Re-Admission Rates: Population Characteristics and Data Accuracy Jay Ford Tim Conner

2013 WI Mental Health Collaborative Counties: 30 Day Readmission Rates

2013 WI Mental Health Collaborative Counties: Readmission Rates by Day Range

2013 Non WI Mental Health Collaborative Counties: Readmission Rates by Day Range

2013 WI Mental Health Collaborative Counties: Readmission Rates by Day Range

Readmission Rate by County County FOV Human Service Center7.7%6.6%6.5% LLM - North Central Comm Servs1.2%3.0%11.8% Milwaukee Co CCSB13.9%13.4%12.3% Shawano Co DCP5.0%5.2%6.7% Wood Co Unified Services10.3%11.2%12.0% Brown Co HSD13.7%13.3%11.6% Jefferson Co HSD10.8%11.5%6.2% Outagamie Co HSD7.0%3.7%6.9% Rock Co HSD6.7%8.4%8.9% St Croix Co HSD9.1%5.5%5.6% Sauk Co HSD4.2%9.0%11.7% Sheboygan Co HSD13.7%9.0%11.6% Winnebago Co HSD6.1%9.1%8.4%

Comparison Groups GroupIncluded Counties Group 1Milwaukee, Waukesha and Brown Group 2Rock, Wood, Winnebago, Dane and Racine Group 3Outagamie, Washington, LLM, Fond du Lac and Forest/Oneida/Vilas Group 4Sauk, Waupaca, Sheboygan, Manitowoc, and Columbia Group 5Shawano, Dodge, St. Croix and Barron Group 6Monroe, Jefferson and Polk

Selected Comparisons for Patients with a 30 day Readmission Discharge Reason BRC Categorization of Severity of Need Commitment Status Presenting Problem Received Community Support in 1 to 2 Months of Discharge

Comparison General Statements Individuals with a referral related discharge status often have higher 30 day readmission rates. In certain counties, individuals who complete treatment but with moderate not major improvements have higher 30 day readmission rates. In some counties, an individual who has a voluntary commitment has a higher 30 day readmission rate.

Comparison General Statements The absences of follow-up community services within 1 to 2 months of discharge is associated with higher 30 day readmission rates in some counties. Individuals with a BRC severity related to short- term situational services tend to have higher 30 day readmission rates. An individual’s presenting problem in conjunction with other factors may indicate an increased likelihood of a 30 day readmission.

Quick Review of Comparison Tables

Impact of Missing Data BRC Severity (11%) Client Characteristics (10% for 1 st, 80% for 2 nd & 94% for 3 rd ) Presenting Problem (14% for 1 st, 38% for 2 nd & 94% for 3 rd ) Criminal Justice, Employment, GAF Scores, Health Status, Living Situation and Suicide Risk missing for at least 93% of cases ranging to 100% Flag for service follow-up missing from at least 84% of individual monthly cases but none missing from follow-up in 1 st two months

Impact of Missing Data Criminal justice system involvement 30-day readmissions 31+ day readmissions no readmitTotal None On probation Arrest(s) Jailed-imprisoned On parole0011 Juvenile justice system contact

Impact of Missing Data Living situation 30-day readmissions 31+ day readmissions no readmitTotal Homeless - street,shelter Private residence Supported or semi- supervised residence Specialized facility - on-site supervision Other institution13711 Jail or correctional facility