Team Members: Jessica Delzer, Kelly Bueschel, Jennifer Jacobson, Judy Kressin-Reindl, Leslie Ousley, Jane Coleman, Kaitlyn Gitter, Danielle Hoskins

Pictured on final slide: Michael Mattes and Katie Marquardt

SHAWANO COUNTY DCP: 2013 NIATx CHANGE PROJECT

AIM

Reduction in Inpatient Recidivism

Increase Crisis Units

Model a “Warm” Transfer from Inpatient to Community

Supports

CHANGES

READMISSION DATA

Tracked readmission rates 1 individual was readmitted twice

SURVEYMeasured satisfaction in service delivery 19 completed surveys Increases in all

satisfaction domains

INTERVENTION: May 22-October 4, 2013Within 24 hours post-discharge Face-to-face follow up using

specific script

BASELINE DATA13 prior admissions Administered telephone survey

Readmiss ion data , compar ing 4 consecut ive years (5 /22-10/4)

C r i s i s l i n k a g e a n d f o l l o w u p u n i t s w i t h c o r r e s p o n d i n g r e v e n u e , c o m p a r i n g 4

c o n s e c u t i v e y e a r s ( 5 / 2 2 - 1 0 / 4 )

RESULTS

2010 2011 2012 20130

100

200

300

400

500

600

700

800

900

193.1139.4

414.3

834.6

95.660.5

252.22

387.5

Crisis Service UnitsBillable Units

$9,367

$2,461

$4,412

$10, 640 * All revenue for September and October is not yet recouped

Track engagement and retention in agency services.

Look at survey results to potentially alter initial face-to-face

script as needed. Some consumers refused the

intervention and/or survey. Look at alternative approaches.

NEXT STEPS

Case manager completed the intervention and survey with their own clients. Was that the best decision?

At times the person administering the survey was the same individual that initiated the emergency detention. Was this the best decision?

Possibly limit staff involved for more consistency in measurement.

In some cases, a face to face intervention was not possible. Is phone contact sufficient as an alternative?

Significant increase in service units provided to consumers by the crisis team = increased revenue!

ULTIMATELY, there is value in having face to face support within 24 hours of inpatient discharge, and having a script helped staff feel more purposeful in their intervention with consumers.

IMPACT/LESSONS LEARNED

Katie Marquardt and Michael Mattes

THE END!!!