1. Matrix Institute NIATx OTP Project Steve Rogers Dan George

2. AIM Reduce No-shows Many MediCal patients missing daily dosing No-shows have a clinical and administrative cost

3. Change Targeted DMC ‘Worst Attenders’ N=14 < 80% dosing in March 2010 Counselors monitored patients and used motivational techniques Implemented individualized strategies Call patient after missing dosing Reinforce benefits of daily dosing re: addiction tx TH privileges (if applicable) CA Budget Issue (elimination of DMC)

4. Results

8. Next Steps Adopted the Change More closely monitor attendance Apply to entire OTP population

9. Impact Patients benefited clinically More consistent dosing= more stabilized Some qualified for TH privileges Clinic benefited administratively Increase in Revenue Increase in staff experience doing rapid change (Change Team) Some complacency after period of time