Wood County Human Services Department Mental Health Collaborative 2012

Committee Membership Wood County Human Services Department: Kathy Roetter, Director Charlotte Smith, BHS Division Manager Randall Ambrosius, Treatment Services Manager Melissa Niedfeldt - Graduate Student: Intern Wood County Unified Services Norwood Health Center:  Kristi Smith: Client Services Manager Pam Martinson: Health Information Manager     Consumer: Joe Arts Doug Aughey  Project Coach John Hyatt: LCSW, Senior Vice President of IMPACT of Milwaukee, WI

Baseline Current re-hospitalization rate is 4% within 30 days of discharge AIM Big Aim: Reduce to 3% or less Little Aim: Enhance more individuals to be involved in support calls.

Rapid Cycle Changes April 2012 Action: Clients shown video, asked to sign up Study: Tape too long, 4 clients signed up for program May 2012 Action: New shorter video Study: 6 clients signed up for program, 0% were rehospitalized June 2012 Action: Change how we are asking about support calls Study: 22 clients signed up for support calls, 10% were rehospitalized July 2012 Action: Continuing to change how we ask about support calls Study: 30 clients sign up, 7% rehospitsalized August 2012/September 2012 Action: Continue to change asking about support calls Study: Individuals who sign up and participated in support calls, 2% rehospitalized, Clients who signed up and DID NOT follow through 9% rehopsitalization.

Impact The goal was 3% or less re-hospitalizations. Clients that choose to participate averaged 2% re-hospitalization. Clients who choose not to participate averaged 9% readmission rate. Clients feel support upon discharge. Enhance staff morale. Better understandings of other departments. Increased emphasis on hand offs and crisis planning.

Review readmissions 30 and 180 days from discharge Next Steps (ACT) Review readmissions 30 and 180 days from discharge Utilize Peer Specialists/Clubhouse Review each client’s case