Mental Health Workload Studies

Mojave Mental Health Clinic
Productivity Study

In 2015, HZA teamed with the Baldacci Consulting Group to conduct a study of the complicated processes used by the University of Nevada, School of Medicine (UNSOM) and Mojave Adult, Child and Family Services (Mojave Mental Health) in its federal reimbursement practices that support the Nevada Division of Health Care Financing and Policy and the Centers for Medicare and Medicaid Services. UNSOM provides oversight and management services to Mojave Mental Health which provides a number of direct services, including Case Management, Day Treatment, Outpatient Counseling, and Medication Services to needy clients in the Las Vegas and Reno areas. HZA performed a productivity study of the mental health staff to help UNSOM and Nevada maximize its federal reimbursement. Recognizing that productivity is the relationship between the quantity of output and the quantity of input used to generate that output, the study measured the efficiency of the organization to serve its clients with the resources it had available. The measure of output was quantified by the number of billable services provided, e.g., day treatment, outpatient counseling, nursing. The input measurement used a time study that was employed to measure the time it takes to complete a billable service, accounting for the time it takes to complete discrete activities which go into performing each type of billable service. The study resulted in a number of recommendations, including the opportunity to better document current billable and non-billable case management activities, especially as they intersect with the agreements in place with various Managed Care Organizations.


New York State Office of Mental Health
Random Moment Time Study

In 2017, HZA was hired by the New York State Office of Mental Health (OMH) to administer a random moment time study (RMTS) to the state’s private psychosocial rehabilitation providers. HZA is carrying out this study using its Automated Random Moment Analysis & Reporting System (ARMARS), a web-based tool which is used to assist state and local agencies in their federal claiming of administrative costs, to allocate federal reimbursement to private providers and to develop reimbursement rates for service providers. Results from the RMTS will be applied to calculate the proportion of time staff spend on four categories of activities.

• Billable services, regardless of the payer;
• Administrative activities, i.e., non-billable but fundable activities such as case management;
• General administration, e.g., training and general staff meetings; and
• Non-work, such as when staff are on leave.