Quality Counts: Sustainable Business Practices
Sustainability is critical for SBHCs. However, unlike clinical performance measures, no national set of sustainable business practice measures for SBHCs exists. Here’s what we know: successful SBHCs have a diverse funding portfolio most often including in-kind partner donations (space), patient revenue (billing and coding), and supplemental grants. For SBHCs to find long-term success, their leaders must make a compelling case that proves the SBHC model is uniquely suited to help the broader health and education systems achieve their own objectives.
Why these Three Measures?
For many years, the Alliance has joined with SBHC business experts and practitioners to test measures of clinical operations that reflect high-functioning, sustainable school-based health care practices. The business performance measures below are routinely identified as the most meaningful and reliable markers:
Utilization: knowing what percentage of school population visited the SBHC program
Reimbursement: knowing the percentage of visits paid by health insurers
Efficiency: knowing the conditions that enable a provider to be BOTH efficient and effective
Why This Toolkit?
Take the measure of something and you start a journey. Is it good? Good enough? How does it compare? How is it made better? What will it take to improve?
We’ve assembled from the field examples, best practices, guidance, innovative ideas, and templates to help SBHC professionals take measure of their business performance – and take the necessary steps to improve it, to make it sustainable.
Content is organized around each measure: utilization: strong school partnerships, strong student and family engagement, and high awareness of SBHC services; reimbursement: consent, insurance status verification, coding, billing, and collections; and efficiency: staff working at the top of their licensure/job description and an effective appointment system.