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Reduce Re-Admission Rates

Reduce Re-Admission Rates. Winnebago County. Niat x Project. 2013. The Change Team. Doug Brey Crisis Intervention Supervisor Melissa Hoodie & Jim Travis CCS/CSP Supervisors John Sheehan CBRF Coordinator at Summit House and Toward Tomorrow. The Numbers.

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Reduce Re-Admission Rates

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  1. Reduce Re-Admission Rates Winnebago County Niatx Project 2013

  2. The Change Team • Doug Brey • Crisis Intervention Supervisor • Melissa Hoodie & Jim Travis • CCS/CSP Supervisors • John Sheehan • CBRF Coordinator at Summit House and Toward Tomorrow

  3. The Numbers Average for 2010-2013* is .08% • *2013 (thru 6/30/13) is .09% • Extrapolation based on 2013 data is 18 %

  4. The Purpose • BIG AIM • Eliminate 30-Day Re-Admissions • little aim • decrease re-admission rate to 1% or less

  5. The Change • Clients at risk for re-admission will be placed in a crisis bed upon d/c • Clients will be seen by a psychiatrist within 24 hours of acute sx increase • Case management staff will see their clients at least 2 times/week when clients are in a crisis bed • Crisis Center Director will attend CCS/CSP morning meetings as needed

  6. The Results • Not great, but improved • Two clients have been seen on emergency basis (JS, DR) after some serious lobbying with the psychiatrist. Neither re-admitted. • CCS/CSP staff assisting w/1:1 staffing at crisis center • Development of protocol for clients to get emergency med review on outpatient basis

  7. The Next Steps • Develop and disseminate protocol of treatment expectations for case managers by December 1st 2013 • Brain storm ways to get prescribers on-board with paradigm shift • Track discharges & do follow-ups with clients who are returning home after any inpatient treatment who have a history of re-admission

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