jump to navigation

Walk in PDSA 1-SWFAS August 10, 2006

Posted by cblount in General.
3 comments

We’ve begun our first PDSA for youth outpatient walk-ins today.  So far we’ve experienced a light walk in rate, but feel it will pick up in the afternoon.  We prepared well by including on our change team a JPO, admin person, and three counselors.  We even ordered and received a drug screen test that gives us the result immediately.  The good news is that we haven’t been overrun at this point and feel really prepared to make the walk-in program work. 

Carrie Blount, SWFAS

What’s UP August 1, 2006

Posted by kaichner in General.
add a comment

Just wondering what and how everyone is doing. I don’t see much blogging happening.  Anything exciting happening with change efforts?

Kim Aichner

CNYServices, Inc. 

New Change Team Formed July 7, 2006

Posted by kaichner in General.
add a comment

We decided to spread one of our changes.  We are expanding our Centralized Intake Dept., now clinically focused to include residential intakes.  We worried about territorial issues and therefore formed a new change team to include clinical and residential staff.  So far, so good.  We are still in the planning stage.  Walk throughs are being conducted at this point and we will start our first PDSA July 24th.

Kim Aichner

CNYServices, Inc.

Next Steps June 8, 2006

Posted by edavenport in General.
4 comments

The Admission Change Team has successfully completed and implemented the first series of PDSA. Now, the team is looking at ways to improve customer service. This area was identified during the walk through as needing improvement. We are struggling with the idea whether to facilitate a focus groups with clients admitted into our agency in the last 60 days or give a surveys. We are trying to decide which will glean more information. I am wondering what tools or techniques have been utilized by other members to direct the next steps.

Need Help! June 7, 2006

Posted by cblount in General.
3 comments

I need information/statistics from agencies that have gone to all walk-ins for adjudicated adolescents or even adults.  We currently have only two counselors at our site who assess adjudicated kids and we are scheduled out through August.  The wait time for assessment appts is just growing! The counselors agree that we should bite the bullet and go to all walk-ins to alleviate the wait time knowing full well we will be swamped for a while.  Our supervisor continues to put it off.  Has anyone done this an how did you go about it?  Also, how did you convince your supervisor to try it? How did you transition from appts to all walk-ins?

 Thanks, Carrie (SWFAS) 

New Change Project: Methadone Counselor Access June 6, 2006

Posted by rredmond in General.
1 comment so far

My hospital (Acadia in Bangor, Maine) decided to apply rapid cycle change to a problem in our methadone program.  Clients have been no-showing for scheduled counselor appointments at a high rate and productivity has been not good.  A high percentage of clients have not even been getting to the minimum requirement of one meeting per month with their counselor.  The change team mapped out a flow chart; did two walk-thru's; and conducted a focus group with six clients.  We discovered several areas for process change but went with the most glaring issue (discovered in the focus group) – clients were plain forgetting their appointments.  We've adjusted software (using the SMART program) to produce in-clinic reminders on the computer for the dosing nurse to start reminding clients for the last five days leading up to their appointment.   When we conclude the first PDSA cycle, I'll report the results.  I'd appreciate feedback and would especially like to hear if other programs in this collaborative have tried to tackle this issue. Rick Redmond

Detox Change Team PDSA 2 Results May 31, 2006

Posted by kbryant in Change Teams, General.
add a comment

During the second PDSA cycle, we collected data in which 58 detox clients were discharged during the period 4/17-4/25/06. Again, one goal was to go from 13.1% to 40% in treatment referrals being made as our contracted goal is 35.8%.

Findings: 1) All discharged clients were referred somewhere except for two clients who refused any referral; 2) 66% were referred to some form of substance abuse treatment; 3) 52% were referred to internal treatment centers; 4) 50% accepted the offered referral; and 5) 45% were also (or at least) referred to 12-step support groups.

Discussion:  Our finding of 66% has far exceeded both goals (CLA and Signal).

Detox Change Team PDSA 1 Results May 31, 2006

Posted by kbryant in Change Teams, General.
1 comment so far

One goal was to go from 13.1% to 40% in treatment referrals being made as our contracted goal is 35.8%. During the first PDSA cycle, we collected additional baseline data in which 26 detox clients were discharged during the period 4/3-4/7/06.

Findings: 1) All discharged clients were referred somewhere; 2) Approx. 35% were referred to some form of substance abuse treatment; and 3) Most clients refused the treatment referral.

Discussion: Our 35% finding is already near our contracted goal of 35%. However, two training issues were found that needed to be corrected. We will run a second PDSA cycle after retraining to verify. Also, based upon staff input, we will create referral agency list to provide for clients.

Change Teams May 15, 2006

Posted by szimmerman in Change Teams, General.
4 comments

The first change team has met twice, done a flow chart and made some interesting decisions on intervention.  The goal was to increase admissions to our batterers intervention program.  We have done some meetings with probation officers and are now waiting to see what the impact will be.

Gary Drake April 27, 2006

Posted by gdrake in General.
2 comments

Change team process becoming interesting. Our Aim is to reduce no shows for psychiatric services. Psychiatrist resigns one week later.