Find the Problem Worth Solving

Example problems

• —Too few qualified RBT applicants in key markets
• —Shortage of BCBAs to supervise caseloads
• —High early-tenure turnover among technicians
• —Slow time-to-hire and credentialing delays

Useful metrics

• ◦Qualified applicants per open role
• ◦Time from application to first session
• ◦90-day and annual turnover
• ◦Open roles and unstaffed caseloads

Example problems

• —Mismatches between staff availability and client schedules
• —Last-minute cancellations that go unfilled
• —Clients authorized but not yet staffed
• —Manual, fragile rescheduling across locations

Useful metrics

• ◦Authorized vs. delivered hours
• ◦Cancellation rate by cause
• ◦Hours recovered through rescheduling
• ◦Clients waiting for staffing

Example problems

• —Delays obtaining or renewing authorizations
• —Denials from documentation or eligibility issues
• —Varying payer rules across states
• —Slow follow-up on aging claims

Useful metrics

• ◦Initial denial rate and top denial reasons
• ◦Days in accounts receivable
• ◦Authorization turnaround time
• ◦Write-offs and rework effort

Example problems

• —Inconsistent session note quality
• —Supervision requirements tracked manually
• —Different state-level regulations
• —Audit preparation consuming clinical time

Useful metrics

• ◦Documentation completion and correction rates
• ◦Supervision compliance by caseload
• ◦Audit findings
• ◦Clinician hours spent on administration

Example problems

• —Slow intake from referral to first session
• —Administrative headcount growing with every site
• —Processes that don't transfer between markets
• —Limited visibility across locations

Useful metrics

• ◦Referral-to-start conversion and time
• ◦Administrative cost per client or per hour delivered
• ◦Time for a new site to reach target utilization
• ◦Margin by location