Scattergood Foundation

Advancing Innovative Strategies for Change in Behavioral Health

Centerstone Research Institute

Name of Innovative Program: 
Enlighten Analytics
Sponsoring Organization
Centerstone Research Institute
Name of Innovative Program Lead: 
Clare Lundy
E-mail Address of Innovative Program Lead: 
clare.lundy@centerstone.org
Project Description: 
As part of routine care delivery, behavioral healthcare organizations collect large amounts of data via their electronic health records every day, ranging from patient demographics and diagnoses to medication histories and billing information. However, translating all of this complex data into meaningful, actionable information is a significant challenge.  To address this, Centerstone Research Institute (CRI) created Enlighten Analytics, an easy-to-use, interactive digital platform that transforms the millions of bits of data collected by behavioral healthcare organizations into functional, insightful information. Supported by private philanthropy, Enlighten Analytics empowers organizations to learn from their data in order to reduce costs, improve operations, and enhance patient care. Enlighten Analytics helps front-line behavioral healthcare staff save valuable time and access information rapidly. Organizations using Enlighten Analytics have experienced dramatic improvements in clinical productivity, patient access to services, and clinical quality. By promoting data-driven decision-making, Enlighten Analytics is impacting behavioral healthcare across the United States.
Creativity and Innovation: 
Enlighten Analytics uses the best available business intelligence and analytic technologies to provide a tool with uniquely dynamic interactivity and usability, seen in instant drill-down capabilities and guided analytics for immersive visualization. In addition, Enlighten Analytics’ data architects utilized sophisticated data mining and predictive modeling approaches to predict clinical as well as business outcomes.  Clinical and socio-demographic characteristics can be analyzed to generate customized predictions about treatment outcomes. Enlighten Analytics currently contains data ranging from weather patterns to physical health indicators, which can assist with prediction of kept appointment rates. Whether it is in relation to health homes or legislation for Medicaid ACOs, providers need accurate information on care quality and efficiency. As a result of adopting Enlighten Analytics, organizations have seen a 25% increase in cases passing edits for billing, a 40% reduction in access time to first service, and rapid response to changing state Medicaid funding structures.
Leadership: 
Led by Dr. Tom Doub, CEO, CRI employs staff accomplished at research methodology, evaluation, data architecture, data analysis, statistical analysis, and dissemination. Their work crosses the entire Centerstone organization and has had strong support and involvement all the way from the CEO level to front-line clinicians who use Enlighten Analytics every day. In addition, CRI oversees a national collaboration called the Knowledge Network, which served as the initial incubator for the launch of Enlighten Analytics.  Supported by private philanthropy, the Knowledge Network consists of leading community-based behavioral healthcare centers, academic researchers, industry partners, and other stakeholders across the US who participate in collaborative projects that promote policy change, research, and data-driven clinical practice in behavioral healthcare. Knowledge Network members attend twice-yearly summits sponsored by CRI to discuss the latest trends in research-based practice and technology-enabled care in behavioral health and are committed to improving behavioral healthcare services nationally.
Sustainability: 
CRI is funded through foundations, government grants, its affiliation with Centerstone, and individual donors. The development of Enlighten Analytics was underwritten in part by these generous donors who believe behavioral health organizations deserve the same access to powerful analytics tools that multi-billion-dollar corporations use every day. CRI is now the industry’s leading community behavioral healthcare provider of data management, business intelligence, and analytics applications, and other behavioral healthcare providers have the opportunity to utilize Enlighten Analytics. Through the modest revenue that each new user organization brings in, CRI covers the overhead costs of providing the analytics tool for the mental health field. As part of this social enterprise model, CRI has also partnered with Netsmart, a prominent Electronic Health Record company, to develop, prototype, and validate predictive algorithms to improve clinical decision support and service mix for their clients and drive quality care across behavioral and public health organizations nationally.
Replicability: 
The mix of open-source and commercial products employed in Enlighten Analytics is easily replicable and was built to be interoperable with any behavioral healthcare organization. In keeping with CRI’s vision to leverage research and technology to improve behavioral healthcare, CRI can provide a reporting platform to any mental healthcare provider in the country. CRI led a pilot collaboration of seven mental healthcare providers in order to integrate data on a large scale and is now poised to create a national data warehouse to support industry-wide data-driven behavioral healthcare. The integration of electronic health records with rigorous data modeling, as accomplished with Enlighten Analytics, provides business value and complements traditional research methods. Enlighten Analytics fills gaps in knowledge and suggests new unanticipated avenues for quality improvement. The Enlighten Analytics data warehouse currently incorporates 15 million service records developed over 10 years of delivering care at multiple organizations nationwide.
Results/Outcomes: 
When an organization faces unexpected changes in funding, Enlighten Analytics combines the millions of data points related to current care provision with the new funding rules and predicts “what” will happen “if” an organization makes certain business decisions. In one example, an organization was in the position to potentially lose 25% of its total revenue, and leaders would be forced to lay off over 100 employees. Implementation of Enlighten Analytics revealed that the organization was actually underutilizing services for moderate-needs patients and providing soon-to-be uncompensated services for people with lower needs. Due to its ability to rapidly shift its business model, the organization ended the year with a 3.5% margin when the average loss of payment for CMHCs in the state was 26%. In addition, following the funding changes, more of the organization’s patients are high-need, more are children, and clinical outcomes are tracked on 100% of clients in service.
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