Shawano County DCP: 2013 NIATx Change Project
description
Transcript of Shawano County DCP: 2013 NIATx Change Project
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!!!