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Reducing No-shows in MediCal Patients through Individualized Strategies: A Success Story

The Matrix Institute's OTP project, led by Steve Rogers and Dan George, targeted high-risk MediCal patients with chronic no-show issues for daily dosing in March 2010. By implementing tailored strategies and motivational techniques, such as monitoring, follow-up calls, and emphasizing benefits, no-show rates dropped drastically. The project's success led to increased clinical benefits, revenue, and staff experience. However, there was noted complacency over time, highlighting the need for continued monitoring. The project's impact showcased the power of personalized interventions in addiction treatment, leading to improved patient stability and clinic efficiency.

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Reducing No-shows in MediCal Patients through Individualized Strategies: A Success Story

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Presentation Transcript

  1. Matrix Institute NIATx OTP Project Steve Rogers Dan George

  2. AIM • Reduce No-shows • Many MediCal patients missing daily dosing • No-shows have a clinical and administrative cost

  3. Change • Targeted DMC ‘Worst Attenders’ • N=14 < 80% dosing in March 2010 • Counselors monitored patients and used motivational techniques • Implemented individualized strategies • Call patient after missing dosing • Reinforce benefits of daily dosing re: addiction tx • TH privileges (if applicable) • CA Budget Issue (elimination of DMC)

  4. Results

  5. Results

  6. Results

  7. Results

  8. Next Steps • Adopted the Change • More closely monitor attendance • Apply to entire OTP population

  9. Impact • Patients benefited clinically • More consistent dosing= more stabilized • Some qualified for TH privileges • Clinic benefited administratively • Increase in Revenue • Increase in staff experience doing rapid change (Change Team) • Some complacency after period of time

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