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Reduce Re-admission Rate for Detoxification – NIATx Project 2012

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.

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Reduce Re-admission Rate for Detoxification – NIATx Project 2012

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

  2. AIM (Plan) North Central Health Care

  3. North Central Health Care 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.

  4. North Central Health Care 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).

  5. North Central Health Care 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 servicesand are “uncooperative.”

  6. North Central Health Care 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.

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