Is there follow-up support to use the COI system?
Yes. Agencies must drive the amount of support that they require. When effort is placed into learning the database, then this will payoff over the long-term by ensuring that a minimum amount of follow-up is required. The agencies that most self-sufficient and require the least follow-up are usually the most enthusiastic, have a stable staff group, quickly realize the benefits of outcome monitoring and management, and commit to long-term outcome and case monitoring and quality improvement. These agencies are not necessarily computer “experts” but are willing to learn and use their learning to their advantage. They integrate case and outcome management together as one function and are not afraid to change their internal systems to reduce inefficiencies. Agencies that require the most follow-up and who are least self-suffiecient usually have a high turn-over rate, are not serious or not committed about learning outcome management and the COI system, may be afraid of learning new things, o