Kings County Kings County Hospital CenterHospital Center

MATP III NIATXMATP III NIATXPROCESS IMPROVEMENT PROJECTPROCESS IMPROVEMENT PROJECT

APR – NOV 2011APR – NOV 2011

Our Change TeamOur Change TeamExecutive Sponsor : Janet Aiyeku (Sr. Executive Director)Executive Sponsor : Janet Aiyeku (Sr. Executive Director)Change Leader: Dominique Michel (Addiction Counselor)Change Leader: Dominique Michel (Addiction Counselor)Team Members, Donna Crummell, Clinic Administrator, Team Members, Donna Crummell, Clinic Administrator,

Deidre Diamond, Clerical Associate, Nidia Miller, Deidre Diamond, Clerical Associate, Nidia Miller, Coordinating Manager, Gloria Neblett, Counselor, Marie Coordinating Manager, Gloria Neblett, Counselor, Marie

Charles, NursingCharles, Nursing

GoalGoalTo Sustain 90% RetentionTo Sustain 90% Retention

In Each 30 day periodIn Each 30 day period

ChangeChange• Alert Team and Courtesy Teams are created.Alert Team and Courtesy Teams are created.• Newly admitted patients are engaged by Alert & Courtesy Teams Newly admitted patients are engaged by Alert & Courtesy Teams

dailydaily• No computer holds or messages; all interactions done face to face.No computer holds or messages; all interactions done face to face.• Team Leader given daily data on admissions and introduced to all Team Leader given daily data on admissions and introduced to all

new admissionsnew admissions• Courtesy Team welcome patients to clinic, brief patients on Courtesy Team welcome patients to clinic, brief patients on

services that are available, conduct a mini courtesy session to services that are available, conduct a mini courtesy session to assure pleasant experience over the course of the first month in assure pleasant experience over the course of the first month in treatment.treatment.

• All issues that are identified as barriers or will negatively impact All issues that are identified as barriers or will negatively impact patient attendance and retention are addressed by supervisor, patient attendance and retention are addressed by supervisor, counselor and courtesy team intervene where necessary.counselor and courtesy team intervene where necessary.

• NIATx Project update added to interdisciplinary team agenda.NIATx Project update added to interdisciplinary team agenda.• Weekly update of new patient whereabouts in team meetingsWeekly update of new patient whereabouts in team meetings• Five Question Survey developed to identify five specific areas for Five Question Survey developed to identify five specific areas for

improvement and other patient concernedimprovement and other patient concerned

ResultsResults• Project started with 45 patients admitted Project started with 45 patients admitted

between April & June 2011.between April & June 2011.• One patient was discharged from the baseline One patient was discharged from the baseline

(45) during the 1(45) during the 1stst Qtr period. Qtr period. • During the Sustainability period; 28 patients were During the Sustainability period; 28 patients were

admitted (July – Sept, 2011). No patients were admitted (July – Sept, 2011). No patients were discharged from that quarter’s admissions.discharged from that quarter’s admissions.

Total of 73 patients are engaged and monitored Total of 73 patients are engaged and monitored for this project, 1 was discharged. 72 remains in for this project, 1 was discharged. 72 remains in treatmenttreatment

• Overall, the project has had a monthly average of Overall, the project has had a monthly average of 100% retention and 1% discharge rate for the 100% retention and 1% discharge rate for the cycle duration.cycle duration.

• The sustainability remains at 100% retentionThe sustainability remains at 100% retention

Total Patients Admitted & Total Patients Admitted & Discharged for Quarters 1 & 2Discharged for Quarters 1 & 2

812 9

14

5

26

0

10

20

30

40

50

60

AdmissionsDischargesQuarterly

ImpactImpact• Met and sustained the State required Met and sustained the State required

standard of 85% for (30 days standard of 85% for (30 days retention) the project durationretention) the project duration

• Increase in retention = increase in Increase in retention = increase in services rendered and revenueservices rendered and revenue

• Approximately 1752 billable sessions Approximately 1752 billable sessions sustained. A revenue $1051.20sustained. A revenue $1051.20

Next StepsNext Steps• Referral to community Based support services, including Housing Referral to community Based support services, including Housing

connections, connections, • To assure vocational engagement, beginning with comprehensive To assure vocational engagement, beginning with comprehensive

vocational assessment and evaluate for specific vocational vocational assessment and evaluate for specific vocational targets, including, education, employment, training and targets, including, education, employment, training and internshipsinternships

• Refer for in-house services, including nutritional assessment and Refer for in-house services, including nutritional assessment and follow-up.follow-up.

• Ensure that all medical and health related needs are addressed Ensure that all medical and health related needs are addressed and monitored by medical staffand monitored by medical staff

• Weekly Project Meeting to monitor and implement new Weekly Project Meeting to monitor and implement new interventions for sustaining the project outcome where necessaryinterventions for sustaining the project outcome where necessary