Promising Practices
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Promising Practices. Overview. Observations and Ideas: Promising Practices From WI Readmission Collaboratives. What we have learned…. Pre-Admission During Stay Post-Discharge. Pre-Admission. Crisis Interventions Have a diversion program for crisis and detox patients

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Overview

Promising Practices

Overview

Observations and Ideas: Promising Practices From WI Readmission Collaboratives


What we have learned

What we have learned….

  • Pre-Admission

  • During Stay

  • Post-Discharge


Pre admission

Pre-Admission

Crisis Interventions

  • Have a diversion program for crisis and detox patients

  • Develop a crisis line


Crisis interventions cont

Crisis Interventions (Cont.)

  • Increase crisis line capacity

  • Network with local police

  • Need a clinical diagnosis


Pre admission cont

Pre-Admission (Cont.)

  • Good cross-department communication prior to admission decision

  • Adopt a single point of entry

  • Peer supports available


During stay

During Stay

  • Apply evidence based practices (e.g. motivational interviewing, contingency mgt.) to increase continuation and reduce no-shows

    Planning for Discharge:

  • Begin discharge planning at admission

  • Social worker assessment

  • Multidisciplinary case staffings


During stay1

During Stay

Discharge Process

  • Social Worker/Nurse Apply check-out of crisis plan, community resources, & meds

  • Warm hand-offs (OP in dx, assessment prior, counselor introduction)


Post discharge

Post-Discharge

  • Post-discharge follow-up (phone, case mgt.,)

  • Reduce wait time from hospital to detox to outpatient.


Overview

Assignment

Pick Top 3 Items That Could Reduce Readmissions in Your County


Questions

Questions?

  • What can we add to the list?


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