journal of Brief Therapy, 5, 23-29.

8. Duncan, B.L., Miller, S.D., Reynolds, L., Sparks, J., Claud, D., Brown, J., et al. (2004). The session rating scale: Psychometric properties of a “working” alliance scale. Journal of Brief Therapy, 3 (1).

9. Duncan, B., Sparks, J., Miller, S., Bohanske, R., & Claud, D. (in press). Giving Youth a Voice: A Preliminary Study of the Reliability and Validity of a Brief Outcome Measure for Children, Adolescents, and Caretakers. Journal of Brief Therapy.

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Thank You

Thank you!

Jonathan Hunt-GlassmanProduct Manager, MyOutcomes

t: (301) 960-2920c: (917) 597-2785

e: [email protected]