1. Claymont Treatment Center- Niatx Presentation Our Change team Our Change team –Madaga Evans- Change Leader –Constance Ruggieri- Clinic Director and change team member –Jennie Matterson- Clinical Supervisor and Change team member

2. What was our AIM and Why? Increase Patient Retention: Reduce the number of patients being discharged in their 1 st 90 days of treatment. Increase Patient Retention: Reduce the number of patients being discharged in their 1 st 90 days of treatment. Why did we focus on this? Why did we focus on this? –We found that 50% of our discharges were patients who had been in treatment less than 90 days. –We found that we needed to focus on finding ways to engage patients early in treatment.

3. What changes did we make? Cycle 1 Cycle 1 –Decided to give the front lobby a “face lift” in order to give the treatment center a more welcoming feel. Cycle 2 Cycle 2 –Decided to change the Orientation leader and monitor compliance more closely. Cycle 3 Cycle 3 – Decided to monitor daily No-Shows Cycle 4 Cycle 4 –Decided to change Orientation time. Cycle 5 Cycle 5 –Decided to add another Orientation leader to take pressure off of one counselor. Cycle 6 Cycle 6 –Decided to change how the Orientation group is monitored. Cycle 7 Cycle 7 –Decide to revisit No-show report monitoring and have Office manager distribute the list daily. Cycle 8 Cycle 8 –The new Clinical Supervisor began ensuring that patients were assigned immediately after intake.

4. RESULTS

5. NEXT STEPS We plan to continue to closely monitor the no-show report and come up with an easier way to ensure compliance with this policy. (i.e. tracking sheet with patients name, phone number, date called, and reason for leaving/ missing treatment). We plan to continue to closely monitor the no-show report and come up with an easier way to ensure compliance with this policy. (i.e. tracking sheet with patients name, phone number, date called, and reason for leaving/ missing treatment). We plan to have patients complete a survey asking what areas of treatment are helpful and which areas discourage them from remaining in treatment. We plan to have patients complete a survey asking what areas of treatment are helpful and which areas discourage them from remaining in treatment. We plan to extend orientation over the first 8 weeks of treatment. We plan to extend orientation over the first 8 weeks of treatment.

6. IMPACT The project was a success! The goal was to retain patients and we increased our retention rate significantly. The project was a success! The goal was to retain patients and we increased our retention rate significantly. Additionally many of our changes brought in new patients so it increased our YOY census by over 50 patients. Additionally many of our changes brought in new patients so it increased our YOY census by over 50 patients. We became keenly aware that we were eager to get patients into treatment but were not as focused as we needed to be on engaging them early in treatment. This made us redistribute resources in order to focus on ensuring that patients entering treatment get the additional support they need. We became keenly aware that we were eager to get patients into treatment but were not as focused as we needed to be on engaging them early in treatment. This made us redistribute resources in order to focus on ensuring that patients entering treatment get the additional support they need.

7. Contact Information Claymont Treatment Center- A member of CRC Health Group 2999 Philadelphia Pike Claymont, Delaware 19703 302-792-0700 (Phone) 302-792-0800 (Fax) www.crchealth.com Clinic Director- Constance Ruggieri