project engage n.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Project Engage PowerPoint Presentation
Download Presentation
Project Engage

Loading in 2 Seconds...

play fullscreen
1 / 21

Project Engage - PowerPoint PPT Presentation


  • 581 Views
  • Uploaded on

Project Engage . Basha Silverman , Director of Prevention and Advocacy, Brandywine Counseling and Community Services Terry Horton, MD, FACP Chief, Division of Addiction Medicine Department of Medicine April 3, 2012. Patient Centered Medical Home.

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Project Engage' - clarissa


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
project engage

Project Engage

Basha Silverman,

Director of Prevention and Advocacy,

Brandywine Counseling and Community Services

Terry Horton, MD, FACP

Chief, Division of Addiction Medicine

Department of Medicine

April 3, 2012

substance use and the medically homeless
Substance Use and the Medically Homeless
  • Participation assumes compliance
  • Substance Use is often the Root Cause Health Issue
  • If don’t address, will remain Medically Homeless with significant health issues
delaware s epidemiology
Delaware’s Epidemiology
  • Estimated 2009 population of 885,000
  • 9% of adults alcohol/drug abusing or dependent*
  • 65,000 in need of alcohol/drug treatment**
  • 8,216 admissions to publicly-funded SA treatment services statewide 2006***

Tx gap

* 2004-2005 NSDUH data

** Wright et al. 2007

*** Delaware Department of Health and Social Services, Division of Substance Abuse and Mental Health, 2007

hospitals inpatient services aggregate the highly disordered
Hospitals’ Inpatient Services Aggregate the Highly Disordered
  • High rates of alcohol and substance dependency*
  • Significant medical comorbidities
  • Expensive revolving door
    • higher use of ER (2.3x), inpatient care (6.7x)**
    • Increased AMA, readmissions***

* Saitz, 2007; Bertholet, 2010

** Stein, 1993

*** Hwang, 2003; Jankowski, 1977; Chan, 2004

project engage1
Project Engage

Targeting hospitalized substance users

Bedside Peer-to-peer intervention using Motivational Interviewing

Addictions Community Social Worker

Assistance with barriers to transition to care

Help with integration into the hospital milieu

project engage2
Project Engage

Initial Pilot at Wilmington Hospital 2008

Roll out to Christiana Hospital Dec. 2012

2 additional Patient Engagement Specialists

Social Worker

Rigorous Program Evaluation (May,2012)

Partnership with U. Pennsylvania, TRI, and State Medicaid Office

Demographics, Engagement parameter and health economics

slide9

Gender

667 Patients seen 9/1/08 -3/30/12

slide10

Race

667 Patients seen 9/1/08 -3/30/12

Project Engage - Gender

outcomes
Outcomes

Data Review

N = 423 (9/1/08 - 12/10/10)

41% successfully admitted into 33 drug/alcohol treatment programs

Overall 667 seen- (9/1/08 -3/30/12)

Overall 36% successfully engaged into care/drug treatment

dpci aetna data
DPCI/Aetna Data

Modified from Wright, Delaware Physicians Care Inc, 2010

dpci aetna data1
DPCI/Aetna Data

Modified from Wright, Delaware Physicians Care Inc, 2010

slide18

Cost Savings From A Few

Can Support Many

next steps
Next Steps
  • Rigorous Program Evaluation to begin May 1 in partnership with Treatment Research Institute, University of Pennsylvania and Christiana Care Center for Outcomes Research and Office of Medicaid
  • Sustainability is the key
  • State-wide roll out?
for consideration
For Consideration
  • There is value in identifying and engaging disenfranchised populations
  • Need to find doors for their inclusion into the medical home
  • Rigorous program evaluation likely to reveal potential for significant savings
project engage3

Project Engage

Basha Silverman,

Director of Prevention and Advocacy,

Brandywine Counseling and Community Services

bsilverman@brandywinecounseling.org

Terry Horton, MD, FACP

Chief, Division of Addiction Medicine

Department of Medicine

thorton@christianacare.org