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Hospital Follow-Up Care: Reducing No-Shows – NIATx Project 2013

Hospital Follow-Up Care: Reducing No-Shows – NIATx Project 2013 . Project Aims. North Central Health Care | NIATx Project 2013. Big AIM Decrease Inpatient Behavioral Health 30-day Hospital readmission rate Small AIM Reduce no-shows for post-hospital appointments to Outpatient Services

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Hospital Follow-Up Care: Reducing No-Shows – NIATx Project 2013

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  1. Hospital Follow-Up Care: Reducing No-Shows – NIATx Project 2013

  2. Project Aims North Central Health Care | NIATx Project 2013 Big AIM Decrease Inpatient Behavioral Health 30-day Hospital readmission rate Small AIM Reduce no-shows for post-hospital appointments to Outpatient Services (Psychiatry Services, AODA Day Treatment, and Mental Health/AODA Therapy)

  3. Changes (Do) North Central Health Care | NIATx Project 2013 • Identified one element of the “Warm Hand-off”– familiarity of location for post-hospital services • Determine location of focus (Wausau, Merrill/Tomahawk, or Antigo) • Educate Inpatient staff on the “Warm Hand-off” process • Track number of post-hospital appointments to Outpatient Services • Track the no-show rate of post-hospital appointments to Outpatient Services

  4. Results (Study) North Central Health Care | NIATx Project 2013 • BIG AIM: Re-admissions (30-day re-admission rate) have increased. • Benchmark = 4.8% • Warm Hand-off = 9.1% • SMALL AIM: No show rate for post-hospital outpatient appointments. • Benchmark = 57% • Warm Hand-off = 36% • Ongoing tracking of number of post-hospital appointments scheduled at Outpatient Services • Ongoing tracking of no-show rate of post-hospital appointments

  5. Next Steps (Act) North Central Health Care | NIATx Project 2013 ADAPT • Schedule hospital discharge appointments with client’s consent • Provide options to clients who decline scheduling of a post-hospital appointment with Outpatient Services • Consider barriers • Identify reasons for client no-shows

  6. Impact (Lessons Learned) North Central Health Care | NIATx Project 2013 • Implementing a significant change project is accomplished most successfully by starting with a very thorough evaluation process (Plan) utilizing process improvement tools such as the Cause & Effect Fishbone Diagram • Decisions based on data are easily supported by leadership and employees • Team-based decision making and employee engagement is critical to the success of a change project • Process-Improvement initiatives require the involvement of high-performing employees

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