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educe Re-admission Rate for Detoxification – NIATx Project 20

Reduce Re-admission Rate for Detoxification – NIATx Project 2012

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Reduce Re-admission Rate for Detoxification – NIATx Project 2012. AIM (Plan). North Central Health Care. North Central Health Care. Changes (Do). Re-trained all staff on use of UPC to ensure accurate and consistent application of tool. - PowerPoint PPT Presentation

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Page 1: Reduce Re-admission Rate for Detoxification – NIATx Project 2012

Reduce Re-admission Rate for Detoxification – NIATx Project 2012

Page 2: Reduce Re-admission Rate for Detoxification – NIATx Project 2012

North Central Health Care

Chronic relapse condition

Hungry need Meal Not completely utilizing our community resources (A.A, Smart Recovery) Can’t Get Medication No Insurance No legal process No dollars Very hard to get an alcohol commitment Badgercare not accepted elsewhere No option to stay elsewhere We admit for alcohol level only Standard Practice for Law Enforcement to bring in (Need Education) No transition of care option on discharge No optional level of detox care No engaging

Regulations interfere with care process Some Staff not engaged in working with this population

Current demographics admits Lack of motivation to change

Community Culture Social network support “Don’t want them on street.” is supporting unhealthy habits Not collaborating with other service providers Low staff motivation when you do not see the successes A “discharge” culture (not focused on treatment) Stigma Lack of Community AODA Outpatient service availability Homeless Lack of education regarding this population Day treatment services only located in Wausau

CAUSE & EFFECT – AODA DETOXIFICATION READMISSIONS

Chronic Readmission of Patients

PROCESS FINANCIAL

ENVIRONMENT PEOPLE

AIM (Plan)

Page 3: Reduce Re-admission Rate for Detoxification – NIATx Project 2012

Changes (Do)

Re-trained all staff on use of UPC to ensure accurate and consistent application of tool.

Reviewed, improved (clearly defined), admission criteria for detoxification services.

Provided community informational sessions regarding detoxification (law enforcement & hospitals).

Developed and implemented new level of Detoxification (Ambulatory Detoxification). New program opened October 1, 2012.

North Central Health Care

Page 4: Reduce Re-admission Rate for Detoxification – NIATx Project 2012

Results (Study)

Ongoing tracking of UPC’s to ensure appropriate level of care is provided.

Ongoing tracking of admissions for detoxification in both sites:

Ambulatory Detoxification Inpatient Psychiatric Hospital (those who are admitted

for psychiatric reasons, however are also in need of detoxification).

Re-admissions (30-day re-admission rate) have decreased from 32.4% (April, 2012) to 20% (September, 2012).

North Central Health Care

Page 5: Reduce Re-admission Rate for Detoxification – NIATx Project 2012

Next Steps (Act)

There continues to be a need for another level of service (for individuals who are in need of detoxification, however are not willing to receive this care).

Law enforcement and hospitals are concerned about not having a facility to “lock” people in who are not willing to stay at NCHC for detoxification services.

Ambulatory detoxification does not meet the needs of the population of people who are in need of detoxification services and are “uncooperative.”

North Central Health Care

Page 6: Reduce Re-admission Rate for Detoxification – NIATx Project 2012

Impact (Lessons Learned)

Implementing a significant change project is accomplished most successfully by starting with a very thorough evaluation process (Plan).

Decisions based on data are easily supported by leadership and the community.

Team-based decision making is critical to the success of a change project.

Process-Improvement initiatives require the involvement of high-preforming staff.

North Central Health Care