1. Wood County Unified Services Mental Health Collaborative 2010

2. BASELINE Current re-hospitalization rate at 30 days is 4% AIM Reduce re-hospitalizations rates at 30 days to 3% or less

3. Committee Membership Wood County Unified Services : Wood County Unified Services : Randall Ambrosius, Treatment Services Manager Randall Ambrosius, Treatment Services Manager Charlotte Smith, BHS Division Manager Charlotte Smith, BHS Division Manager Kathy Roetter, Director Kathy Roetter, Director Wood County Unified Services Norwood Health Center : Wood County Unified Services Norwood Health Center : Ken Wahlstrand Client Services Manager (Retired) Ken Wahlstrand Client Services Manager (Retired) Janet Belzer: Client Services Manager (Resigned) Janet Belzer: Client Services Manager (Resigned) Kristi Smith: Client Services Manager Kristi Smith: Client Services Manager Pam Martinson: Health Information Manager Pam Martinson: Health Information Manager Wood County Sheriffs Department: Wood County Sheriffs Department: Robert Levendoske (Retired) Consumer: Consumer: Joe Arts Wood County Health Department: Wood County Health Department: Karen Brewer: RN. Karen Brewer: RN.

4. Rapid Cycle Changes Rapid Cycle Changes Action Results Action Results Cycle One: Patient call 10% readmission Cycle One: Patient call 10% readmission crisis line crisis line Cycle Two: Patient call 3.3% readmission Cycle Two: Patient call 3.3% readmission crisis line crisis line Cycle Three: Norwood Social 0 readmission Cycle Three: Norwood Social 0 readmission Worker’s Call Low number Worker’s Call Low number Client’s with script wanting to be Client’s with script wanting to be involved involved

5. Change Cont. Action Results Action Results Cycle Four: Norwood Social 0 readmission Cycle Four: Norwood Social 0 readmission Worker Calls Low number Worker Calls Low number Client’s with wanting to be Client’s with wanting to be script involved script involved Cycle Five: Norwood Staff 0 readmission Cycle Five: Norwood Staff 0 readmission (Nurse, psych (Nurse, psych tech, etc.) Staff making calls with whom Staff making calls with whom they have a connection with. they have a connection with.

6. Results Percent of Re-hospitalizations 30 days after discharge 10 9 8 7 6 5 4 3 2 1 0 Before InterventionAfter Intervention 4% 10% 3.3% 0% Cycle One Cycle Two Cycle Three Cycle Four Cycle Five

7. Next Steps (ACT) Continue to have hospital staff make support calls Review readmissions 30 and 180 days from Discharge Utilize Peer Specialists/Clubhouses Review each client’s case

8. IMPACT 1. The goal was 3% or less re-hospitalizations. Clients that choose to participate 2 clients were readmitted (2.7 %). Of the clients who choose not to participate 10 Clients were readmitted. (9%) 2. Clients feel support upon discharge. 3. Enhance staff morale. 4. Better understandings of other departments. 5. Increased emphasis on hand offs and crisis planning.