1. Improving Client Engagement in Primary Health Care Services Jewish Guild For The Blind

2. Identify Area/s for Improvement To improve client engagement into Primary Health Care. Assuring that clients maintain regular PCP visits, providing follow-up and assistance to clients who are not not engaged or not regularly engaged in Primary Health Care.

3. Organize Improvement Project Team Team selected: supervisor & case managers

4. Review Current Process Case Review found: Providers were listed in the core history section of case management notes. The monitoring of Primary Health care use was listed as a treatment plan objective. Attendance was not documented by date of last appointment. No uniform follow-up of persons who are not in primary care.

5. Select & Test Improvement Strategies New monitoring and documentation guidelines developed for Primary Health Care uniformity. (see attached) A case review instrument was developed.(see attached) A sample 15 Intakes and Reassessments from March and April were reviewed using a brief review instrument. (see attached.)

6. Measure Results of Improvement Strategies Sample Size: 5 Intakes and 10 Reassessments Results: 100% documentation of primary care providers in the core history & on the treatment plan re-assessment 50% of charts indicated the date of the last reported primary care visit

7. Lessons Learned Guidelines must clearly specify required documentation

8. Next Steps Guideline instructions were further modified to highlight the need to list the last reported date of primary care attendance. Staff are trained on the revised guidelines Small scale data collection will occur to measure progress