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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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Presentation Transcript
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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.
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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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