NCHC Readmission Project

Project Aim

NCHC 16 bed acute care Psychiatric Hospital serving Lincoln, Langlade & Marathon Counties for clients age 13-adult.

Capacity less than need

AIM: Decrease readmission rate• Improve individual outcomes• Allow greater capacity in current 16 bed

unit

Changes

• Change in Crisis CBRF use• Case conferences with Community

Treatment staff to develop alternative Crisis plans for individuals who are struggling

• Transitional Nurse role (9/1/14) to “tie up loose ends”; provide continuity between services; assist in problem-solving

Results

Jan Feb Mar Apr May Jun July Aug Sep

Series1 16.5 8.3 3.6 11.8 8.8 8.2 13.7 10.5 9.4

1

3

5

7

9

11

13

15

17

30-Day Readmission Rate

Next Steps

• Seek expansion of Crisis CBRF beds

• Formalize hand-off processes

• Expand/formalize Transitional RN role

Impact

• Intra-agency communication/Hand-Offs can be more challenging than between agencies

• Seeking different outcomes requires change on the part of team members, not just clients

• Change takes time…and repetition!