1. The Future of Funding: Making the Switch to a Fee-for-Service Operation Jackie Nitschke Center Green Bay, WI Becky Pasterski, Residential Manager Rose Maloney, Accounting Manager William LaBine, Executive Director

2. “The House of Miracles” Residential, IOP, Aftercare, Alumni, Women’s Recovery House 14 staff members

3. The “Learning Opportunity” Tuscon 2009: The tsunami is coming! Always at census Waiting list for Residential No need to advertise Cincinnati 2010: The tsunami is here! Major county contract cut funding Below census Barriers to admission

4. Founders’ Tension Out with the old… … in with the new!

5. 2008 Weather Report: TSUNAMI WARNING! 2008 UW-Green Bay marketing class project Late 2009 Ad hoc technology committee March-May 2010 Technology implemented 2009 Began fundraising for technology Summer 2010 Marketing committee Our Story: Where We’ve Been

6. Our Story: How We Got There (the NIATx tools) Nominal group process Get ideas from outside the org (and the field) Get data –Identifying barriers to admission to Residential tx

7. Our Story: How We Got There (the NIATx tools) PDSA Cycles –Increase Self-Pay Admissions to Residential Tx Credit card machine ½ Payment upfront Celebrate regularly! Increase our financial strength –Added outpatient services Tell our story

8. Our Story: Where We’re Going Increase our financial strength –Increasing service fees –Designing programs to be billable –Applying to insurance companies Promising Practices –Researching billing systems –Third Party Billing Guide

9. Any questions? Thank you!