Sonia Hill, Lisa Broll, Carlo Nevicosi October 20, 2015 Walworth County DHHS Sonia Hill, Lisa Broll, Carlo Nevicosi October 20, 2015

Project Aims 1 2 3 Reduce hospital re-admissions Develop and implement “Receiving Plan” 2 First contact within 48 hours of discharge 3 Several high-profile suicides Increase in settlement agreements No standards for monitoring commitments and settlement agreements Concerns about our effectiveness

Changes Milestone 1 Develop “Receiving Plan” Milestone 2 Develop standards for first contact Milestone 3 Improve information sharing and accountability Milestone 4 Develop protocol for contact within 48 hours Development of our flow chart Creation of new forms

The average time of our 1st contact with consumer went from 20 days in November of 2014 to 2 days in Aug of 2015. That equates to a 90% improvement. We developed a “Receiving Plan” that is now fully operational. Developed a Settlement Agreement board for staff to easily monitor and maintain contact with their respective consumers in order to remain accountable. Although just started board in the beginning of October, it has shown to be effective.

Next Steps 1 2 3 Permanent adoption of receiving plan Incorporate standards into new employee training 2 Identify Annual Process Improvement project 3 Projects may include looking at how we handle recommitments and how we admit people into residential care

Impact Improved Working Relationships Improved Services Without Additional Resources Improved Staff Confidence and Morale Developed Guidelines for Service Delivery Implementation of the Niatx project has improved our working relationship with Court Services and the Crisis Case Management departments who were also involved in this Niatx project. By implementing the new procedure we have improved service delivery without the allocation of additional resources by decreasing the time it takes to obtain discharge information from Court Services to Crisis Intervention for necessary follow up.

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