Data helps guide client success at Rosecrance

As a

respected national leader in behavioral healthcare, Rosecrance offers clients the best opportunity for lasting recovery through exceptional evidence-based care. Insurance providers have noticed this dedication, and have honored Rosecrance for excellence in recent years.

Aetna, Blue Cross and Blue Shield, Cigna, and Optum require healthcare providers to meet criteria focused on quality, evidence-based practices, and commitment to improving outcomes in order to earn recognition. Rosecrance has received the highest rating awarded by each insurer: Aetna’s Institute of Quality, Blue Cross and Blue Shield’s Blue Distinction Specialty Care program, Cigna’s Center of Excellence, and Optum’s Platinum Status.

“These recognitions show that we’re surrounding clients with the most important care they need,” said Rosecrance Vice President of Payer Relations Lisa Primm. “Clients ultimately have the best outcomes and payers know that this is an efficient use of resources for them, too.”

To ensure clients receive the best comprehensive care, Rosecrance rigorously monitors treatment programs, making sure clients receive the best care from the first inquiry forward. The Rosecrance Performance Improvement (PI) team, which has been in place for years, collaborates with clinical staff to track a wide range of variables. Data is collected on readmission rates, length of stay, linkage with the next provider in a client’s treatment, client satisfaction, and other factors. Information is used to adjust individual treatment or global programs in real time.

This data-driven focus has positioned Rosecrance for healthcare’s shift to performance-based reimbursement and evaluation in recent years. With measures readily available, the organization can easily demonstrate excellent care. Rosecrance has achieved the highest possible score from Aetna for three consecutive years, and was commended for a low re-admission rate of clients and strong discharge planning. This recognition shows that, though relapse may happen on the recovery journey, it happens to fewer Rosecrance clients. In addition, the organization has a positive reputation for working with other providers to make a smooth transition for clients who may require services from outside Rosecrance’s continuum of care.

“We are invested in continuous quality improvement because that is what provides the best chance for lasting recovery,” said Director of Performance Improvement and Accreditation Chelsea Collins. “Clients may only be with us for a limited time, but it can be life-changing. When they leave our care, we want to have instilled the skills, practices, and outlook to help them on their lifelong recovery journey.”