Improving Access and Retention: NIATx Process Improvement Fundamentals

Problems with access to treatment, followed by problems with retention in treatment, have multiplied as agencies try to adapt to increased demands.  Engaging clients can easily become mired by regulatory and reimbursement requirements, leaving clinicians and clients far from the goal of getting the right help at the right time.  This NIATx fundamentals course will focus on access and retention because problems in those areas are costly to those who need help and to the agency The NIATx model of Process Improvement has helped organizations rapidly remove or smooth out barriers to good clinical work. All participants of this fundamentals will be eligible to apply for the 2019 Change Leader Academy. 

Scope of the training:  This day-long fundamental training is appropriate for line staff, supervisors, program directors, and those contemplating adding improvement teams to their agency.  Following the fundamental training, four telephonic coaching sessions are offered to each agency over a six-month period.  A half-day wrap up learning session where agencies will present improvement efforts will be scheduled for the early spring.

Although single members of agencies are welcome the following is an ideal:  1) A minimum of two or three staff who have support and resources from an Executive Sponsor who will collaborate in choosing a primary aim for the change team. 2) To form a change team before, during or immediately after the training 3) To perform a simple walk through of either your access or your engagement/intake process.4) To gather simple data reflecting the current access/retention performance measures. 5) To measure the impact of the small rapid tests the team will make to improve the problem.  6) And then to share the gains and or continued issues to create a sequential effort.  


  • Upon completion of this course, participants will be able to:
  • Identify the principle concepts of the NIATx model.
  • Identify four factors that contribute to the success of the Plan-Do Study-Act rapid cycle change model.
  • Identify and understand three of the tools used in improvement projects—the walk through, flow charting, and nominal group technique.
  • Identify one example of data collected to insure that the change is an improvement of access or retention
  • Name and explain four practices that can quickly assist in increasing the number of clients who transition from first contact to assessment at a treatment program.
Tommie Ann Bower, M.A. and Michael Ellis, MSW
Event Date: 
Wednesday, November 28, 2018 - 8:30am to 4:30pm
Attendance Mode: 
In Person
Business Operations
Massachusetts League of Community Health Centers
16 Brooks St.
Worcester, MA 01606
Sponsored by BSAS: 
Contact Information
Gina Colon
AdCare Educational Institute