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Diversion Conversion Presented by: Kelly Randall, RN Becky Manning, RN, APNP Grant/Iowa Counties

Diversion Conversion Presented by: Kelly Randall, RN Becky Manning, RN, APNP Grant/Iowa Counties. AIM ADDRESSED. INCREASE HOSPITAL DIVERSIONS DECREASE EMERGENCY DETENTIONS * From May 1 st -September 30 th 2010 -316 Crisis Contacts -42 Emergency Detentions (14%) -59 Diversions (19%)

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Diversion Conversion Presented by: Kelly Randall, RN Becky Manning, RN, APNP Grant/Iowa Counties

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  1. Diversion Conversion Presented by: Kelly Randall, RN Becky Manning, RN, APNP Grant/Iowa Counties

  2. AIM ADDRESSED • INCREASE HOSPITAL DIVERSIONS DECREASE EMERGENCY DETENTIONS *From May 1st-September 30th 2010 -316 Crisis Contacts -42 Emergency Detentions (14%) -59 Diversions (19%) *From May 1st-September 30th 2011 -390 Crisis Contacts -50 Emergency Detentions (13%) -41 Diversions (11%)

  3. CHANGES #1 CRISIS DIVERSION BED “SAFE PLACE” Provide a crisis diversion bed as an alternative to an ED #2 DEVELOP CRITERIA FOR URGENT APPOINMENTS Prioritize urgent appointments #3 STAFF TRAINING In-service for agency staff #4 URGENT APPOINTMENT SLOTS Daily scheduled urgent appointments in each clinic #5 URGENT APPOINTMENT SLOTS Daily scheduled urgent appointments in one clinic #6 URGENT APPOINTMENT SLOTS Daily scheduled urgent appointments in each clinic

  4. DATA Plan Change #1 • 3 “Safe Place” Admissions over a 6-month period • 2 Emergency Detentions Plan Change #2 • 1 Hour Urgent Appointments scheduled at each clinic • Tracking System Developed • Urgent Appointment Triaged according to Highest Priority Plan Change #3 • All staff educated on Urgent Appointment Procedure Plan Change #4 • May-August Lancaster 8/72 • May-August Dodgeville 11/80 Plan Change #5 • September Lancaster 5/13 • September Dodgeville 2/6 Plan Change #6 • Implemented October 1st, 2011

  5. BOTTOM LINE DATA • 41 Hospitalizations Diverted from 5/1 through 9/30. • Average Hospital Stay Costs the county $3000 SAVINGS=$123,000

  6. ADOPTED, ADAPTED, ABANDONED #1 CRISIS DIVERSION BED “SAFE PLACE” Abandoned: Not Utilized #2 DEVELOP CRITERIA FOR URGENT APPOINMENTS Adopted #3 STAFF TRAINING Adopted #4 URGENT APPOINTMENT SLOTS Adapted: Number of Daily Urgent Appointment Slots Decreased by 50% #5 URGENT APPOINTMENT SLOTS Adapted: Number of Daily Urgent Appointment Slots Increased by 50% #6 URGENT APPOINTMENT SLOTS Adopted

  7. Future Plans • CONTINUE TO UTILIZE CHANGES IMPLEMENTED WITH FIRST NIATX CHANGE PROJECT • CONTINUE TO UTILIZE CHANGES IMPLEMENTED WITH SECOND NIATX CHANGE PROJECT • CONTINUE TO UTILIZE THE NIATX CHANGE MODEL TO IMPLEMENT FUTURE CHANGES TO IMPROVE OUR AGENCY AND THE WAY WE SERVE OUR CLIENTS

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