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Matrix Institute

Matrix Institute. NIATx OTP Project. Steve Rogers Dan George. AIM. Reduce No-shows Many MediCal patients missing daily dosing No-shows have a clinical and administrative cost. Change. Targeted DMC ‘Worst Attenders’ N=14 < 80% dosing in March 2010

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Matrix Institute

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  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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