Key Performance Indicators: The Power of Data in Home Care

Brady Murphy Posted on Jan 2, 2019

To those who are not executives or data analysts, key performance indicators (KPIs) is an out-of-focus business term that is easier to avoid than to understand. But the reality is that KPIs are an everyman’s tool and are only as useful as employees outside the data world understand them -- and see how their efforts drive an entire business forward. 

KPIs are measurable values that reveal whether a company is achieving its objectives or not. Most businesses set targets, and KPIs demonstrate clearly whether those targets are being consistently met.  

It’s easy to go down the rabbit hole and get overwhelmed with too many KPIs, which can be confusing for employees and make them less inclined to modify their performance. In home care, it’s important to pick a small handful of important elements to measure -- and then make sure employees know why they were chosen, how they are measured, and how the entire process is a team effort.

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In short: KPIs have tremendous value in moving a business forward. But they must flow through the entire staff, in the office, and on the road in order to be effective. KPIs done well give staff a sense of empowerment, a critical first step to the entire point of using them: to improve performance.

Measuring business success

An old saying goes: “What gets measured gets done.”

That’s the underlying reason why it’s worth the effort to track key performance indicators. The business rationale is clear: exploring data in areas critical to success simply makes sense.

KPI

Then there’s the human side, as most employees are motivated by incentives. If an agency wishes to shore up operations and ask people to hit certain targets, it’s important to measure their efforts. If there is no way to gauge whether people have succeeded, motivation will be hard to sustain.

Another saying goes: “What gets rewarded gets repeated.” Tracking KPIs means you know if teams are reaching benchmarks and agencies are free to implement whatever incentives they wish based on achievement. At the same time, employees know that KPIs are in the background holding them accountable for meeting performance goals. 

Ultimately, it all comes down to harnessing the power of data to help ensure the success of your business. Lee Grunberg, president of Integracare and AlayaCare client, sums up the power of KPI data like so:

Integracare quote

 “Data is like the foundation of a house. Without it, you can’t make efficient decisions. Yet data in and of itself, is virtually useless. Taking data and turning it into information and making that knowledge that you can repeat: that is success.”  

The power of data exploration in home care 

Achieving success looks different from boardroom to boardroom. There may be an operational goal in focus -- which in home care, may look like having all field staff arrive at every appointment 10 minutes early. Or there may be a larger strategic goal that teams advance toward gradually over time.

The power of data exploration begins with selecting the right data. KPIs must reflect both organizational priorities and tangible goals. What’s important to one agency (perhaps one that is looking to scale operations in the near future) may be quite different than another (perhaps it wants only to maintain a standard level of client care).

Above all, stick to what’s known as the “SMART” criteria: 

Specific purpose for agency

Measurable

Achievable

Relevant to your success

Time phased (carve out a period of time to test that performance)

smart goal

It’s critical to know up front not only what to measure but if that metric is accurate. If you can trust the numbers, then go for it.

Specific KPIs that can really move home care

In home care, KPIs can address key areas like on-time client visits, overall client satisfaction, employee retention, reporting and billing. They can cover all facets of a business from HR to finance to marketing to quality of care to optimal use of personal support workers to client conversion. 

“If you explore this type of data, it’s a way to provide better care, a better workplace for caregivers, and your top and bottom line will grow,” says Lee Grunberg, who uses AlayaCare software toward these ends. 

Agencies could use KPIs to closely measure service hours, for example, because payers will pay only for specific hours worked. It’s possible to filter by day or month or any custom period to compare how PSWs, registered nurses, and other care workers are performing over time.

Certain KPIs could be used to confidently gauge quality of care. For example, client feedback metrics could track positive and negative reports, and help an agency continuously improve care. Caregivers themselves may fill those reports themselves, input feedback of any kind, and also have the chance to describe an occurrence, what may have caused it, and how it was addressed. This also means your care teams are treated fairly. 


“The better you treat your caregivers, the better you treat your clients, and the more they will refer,” says Grunberg. “It spirals upward and is good for business.”

At Acclaim Health, AlayaCare’s first-ever client, CEO Angela Brewer says they use KPIs to support PSWs and optimize their work. Caregiver burnout is a pressing industry issue, for instance, and Acclaim tracks each individual’s capacity to reveal those doing too much work -- as well as those whose performance might suggest they need a supervisor to help them out. 

At the same time, they can measure efficiency via time per visit. If caregivers are hitting the target times, they’ll have a variance as low as 0%. If workers drift too far from that target, even up to 25% or -25%, the KPIs are revealing issues to address. 

Brewer also says they leverage KPIs to maintain person-centred continuity of care, predict staffing needs, track effectiveness of visits and PSW safety (are they missing care visits?), and even anticipate outcomes by using data to forecast visits that may not go well. 

Ultimately, home care agencies can hang their KPI hat on being able to deliver top quality care. To do so, client satisfaction must be preserved at a high level. One useful KPI could focus on new clients -- how many first visits occurred in one month? And for each, when was the subsequent visit? This metric could assess client conversion for an agency (and include a referral section where you can measure your top sources of new clients).

KPIs flow through AlayaCare technology

Data exploration will carry home care agencies of any size into the future. If current software lacks the tools to capture and analyze data, or has limited functionality or flexibility, an agency’s business edge is being dulled.

The AlayaCare platform was built to be continuously improved and flexible enough to shift along with an evolving industry. It offers agencies seamless access to data, advanced analytics and reporting abilities in any areas of business.

When an agency uses AlayaCare, all data is captured and contained in “cubes.” For example, all the KPIs you’d want around caregiver visits could be housed in a “visit cube.” 

“There is a ton of data in AlayaCare waiting to be unearthed, filtered and exported into something you can use,” says Integracare president Lee Grunberg. “The final play is taking that data and transforming it into knowledge to help the agency.” 

To add another layer of flexibility AlayaCare introduced customizable dashboards so every user could log into the solution and have an at-a-glance view of the reports, metrics and KPIs that matter to them most.

 

Custom Dashboards

 

Helping Hands, another AlayaCare client, runs 15 programs of home care and community support for over 2,000 older adults in Ontario. It has been measuring KPIs for quite a while to help its coordinators stay on track with such a large client load, as well as meet government reporting requirements.

Vice-president Terri Soukup says that the AlayaCare dashboard has helped them significantly refine KPI reporting, allowing the agency to more proactively predict trends.  

“We’re trying to use responsive analytics to identify coming trends, such as when we may have a surge or drop in clients,” Soukup says. “Having the data automatically exported to the dashboard instead of manually entered into an excel spreadsheet has improved both the accuracy of inputting and efficiency of sharing the data.”

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Helping Hands’ use of KPIs has enabled them to create highly accurate reports around fall prevention as well as capture vital data around resident stays and cost per unit of its transitional beds program set up for clients who are leaving acute care settings. (Read all about Helping Hands in our client profile.)

In the end, developing and using KPIs is far easier now than it ever was, particularly if all data is housed in the same software solution. Exploring this treasure trove of information means everyone and everything is looked after: office staff, caregivers on the road, clients, and the agency’s future.

Topics: Back Office Suite, Care Worker Mobile App, Clinical Documentation, AlayaCare Features