Home Courses Leadership Through Systems: Scaling ABA Services Without Sacrificing Quality

Leadership Through Systems: Scaling ABA Services Without Sacrificing Quality

As demand for Applied Behavior Analysis (ABA) services grows, many organizations face the challenge of expanding access while maintaining the clinical integrity and quality that clients deserve. Scaling services without the proper systems in place can introduce significant risks including breakdowns in communication, inconsistent documentation, gaps in supervision, and reduced treatment fidelity. This webinar explores how effective leadership and well-designed organizational systems work together to support sustainable growth. Participants will examine common risks that emerge when organizations expand faster than their infrastructure can support and learn how leaders can proactively address these challenges through thoughtful planning and operational design. Attendees will also explore key leadership responsibilities that ensure quality remains central during periods of growth. The session will highlight how leaders can use organizational data to guide decisions, monitor service quality, and identify operational risks before they affect outcomes. In addition, participants will learn how technology, standardized workflows, and operational systems can strengthen ethical service delivery, improve consistency, and support program effectiveness across growing teams. By the end of the webinar, participants will gain practical insights into building the leadership structures, data practices, and operational systems necessary to scale ABA services responsibly while preserving high-quality care.

Rayni Brindley McMahon, M.Ed., BCBA, CPHQ

Speaker Name

Rayni Brindley McMahon, M.Ed., BCBA, CPHQ

Start this Course
Leadership Through Systems: Scaling ABA Services Without Sacrificing Quality

Course Objectives

By the end of this course, learners will be able to:

Identify organizational risks when scaling occurs without the needed infrastructure (clinical, operational, documentation workflows, quality monitoring)

Describe four leadership responsibilities required to maintain quality while scaling services

Identify organizational data that supports leadership decision, including indicators of service quality, operational risk, and program effectiveness

Describe how technology, workflows and operational systems can be leveraged to support ethical and high quality service delivery

Rayni Brindley McMahon, M.Ed., BCBA, CPHQ

Rayni Brindley McMahon, M.Ed., BCBA, CPHQ

Rayni Brindley McMahon is the Founding Principal at Virtue Healthcare Consulting. Rayni has worked within the BH/IDD/Autism space for over 25 years, serving in executive roles in both clinical and operations for multi-state non-profits with over $500M in revenues. Raised as a servant leader, she firmly believes that no one is above any job or task and that the best leaders get their hands dirty to support their staff/clients. She began her career in direct care, working in IDD group homes and providing in-home services for children with autism and MH diagnoses. She advanced into clinical roles as a BCBA and then Corporate Clinical Director for Autism Services. In that position, she oversaw the clinical quality of services as well as operations within private schools for autistic children. She was promoted into operational roles, including Executive Director of Operations and Vice President of Behavioral Health, providing direct oversight for a wide range of services spanning children and adult behavioral health (community, residential, and acute), SUD, IDD, foster care, juvenile justice, autism and education with P&L responsibility of over $100M. She has also been the head of national administrative functions such as Human Resources/People Operations, Quality Improvement, Learning/Training, Business Development and Organizational/Leadership Development. Her last provider role was as Senior Vice President of Organizational Development for Devereux Advanced Behavioral Health. Specific areas of expertise are designing business processes to account for both clinical quality and operational realities, enhancement of data systems, enterprise-wide quality improvement and risk management, departmental restructure, learning/training, and leadership development. Her most important, and rewarding, job has been as the mother of two children, one of whom is neurodivergent. She is passionate about advocacy for children, adults and families who may not be able to advocate for themselves, as well as systemic change to better support access and quality of care. Rayni is a Board Certified Behavior Analyst (BCBA), a Certified Professional in Healthcare Quality (CPHQ) and a Certified Praesidium Guardian (CPG). She has presented at various national and international conferences.
Read More

Time-Ordered Agenda

Time

Session / Activity

0-5 minutes
Welcome and Overview
5-10 minutes
Risks of Scaling without Infrastructure
10-25 minutes
Leadership Responsibilities for Maintaining Quality: Supervision and training structures & Risk/compliance safeguards
25-40 minutes
Leadership Responsibilities for Maintaining Quality: Data based decisions & Leveraging Efficiencies
40-50 minutes
Technology and Workflows
50-60 minutes
Close and Questions