1. Introducing the Beth Israel Medical Center MMTP Change Team: Juante Vanterpool, Change Leader Dr. Ruy Tio Robert Acorda, RN Ana Clemente, LCSW Jessica Barenboim, Counselor Ambrose Agho, Counselor Our Mission: Make the CEO Happy by Improving Retention…

2. Improve retention through enhanced engagement and education during Screening & Intake Process Restructure the overall Screening & Intake processRestructure the overall Screening & Intake process Continue to conduct same day admissions but in one designated locationContinue to conduct same day admissions but in one designated location Provide consistent and uniform information to applicantsProvide consistent and uniform information to applicants Keep the applicant engaged during entire intake process by involving various disciplinesKeep the applicant engaged during entire intake process by involving various disciplines Remain cordial to applicant during intake process to encourage patienceRemain cordial to applicant during intake process to encourage patience

3. Implement the Enhanced Admission Process Managers will conduct screening process to ensure thorough assessment and appropriateness for treatmentManagers will conduct screening process to ensure thorough assessment and appropriateness for treatment Reinforce the 5-in-5 post admission (5 disciplines in 5 days)Reinforce the 5-in-5 post admission (5 disciplines in 5 days) Assign new patients to counselors within 3 daysAssign new patients to counselors within 3 days Require new admissions to attend Early Intervention/Orientation Group within first 30 daysRequire new admissions to attend Early Intervention/Orientation Group within first 30 days Provide new admissions with clinic specific information cards (wallet size)Provide new admissions with clinic specific information cards (wallet size)

4. Data & Conclusions Pre change data reflect the following: A significant # of discharges were within 30 days of treatment (6 day avg.) A significant # of discharges were “Lost to Contact” within the 30 days Voluntary Discharges via referral for enhanced/intensified services or patient relocations impact retention rates, as does incarcerations Non-Active Medical Insurance impacted retention

5. Adoption of a Modified Process with minor adaptations Post changes improved early retention by providing : Proper screening for appropriate placement Early assistance in obtaining medical insurance Early engagement & intervention by Inter-Disciplinary Team Ongoing education & information about treatment and services offered The modified admission process has been integrated and adopted in 5 Clinics. The next focus will be on improving 3-6 month retention rates. The challenge still remains to implement this process in every clinic.

6. Impact of Change The patients have appeared to be more engaged in the treatment processThe patients have appeared to be more engaged in the treatment process Clinical staff supported the change as it assisted with decreasing duplicity of documentationClinical staff supported the change as it assisted with decreasing duplicity of documentation Reports are completed in a more timely mannerReports are completed in a more timely manner A greater need for on-site support groups have been developed & continues to expandA greater need for on-site support groups have been developed & continues to expand Although retention rates continue to fluctuate due to a multitude of variables, overall utilization remains stableAlthough retention rates continue to fluctuate due to a multitude of variables, overall utilization remains stable Patients feel more 'informed', 'appreciated' and 'respected'Patients feel more 'informed', 'appreciated' and 'respected' Although retention was the initial focus, the change process has been instrumental in preparing all personnel for the shift in the MMTP paradigm from medication assistance with opiod addiction to providing comprehensive clinical services to the whole personAlthough retention was the initial focus, the change process has been instrumental in preparing all personnel for the shift in the MMTP paradigm from medication assistance with opiod addiction to providing comprehensive clinical services to the whole person