Clinic Access Project

• Goal: Increase access to Clinic Services as evidenced by increased number of planned discharges.

• Target: Increase planned discharges by 5%

Key Processes• Barriers to planned discharges• Flowchart• Fishbone Diagram

Key Improvements• Baseline Data Collection: Discharges

• Identified opportunities for improvements• Revised DC planning process: Intake,

Treatment Planning• Educated staff

Projected Outcomes• Increase Clinic access

– Increase overall discharges; particularly planned discharges

– Decrease client length of stay– Change caseload composition

• Engage the client in discharge planning (client centered focus)

• Increase clinician awareness. Remain focused on treatment plan/discharge plan.

Moving Forward…

• New Documentation Requirements – Intake assessment– Treatment plan reviews

• Monitoring Progress– Compare quarterly planned/unplanned discharges

with 2009 baseline data. Both overall and individually.

– Provide clinicians data/feedback– Continue education

Impact on Clinic Culture

• Clinician focus on shorter term treatment via promotion of natural supports.

• Expectation of goal positive graduation from services.

• Staff creativity encouraged to move clients toward discharge.