CAA Training
Clinical Director (CD)
clinical supervisor of the BCBAs mentor, train, evaluate clinical team clinical lead in center smaller caseload to support BCBAs
Lead Tracking (Lead - Patient Start)
eFax (need log in and pw) Salesforce Sisense (OM only) Gmail
Four Functions of Behavior
1. Attention or access to items 2. Escape 3. Sensory input 4. Pain Relief
ABC Patient Criteria
1. Patient Age 2. Diagnosis of Autism Spectrum Disorder (ASD) 3. Patient Skills/Deficits 4. Parent/Guardian Engagement 5. Insurance (Primarily commercial)
Three Leads
1. Physician Liaison - visit referring providers - educate physicians - work with OM's to ensure timely access to care 2. Digital Marketing - Google reviews from patients and teammates - Social media - ABC Website 3. Word of Mouth - Engaged parents - Satisfied teammates - Community recognition - Physician respect
Areas of Development Affected
1. Social Communication -eye contact, verbal/nonverbal communication, understanding of body language, unusual social initiations 2. Social Interactions -reduced interest or emotion, difficulty making friends, absent interest in others 3. Restricted and Repetitive Behaviors -repetitive speech or movement, rigidity with routine, hyper/hypo reactivity to sensory output
Autism Spectrum Disorder (ASD)
1. Social communication and interaction - social reciprocity, joint attention, nonverbal communication, social relationships 2. Restrictive/Repetitive Behaviors/Interests/Activities - lining up toys, fixed on certain things Diagnosis requires significant input from caretakers Treatment is highly individualized
Digital Marketing
1. Website submission - "contact us" - "M-CHAT" - "CAST" 2. Internet search engine and social media ads 3. Google reviews from families (screening tools are only used for those who do not have a form Dx) *Contact SAME DAY*
ABA Therapy for Autism
ABA - Applied Behavior Analysis Helps to develop new skills, shape and refine previously learned skills, and decrease socially significant problem behaviors
ABC Vision
Access to Care Operational Excellence Clinical Quality Team
ABC At Home
Age: 18 mo - 13 yr Hours: Full time and part time (15 hr min) Team: 1-2 Therapists and BCBA Hours: Morning session and afternoon session *Requires RCD Approval*
Center-Based ABA
Age: 18 mo - 8 yr Hours: Full time and part time (15 hr min) Team: 3-4 Therapists and BCBA Hours: 8-4, 8:30-4:30, 9-5
ABC After School
Age: 9-13 yr Hours: Part time Only Team: 1-2 Therapists and BCBA Hours: 3:30-6:30 pm *Hard cut off at 14 yr* *Social skills only program* *Requires RCD Approval*
When to call your PL?
Any sticky situations with physicians offices Unable to contact a family who was preferred Documentation to be taken or picked up from office Unfamiliar practices sending referrals
Where are we going?
Build a diverse clinical model Grow as a company Focus on teammates Build online reputation
ABC Core Values
Caring Learning Excellence Fun Team
ABA Therapy Services
Center-Based ABA ABC At Home ABC After School
Benefits and Eligibility
Completed by the OM or a CAA in training to become an OM Gives a projection of cost for services provided to the family Shows if there are any limitations/exclusions w/ ABA therapy in their plan We will not complete a B+E on all insurance plans, as we work primarily w/ commercial insurance at this time Select plans are RCM check only plans
Who can diagnose ASD?
Could come from a general pediatrician but most common is from a neurologist Licensed psychologist or psychiatrist BCBA's CANNOT diagnose
Word of Mouth
Current satisfied parents/guardians school recommendation OT/PT/ST recommendation Community recognition
ABA Umbrella
DTT - Discrete Trial Teaching NET - Natural Environment Teaching
Inbound Lead for Dx
Dx B&E (Is a determinant) (If not viable/no coverage - refer out) Tour Assessment for Enrollment (1/2 day) Start Date!
ASD Defined
F84.0 Dx Neurological disorder (Mild, moderate, severe)
Board Certified Behavior Analysts (BCBA)
Holds a master's degree in helping professions Registered through BACB 2000 fieldwork hours complete w/ 5% supervision Caseload supervisors
The Phone Call
Inbound Calls - ABC listens, empathizes, offers solutions, and removes the burden from families
Behavior Analyst in Training (BAT)
Master's degree in ABA in progress RBT certified through BACB 80% of supervision hours complete
Key performance indicators (KPIs)
Monitor success and areas of improvement -new patients (net patient adds) -Utilization management (effectively utilize every hr insurance gives) -Lead pipeline -Lead conversion -New centers -Clinician Utilization -Recruitment -Patient Attendance -Google reviews -BCBA Hours -Clinician Cost -Retention (97% in rolling 3 mo period)
Inbound Lead for No Dx
No Dx B&E (Best Practice, not a determinant) ADOS (diagnostic toll we send to child's physician - DOES NOT produce a diagnosis) (BCBA who is trained or CD completes it) Tour Fax Results to Physician Physician Reviews with family (will either receive a diagnostic determination or recommendation) We will follow up with family - No Dx - Refer Out
What causes ASD?
No known cause but many potential influences -Genetic influences and family history -Prenatal influences -Birth complications No cure but ABA is best recommendation
Behavior Therapist (BT)
Not yet certified as an RBT through BACB Must complete 40 hr APF Modules Must attend ABC Training Center *Requirement is 45 days to become an RBT
Registered Behavior Technician (RBT)
RBT Certified through BACB 40 hr APF courses complete Competency assessment passed
Discrete Trial Teaching (DTT)
Repetitive, fast paced trails in a more contrived setting Decreased distractions Higher rates of reinforcer delivery Therapist led Goals Targeted: Communication, matching, fine motor skills
Clinic Operations Manager (OM)
Schedule and conduct interviews CEO's of the centers onboard teammates and families lead monthly all team meetings conduct all teammate evals create and maintain positive center culture driver of the business conduct clinic tours w/ prospective families
Clinic Admissions Associate (CAA)
Self starter and go getter attitude often first voice potential patient families hear for inbounds outgoing and friendly personality is KEY for success passion for customer service first face! extension of the OM
Board Certified assistant Behavior Analyst (BCaBA)
Some insurances will not allow for BcaBA Holds undergrad degree, NOT a masters Registered through BACB as a BCaBA and passed exam Can manage their own caseload of patients
Natural Environment Teaching (NET)
Taught in natural setting Generalizes across environments, people and materials Lower rates of reinforcer delivery over time Child led Goals Targeted: Social and play skills, generalization of skills taught in DTT, communication, gross motor skills
