Overview Promising Practices Observations and Ideas Promising Practices From WI Readmission Collaboratives What we have learned PreAdmission During Stay PostDischarge PreAdmission Crisis Interventions ID: 764079
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Overview Promising Practices Observations and Ideas: Promising Practices From WI Readmission Collaboratives
What we have learned….Pre-Admission During StayPost-Discharge
Pre-Admission Crisis InterventionsHave a diversion program for crisis and detox patients Develop a crisis line
Crisis Interventions (Cont.) Increase crisis line capacityNetwork with local policeGo to home (to de-escalate)
Pre-Admission (Cont.) Good cross-department communication prior to admission decisionNext-day appointment from ED Adopt a single point of entryPeer supports available
During Stay Apply evidence based practices (e.g. motivational interviewing, contingency mgt., dialectical behavioral therapy) to increase continuation and reduce no-showsDevelop a crisis plan Planning for Discharge:Begin discharge planning at admissionSocial worker assessmentMultidisciplinary case staffings
During Stay Discharge ProcessSocial Worker/Nurse Apply check-out of crisis plan, community resources, & medsWarm hand-offs (OP in dx, assessment prior, counselor introduction)
Post-DischargePost-discharge follow-up (phone, case mgt.,) Reduce wait time from hospital to detox to outpatient.
Administrative ProcessesIncrease Medicaid Coverage Develop standardized assessment across a regionConduct readmission analysis of types and frequency of re-admitters
Assignment Pick Top 3 Items That Could Reduce Readmissions in Your County
Questions? What can we add to the list?