1. Kings County Hospital Center MATP III NIATX PROCESS IMPROVEMENT PROJECT APR – NOV 2011 Our Change Team Executive Sponsor : Janet Aiyeku (Sr. Executive Director) Change Leader: Dominique Michel (Addiction Counselor) Team Members, Donna Crummell, Clinic Administrator, Deidre Diamond, Clerical Associate, Nidia Miller, Coordinating Manager, Gloria Neblett, Counselor, Marie Charles, Nursing

2. Goal To Sustain 90% Retention In Each 30 day period

3. Change Alert Team and Courtesy Teams are created. Alert Team and Courtesy Teams are created. Newly admitted patients are engaged by Alert & Courtesy Teams daily Newly admitted patients are engaged by Alert & Courtesy Teams daily No computer holds or messages; all interactions done face to face. No computer holds or messages; all interactions done face to face. Team Leader given daily data on admissions and introduced to all new admissions Team Leader given daily data on admissions and introduced to all new admissions Courtesy Team welcome patients to clinic, brief patients on services that are available, conduct a mini courtesy session to assure pleasant experience over the course of the first month in treatment. Courtesy Team welcome patients to clinic, brief patients on services that are available, conduct a mini courtesy session to assure pleasant experience over the course of the first month in treatment. All issues that are identified as barriers or will negatively impact patient attendance and retention are addressed by supervisor, counselor and courtesy team intervene where necessary. All issues that are identified as barriers or will negatively impact patient attendance and retention are addressed by supervisor, counselor and courtesy team intervene where necessary. NIATx Project update added to interdisciplinary team agenda. NIATx Project update added to interdisciplinary team agenda. Weekly update of new patient whereabouts in team meetings Weekly update of new patient whereabouts in team meetings Five Question Survey developed to identify five specific areas for improvement and other patient concerned Five Question Survey developed to identify five specific areas for improvement and other patient concerned

4. Results Project started with 45 patients admitted between April & June 2011. Project started with 45 patients admitted between April & June 2011. One patient was discharged from the baseline (45) during the 1 st Qtr period. One patient was discharged from the baseline (45) during the 1 st Qtr period. During the Sustainability period; 28 patients were admitted (July – Sept, 2011). No patients were discharged from that quarter’s admissions. During the Sustainability period; 28 patients were admitted (July – Sept, 2011). No patients were discharged from that quarter’s admissions. Total of 73 patients are engaged and monitored for this project, 1 was discharged. 72 remains in treatment Total of 73 patients are engaged and monitored for this project, 1 was discharged. 72 remains in treatment Overall, the project has had a monthly average of 100% retention and 1% discharge rate for the cycle duration. Overall, the project has had a monthly average of 100% retention and 1% discharge rate for the cycle duration. The sustainability remains at 100% retention The sustainability remains at 100% retention

5. Total Patients Admitted & Discharged for Quarters 1 & 2

6. Impact Met and sustained the State required standard of 85% for (30 days retention) the project duration Met and sustained the State required standard of 85% for (30 days retention) the project duration Increase in retention = increase in services rendered and revenue Increase in retention = increase in services rendered and revenue Approximately 1752 billable sessions sustained. A revenue $1051.20 Approximately 1752 billable sessions sustained. A revenue $1051.20

7. Next Steps Referral to community Based support services, including Housing connections, Referral to community Based support services, including Housing connections, To assure vocational engagement, beginning with comprehensive vocational assessment and evaluate for specific vocational targets, including, education, employment, training and internships To assure vocational engagement, beginning with comprehensive vocational assessment and evaluate for specific vocational targets, including, education, employment, training and internships Refer for in-house services, including nutritional assessment and follow-up. Refer for in-house services, including nutritional assessment and follow-up. Ensure that all medical and health related needs are addressed and monitored by medical staff Ensure that all medical and health related needs are addressed and monitored by medical staff Weekly Project Meeting to monitor and implement new interventions for sustaining the project outcome where necessary Weekly Project Meeting to monitor and implement new interventions for sustaining the project outcome where necessary