1. NCHC Readmission Project

2. 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

3. 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

4. Results

5. Next Steps Seek expansion of Crisis CBRF beds Formalize hand-off processes Expand/formalize Transitional RN role

6. 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!