Claymont Treatment Center- Claymont Treatment Center- Niatx PresentationNiatx Presentation

• Our Change teamOur Change team– Madaga Evans- Change LeaderMadaga Evans- Change Leader– Constance Ruggieri- Clinic Director and Constance Ruggieri- Clinic Director and

change team memberchange team member– Jennie Matterson- Clinical Supervisor Jennie Matterson- Clinical Supervisor

and Change team memberand Change team member

What was our AIM and Why?What was our AIM and Why?• Increase Patient Retention: Increase Patient Retention:

Reduce the number of Reduce the number of patients being discharged patients being discharged in their 1in their 1stst 90 days of 90 days of treatment. treatment.

• Why did we focus on this?Why did we focus on this?– We found that 50% of our We found that 50% of our

discharges were patients who discharges were patients who had been in treatment less had been in treatment less than 90 days.than 90 days.

– We found that we needed to We found that we needed to focus on finding ways to focus on finding ways to engage patients early in engage patients early in treatment.treatment.

What changes did we make?What changes did we make?• Cycle 1Cycle 1

– Decided to give the front lobby a “face lift” in order to give the treatment center a Decided to give the front lobby a “face lift” in order to give the treatment center a more welcoming feel. more welcoming feel.

• Cycle 2Cycle 2– Decided to change the Orientation leader and monitor compliance more closely. Decided to change the Orientation leader and monitor compliance more closely.

• Cycle 3Cycle 3– Decided to monitor daily No-Shows Decided to monitor daily No-Shows

• Cycle 4Cycle 4– Decided to change Orientation time. Decided to change Orientation time.

• Cycle 5Cycle 5– Decided to add another Orientation leader to take pressure off of one counselor. Decided to add another Orientation leader to take pressure off of one counselor.

• Cycle 6Cycle 6– Decided to change how the Orientation group is monitored. Decided to change how the Orientation group is monitored.

• Cycle 7Cycle 7– Decide to revisit No-show report monitoring and have Office manager distribute Decide to revisit No-show report monitoring and have Office manager distribute

the list daily.the list daily.• Cycle 8Cycle 8

– The new Clinical Supervisor began ensuring that patients were assigned The new Clinical Supervisor began ensuring that patients were assigned immediately after intake.immediately after intake.

RESULTSRESULTS50%

33.33%

23.53%

12.90%

31.58%

17.64%

29.14%

25%

17.24%

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

Pre NiatxData

Cycle 1 Cycle 2 Cycle 3 Cycle 4 Cycle 5 Cycle 6 Cycle 7 Cycle 8

% of discharges thatwere Patients intreatment less than 90days

NEXT STEPSNEXT STEPS• We plan to continue to closely We plan to continue to closely

monitor the no-show report monitor the no-show report and come up with an easier and come up with an easier way to ensure compliance way to ensure compliance with this policy. (i.e. tracking with this policy. (i.e. tracking sheet with patients name, sheet with patients name, phone number, date called, phone number, date called, and reason for leaving/ and reason for leaving/ missing treatment).missing treatment).

• We plan to have patients We plan to have patients complete a survey asking complete a survey asking what areas of treatment are what areas of treatment are helpful and which areas helpful and which areas discourage them from discourage them from remaining in treatment.remaining in treatment.

• We plan to extend orientation We plan to extend orientation over the first 8 weeks of over the first 8 weeks of treatment. treatment.

IMPACTIMPACT• The project was a success! The The project was a success! The

goal was to retain patients and goal was to retain patients and we increased our retention rate we increased our retention rate significantly.significantly.

• Additionally many of our Additionally many of our changes brought in new patients changes brought in new patients so it increased our YOY census so it increased our YOY census by over 50 patients.by over 50 patients.

• We became keenly aware that We became keenly aware that we were eager to get patients we were eager to get patients into treatment but were not as into treatment but were not as focused as we needed to be on focused as we needed to be on engaging them early in engaging them early in treatment. This made us treatment. This made us redistribute resources in order to redistribute resources in order to focus on ensuring that patients focus on ensuring that patients entering treatment get the entering treatment get the additional support they need.additional support they need.

Contact InformationContact Information

Claymont Treatment Center- A member of CRC Claymont Treatment Center- A member of CRC Health GroupHealth Group

2999 Philadelphia Pike2999 Philadelphia PikeClaymont, Delaware 19703Claymont, Delaware 19703

302-792-0700 (Phone)302-792-0700 (Phone)302-792-0800 (Fax)302-792-0800 (Fax)www.crchealth.comwww.crchealth.com

Clinic Director- Constance RuggieriClinic Director- Constance Ruggieri