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Mandy Ralston, Founder and CEO of NonBinary Solutions

NonBinary Solutions

Decision Support for Autism Outcomes

Photo credit: Chet White

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Our Business

Autism is now diagnosed in 1:36 individuals. There has been a 500% increase in service providers in the last 10 years. Over half of those providers have less than 5 years of experience.


NonBinary Solutions (NBS) is a technology & consulting firm that designs Clinical Decision Support Systems (CDSS) for autism service providers that dramatically improve the quality and efficacy of decision-making by offering a systematic and standardized approach to treatment planning.  


NBS’s interactive models solve several immediate problems in the field of Applied Behavior Analysis (ABA) by significantly reducing the time required to complete and standardizing the process of treatment decisions with all relevant and up-to-date data and literature at the user’s fingertips.  The CDSS act as an interactive mentor for clinicians in a field where experienced mentors are difficult to find and retain.

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Technology and Consulting Firm

Our Technology

Solution - Software for Quality that Scales

Clinical decision support systems are quickly becoming essential tools for healthcare providers as the volume of available data increases alongside their responsibility to deliver value-based care.  They have long been established parts of care in the medical community, as well as Physical and Occupational therapies.  

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Reducing clinical variation and duplicative treatment, ensuring client and staff safety, and avoiding complications that may result in expensive clawbacks are top priorities for providers in the modern regulatory and reimbursement environment – and harnessing the hidden insights of big data is essential for achieving these goals.

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Clinical decision support (CDS) tools are designed to help sift through enormous amounts of data to suggest next steps for treatments, alert providers to available information they may not have seen, or catch potential problems, such as behaviors or co-existing conditions that clinicians have no experience with.

"The most important decisions you make are not the things you do, but the things you decide not to do."

Steve Jobs

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