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7.4 Care Compare Insights

The Care Compare Insights acts as a decision support tool providing information about past performance to support care decisions. It is a tool to match people to practices, collaborations, interventions and care using Story Markers.

For incoming people or for people needing a change to their care plan, Care Compare uses Story Markers to help identify similar people who have been successfully served previously by the agency. The dashboard displays data from the 20 most similar people served, identifies the collaborations, the care duration and the level of success. The goal of this dashboard is to support decisions for care and to plan for services by curating relevant historical information. Care Compare also assists with identifying average time in care for appropriate resource planning.

  1. Purposes of Care Compare:
    1. Provides decision support for care planning
    2. Identifies common Story Markers of the entire service population
    3. Identifies common Story Markers for people who participated in a type of collaboration
    4. Identifies patterns of Story Markers for individual people
    5. Finds people served who are similar to the person selected based on assessment ratings
    6. Identifies the practice, collaborations, interventions and care which most often leads to success for people similar to the person selected

The ten Story Markers are specific to your population, and will shift over time to reflect shifts in your population’s needs. In addition to population wide insights, Story Markers can also be generated for subgroup of people served by a collaboration. Selecting a specific collaboration, collaboration type or collaboration level will result in a new set of Story Markers which represent the stories of the people served by those collaborations. As you serve more people in a collaboration or across the agency, the Story Markers will adjust because there’s going to be a larger variety of people’s stories that it will find.

  • What is a Story Marker? 
    • Story Markers identify groups of circumstances which people experience together. 
    • Start by selecting one person from the People filter to match them to others with similar circumstances based on the person’s Story Marker patterns.

In Figure 7.4.a, the Story Marker Items table displays a column for each of the ten Story Markers going left to right, 1 to 10. The item names are listed on the left. Each marker has circumstances which are more likely to be present and those which are more likely to be absent. 

Figure 7.4.a Care Compare

As you explore each story marker, you can click the header to sort the table and see which combination of items might be present when a person scores high in that particular Marker. Sorting markers one way will show you see what circumstances are likely present (sorting with blue on top) when a person scores high on this marker, and sorting the other direction reveals what circumstances tend not to be present (sorting with yellow on top) when a person scores high on this marker.

The Best Possible Matches table shows the best possible matches for the person selected. The first row is always the person you selected to be matched, and the following rows are the best possible matches found for that person. The marker percentages in blue reflect how the person’s level for that Story Marker compares to the highest level for that Story Marker seen within your population. There will be at least one person who has the most indicated circumstances for that Story Marker, who will show 100%, and everyone else will have either some level of circumstances identified by that marker (1% to 99%) or no positive association with that marker (no value). The color coding helps to identify the Story Marker patterns for people.

When you look at the final column, we see the average percent difference on all the markers, showing how closely a matched person’s story is to the person selected to be matched.  You can see that for the top row, the difference is always 0% because that is the person to be matched. A general rule of thumb is that good matches are less than 20% different. It may be difficult to find good matches at first, until the number of people with assessments increases. Over time, better and better matches will be seen. 

Each Story Marker will represent a combination of circumstances more likely to be present as part of that person’s story as well as those where are less likely to be present. Each marker will order the circumstances and weight them. In this example in Figure 7.4.a, we are matching Crius Oceanus, and Asclepious Vejovis was found as the closes match with only a 3.3% average difference on markers. Both youth were high for Marker 6, which sorted in this example, represents needs of Distracted, Worried, Unhappy and Bullied, among other needs. Both boys were elevated in this marker as well as slightly elevated for Story Marker 7. The best match, Asclepious experienced 100% successful resolution of need in care through an Individual Substance Recovery collaboration. This might be a good additional type of collaboration for Oceanus if circumstances are similar.

The Successful Level of Best Matches table summarizes information from the top 20 best matches. In some cases, there may not be 20 matches, so this table will summarize the top matches up to 20.