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026 <br />BUSINESS INTELLIGENCE DEPARTMENT ESTABLISHED <br />Sandhills Center uses data as a decision-making <br />tool throughout all aspects of the organization. <br />The use of data helps us to: <br />Identify the people we serve who may be in <br />need of additional support. <br />Track provider performance measures. <br />Model rate increase possibilities. <br />Monitor internal processes. <br />Modify practices (when needed) to improve <br />operational efficiency and effectiveness. <br />Effectively manage the 1915 (b)/(c) Waiver. <br />The Business Intelligence Department, estab- <br />lished in early 2015, draws from a centralized <br />repository of data from which a variety of <br />compliance reports are created, including those <br />required under contract with the Department of <br />Health and Human Services. These reports <br />improve our ability to forecast trends and to <br />monitor our performance as a Local Management <br />Entity/Managed Care Organization (LME/MCO) in <br />comparison to others. <br />6 <br />Data gathering and analysis also are key <br />contributors to ensuring quality care for our <br />members. Reporting capabilities can assist with <br />decisions about service needs for enrollees, and <br />about member satisfaction with providers and <br />the LME/MCO. <br />Data and quality indicators are reviewed and <br />analyzed. This information is shared with <br />network providers and used to determine the <br />need for education, technical assistance or, <br />potentially, corrective actions for providers. <br />Reports also provide key information as we <br />routinely monitor our providers' ability to <br />comply with outlined standards, including those <br />reviewed during the recredentialing process. <br />To ensure that data is made available to a broad <br />range of community stakeholders, reports are <br />presented to the Sandhills Center Board of <br />Directors and Board subcommittees, Executive <br />Leadership, directors and managers, Consumer <br />and Family Advisory Committee (CFAC), <br />Network Leadership Council, Credentialing <br />Committee, Global Continuous Quality <br />Improvement Committee, and other internal and <br />external stakeholders. Feedback is provided by <br />the various groups and utilized by Sandhills <br />Center staff to make potential changes to <br />policies and procedures, operational processes <br />and manuals used by providers and enrollees. <br />These increased business intelligence <br />capabilities and the dedicated focus on <br />data analysis will help support improved <br />outcomes for individuals and their families. <br />