nchc readmission project. project aim nchc 16 bed acute care psychiatric hospital serving lincoln,...
TRANSCRIPT
NCHC Readmission Project
Project Aim
NCHC 16 bed acute care Psychiatric Hospital serving Lincoln, Langlade & Marathon Counties for clients age 13-adult.
Capacity less than need
AIM: Decrease readmission rate• Improve individual outcomes• Allow greater capacity in current 16 bed
unit
Changes
• Change in Crisis CBRF use• Case conferences with Community
Treatment staff to develop alternative Crisis plans for individuals who are struggling
• Transitional Nurse role (9/1/14) to “tie up loose ends”; provide continuity between services; assist in problem-solving
Results
Jan Feb Mar Apr May Jun July Aug Sep
Series1 16.5 8.3 3.6 11.8 8.8 8.2 13.7 10.5 9.4
1
3
5
7
9
11
13
15
17
30-Day Readmission Rate
Next Steps
• Seek expansion of Crisis CBRF beds
• Formalize hand-off processes
• Expand/formalize Transitional RN role
Impact
• Intra-agency communication/Hand-Offs can be more challenging than between agencies
• Seeking different outcomes requires change on the part of team members, not just clients
• Change takes time…and repetition!