1. Team Members: Jessica Delzer, Kelly Bueschel, Jennifer Jacobson, Judy Kressin-Reindl, Leslie Ousley, Jane Coleman, Kaitlyn Gitter, Danielle Hoskins Pictured on final slide: Michael Mattes and Katie Marquardt SHAWANO COUNTY DCP: 2013 NIATx CHANGE PROJECT

2. AIM Reduction in Inpatient Recidivism Increase Crisis Units Model a “Warm” Transfer from Inpatient to Community Supports

3. CHANGES READMISSION DATA Tracked readmission rates1 individual was readmitted twice SURVEY Measured satisfaction in service delivery 19 completed surveys Increases in all satisfaction domains INTERVENTION: May 22-October 4, 2013 Within 24 hours post-dischargeFace-to-face follow up using specific script BASELINE DATA 13 prior admissionsAdministered telephone survey

4. Readmission data, comparing 4 consecutive years (5/22-10/4) Crisis linkage and follow up units with corresponding revenue, comparing 4 consecutive years (5/22-10/4) RESULTS $10, 640 * All revenue for September and October is not yet recouped

5. Track engagement and retention in agency services. Look at survey results to potentially alter initial face-to-face script as needed. Some consumers refused the intervention and/or survey. Look at alternative approaches. NEXT STEPS

6. Case manager completed the intervention and survey with their own clients. Was that the best decision? At times the person administering the survey was the same individual that initiated the emergency detention. Was this the best decision? Possibly limit staff involved for more consistency in measurement. In some cases, a face to face intervention was not possible. Is phone contact sufficient as an alternative? Significant increase in service units provided to consumers by the crisis team = increased revenue! ULTIMATELY, there is value in having face to face support within 24 hours of inpatient discharge, and having a script helped staff feel more purposeful in their intervention with consumers. IMPACT/LESSONS LEARNED

7. Katie Marquardt and Michael Mattes THE END!!!