Reduce Waiting & No-Shows  Increase Admissions & Continuation NIATx was originally a partnership of two grant programs: The Center for Substance Abuse Treatment Strengthening Treatment Access and Retention and The Robert Wood Johnson Foundation Paths to Recovery

Reduce Waiting & No-Shows  Increase Admissions & Continuation 2 Resources Abound at the NIATx Website The URL is Toolkits, Templates, Testimonials, Ideas, Promising Practices, Success Stories, Examples … Well Structured, Intuitive Navigation

Reduce Waiting & No-Shows  Increase Admissions & Continuation 3 Five Key Principles Evidence-based predictors of change Understand and involve the customer Focus on key problems Select the right change agent Seek ideas from outside the field and organization Do rapid-cycle testing

Reduce Waiting & No-Shows  Increase Admissions & Continuation 4 Starting a Change Project Select a change team – name a change leader, an executive sponsor, and data person Conduct a walk-through Collect baseline data Review data and walk-through Suggest a process change that might change what was identified in walk-through

Reduce Waiting & No-Shows  Increase Admissions & Continuation 5 Conducting a Walk-through  Play the role of a client and a client’s family member seeking treatment at your agency  Try to think and feel as the client/family member would, and think about what they would want changed  Ask staff what changes would make the process better for clients and for staff  Compile a list of client and staff needs and possible improvements that could address these needs

Reduce Waiting & No-Shows  Increase Admissions & Continuation 6 Conducting a Change Exercise PDSA cycles  Plan the change  Do the plan  Study the results  Act on the new knowledge Rapid cycle changes  Changes should be doable in 3 weeks

Reduce Waiting & No-Shows  Increase Admissions & Continuation 7 Hunches Theories Ideas Changes That Result in Improvement AP SD A P S D AP SD D S P A DATA Change Cycles PD-SA-Sustain Rapid cycle changes should be do-able in 3 weeks !!!!! Maybe…..

Reduce Waiting & No-Shows  Increase Admissions & Continuation 8 PDSA: The Bigger Picture

Reduce Waiting & No-Shows  Increase Admissions & Continuation 9 A Performance Improvement Project Definition 1 aim…..in 1 level of care…..in 1 location SPECIFIC AIM INCREASE CONTINUATION PDSA Change Cycle 2 PDSA Change Cycle 1 PDSA Change Cycle 3 Last PDSA Change Cycle… Preparation Leadership Customer involvement Problem selection Staff support Potential Changes Measures Sustainability Documentation Communication Decision making