Evans_3-9-10 by panniuniu

VIEWS: 0 PAGES: 21

									A Rapid-Cycle Change Project to Increase Admissions
WHERE HAVE ALL THE
   PEOPLE GONE?
 A Rapid-Cycle Change Project to Increase Admissions




   Westbrook Health Services, Inc. is a
  comprehensive community behavioral
  health center serving individuals with
   mental health, substance abuse and
developmental disabilities in eight counties
            in West Virginia.
 WHERE HAVE ALL THE
    PEOPLE GONE?
  A Rapid-Cycle Change Project to Increase Admissions




                        Mission Statement
  Empowering people to achieve their greatest
potential, Westbrook Health Services, Inc. is the
industry leader in providing comprehensive care
to individuals with mental health, developmental,
   substance abuse and addiction challenges.
WHERE HAVE ALL THE
   PEOPLE GONE?
A Rapid-Cycle Change Project to Increase Admissions




                                         • serves an 8 county area
                                               with a total population
                                               of 168,800

                                         • 7,796 individuals served
                                               annually
   WHERE HAVE ALL THE
      PEOPLE GONE?
    A Rapid-Cycle Change Project to Increase Admissions




• serving individuals with mental
  health and substance abuse
  issues (detox)
• 10 beds
• voluntary admission
• average length of stay is 7 days
• annual budget of $810,000                               Crisis Stabilization
                                                                  Unit
WHERE HAVE ALL THE
   PEOPLE GONE?
A Rapid-Cycle Change Project to Increase Admissions




 What keeps the CEO awake at night?

     answer: a low occupancy rate at
             the CSU
 WHERE HAVE ALL THE
    PEOPLE GONE?
 A Rapid-Cycle Change Project to Increase Admissions




The aim of the change project was to
WHERE HAVE ALL THE
   PEOPLE GONE?
A Rapid-Cycle Change Project to Increase Admissions




                    The Change Team
         Suzanne Evans                                Tim Barnett
         CSU Director and team leader                 Adult Mental Health Program
                                                      Director and referral source


          Heather Williams                            Abby Pierce
          CSU Administrative Assistant                Crisis Coordination Case
          and data queen                              Manager and referral source
WHERE HAVE ALL THE
   PEOPLE GONE?
 A Rapid-Cycle Change Project to Increase Admissions




                                 The Issue
For a 6 month period (2-1-09 through
 7-31-09) prior to the initiation of the
change project the CSU operated at
   an average of 50% occupancy.
WHERE HAVE ALL THE
   PEOPLE GONE?
A Rapid-Cycle Change Project to Increase Admissions




                                 The Goal

Increase the occupancy rate of the
           CSU to 70%.
  WHERE HAVE ALL THE
     PEOPLE GONE?
  A Rapid-Cycle Change Project to Increase Admissions




                             The Business Case
     At 50% occupancy the revenue of the CSU was
approximately $2,680 a day. Increasing the occupancy to
  70% would increase the revenue to $3,752 a day, an
                 increase of $1,072 a day.
Bottom line – a 20% increase in occupancy would result in
                a 40% increase in revenue.
 WHERE HAVE ALL THE
    PEOPLE GONE?
  A Rapid-Cycle Change Project to Increase Admissions




                             The Walk-through

   The walk-through revealed that the CSU staff
members were taking too much time to respond to
referrals for admission and admissions were being
    lost to other agencies who responded more
                      quickly.
WHERE HAVE ALL THE
   PEOPLE GONE?
A Rapid-Cycle Change Project to Increase Admissions




                                        Plan
Increase occupancy at the CSU by
   decreasing the wait time for a
 response when a referral is made.
 WHERE HAVE ALL THE
    PEOPLE GONE?
 A Rapid-Cycle Change Project to Increase Admissions




                                          Do
The CSU staff will take no more than
 15 minutes to respond to a referral
with a yes or no answer, accept or not
                accept.
 WHERE HAVE ALL THE
    PEOPLE GONE?
  A Rapid-Cycle Change Project to Increase Admissions




                                        Study
  For the period that the change was
implemented, the occupancy rate at the
  CSU increased from 50% to 70%.
 WHERE HAVE ALL THE
    PEOPLE GONE?
 A Rapid-Cycle Change Project to Increase Admissions




                                          Act
Implement the change. The CSU staff
will continue to respond to referrals for
 admission within 15 minutes or less.
  WHERE HAVE ALL THE
     PEOPLE GONE?
   A Rapid-Cycle Change Project to Increase Admissions




                             What We Learned
 Our referral sources reported to us that they were
pleased with the shorter response time, even if the
 referral was not accepted for admission, and that
they would be more inclined to refer patients to the
                 CSU in the future.
  WHERE HAVE ALL THE
     PEOPLE GONE?
  A Rapid-Cycle Change Project to Increase Admissions




                           Sustainability Plan

    The CSU staff are recording the time that a
referral is received and the time that a response is
 given on each referral form. The CSU director is
   reviewing the response time for each referral.
  WHERE HAVE ALL THE
     PEOPLE GONE?
  A Rapid-Cycle Change Project to Increase Admissions




                 Sustainability Plan cont.

The occupancy rate of the CSU is continually
   monitored by the CSU administrative
 assistant and reported to the change team
     and the CSU staff every 2 weeks.
 WHERE HAVE ALL THE
    PEOPLE GONE?
 A Rapid-Cycle Change Project to Increase Admissions




             Sustainability Plan cont.

  The change team intervenes if the
occupancy rate of the CSU falls below
      60% for a 4 week period.
WHERE HAVE ALL THE
   PEOPLE GONE?
A Rapid-Cycle Change Project to Increase Admissions




                            Contact Information
                   Suzanne L. Evans, M.A., LSW
            Crisis Stabilization Unit Program Director
                           2121 7th Street
                     Parkersburg, WV 26101
                      304-485-1721, ext. 159
                 slevans@westbrookhealth.com

								
To top