Horizon Treatment Services

Ep 07 - Building a Culture of Continuous Improvement with NIATx

Horizon Treatment Services Season 1 Episode 7

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Big problems get smaller when the people closest to them lead the fix. We sat down with NIATx consultant Matt Russo and our own leaders to unpack how a relationship-first framework, rapid testing, and staff voice turned a chronic pain point into a durable win: medication errors in residential and withdrawal management dropped from 55 to just four in a month, with daily audits and a higher census.

We start by demystifying NIATx and why it works in human services: it blends data with lived experience, honors the client relationship, and makes improvement less overwhelming through quick, measurable tests. Jamie connects quality to engagement and retention, reminding us that faster, clearer processes help clients feel held and stay in care. Gina then takes you inside the change project: a small cross-functional team, inclusive brainstorming with nominal group technique, and a deceptively simple idea—auto-generate the medication tracker from the state log to eliminate double entry and mismatches. Training, retraining, and clear accountability followed, backed by ObserveSmart technology that ensures 30-minute checks are real, timely, and visible.

The results speak for themselves, but the deeper story is cultural. Executive sponsorship set the aim. A trusted, hands-on change leader rallied the team. Frontline insights drove the design. We measured often, learned fast, and kept what worked. We also dig into how to spread improvements to similar programs, when to re-run staff-inclusive steps, and why peer-to-peer sharing beats top-down mandates. If you care about safer care, cleaner data, and a workforce that feels ownership, this conversation offers a practical playbook and a dose of hope.

Enjoy the episode, share it with a colleague who leads change, and if this helped you think differently about improvement, subscribe, leave a quick review, and tell us the one small test you’ll try this month.

Media - Podcasts (horizonservices.org)