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WP Detox Admission Lean

This project report outlines the streamlined admission process in a detox unit, reducing paperwork, enhancing patient privacy, and improving time efficiency. Data analysis shows successful outcomes and necessary improvements. Tools like process maps and affinity diagrams were used to guide decision-making. Lessons learned include freeing up staff for new initiatives and starting change management early. Next steps involve engaging the team through training and refurbishing the evaluation room. The project aims for a welcoming, efficient, and patient-focused environment in the detox unit.

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WP Detox Admission Lean

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  1. WP Detox Admission Lean May 2017

  2. The Issue 35% Value Added Arrival to admit complete= 4hrs 11 minutes 175 minutes 76 minutes Admission Complete Arrival Entry to Unit

  3. Intake Forms and Paperwork 34 pieces of paper given to patient 19 forms require patient signature

  4. History and Physical Information Nurse Practitioner Nurse ART Evaluation Paper Intake Form ART Intake Call Psychiatrist

  5. Designing for the 95% • Process was designed to prevent inappropriate admissions. • Patients that belong in ED • Patients that cannot get insurance verification • What does the data say? • 5% are transferred to ED* • 0% are turned away for financial reasons 95% Let’s design for the *From March 1- May 11, five patients were transferred to ED. 96 total were admitted to Detox

  6. AIM • Looks like: Emptier lobby, no patients sleeping in the lobby, cleaner, team looks professional and cohesive • Feels: Personal touch, less chaos, more private, less like an assembly line. Welcoming from the 1st call. Our “chaos” is not visible to patients and families. • Sounds: Quiet voices, people explaining to patient what is happening in the process, consistent messaging from all staff, personal patient info kept more private. Arrival to Patient on the Unit < 45 minutes with assessment complete

  7. Tools and Decision Making • Process Maps • Affinity diagrams • Simple schedule modeling A Sticking point • Who Brings down the labs to the hospital? • Batching versus 1 piece flow? • What time should admits start?

  8. What changes are we making? • Better Flow of information between team members • More info collected in initial screening calls • Nursing documentation flows to subsequent assessments/evaluations • Reduced paperwork • Creating intake/assessment room on the unit • Freed up Assessment and Referral Team to take on new initiatives

  9. Lessons Learned & Next Steps • Let the team know the team being freed up will be used for new initiatives. • Begin change management even earlier. How is the project being presented to participants and other staff?

  10. Next Steps • Engage the team using POPin • Training • Refurbishing of clinical evaluation room on the unit

  11. Comments from the Leaders

  12. Questions?

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