Rogers Improvement System teams enhance patient care

07/06/17 05:19:pm

RIEstock.jpgFacilitating the right care at the right time

Research shows that patients coming out of inpatient treatment are more likely to sustain their improvement if they step down to partial hospital or intensive outpatient treatment (PHP and IOP).

With that rationale, a Rapid Improvement Event (RIE) team tackled the problem of why only 36% of Rogers patients leave with plans for day treatment even though physicians recommend it 90% of the time.

A few changes are already being implemented on the adult inpatient unit in Oconomowoc and will be spread to other sites once they are successfully sustained. New processes include:

  • Standard work for referrals and recommendations for day treatment

  • Providing patients with more information about PHP and IOP so they can make good decisions

  • New sheets for referring providers and elimination of second provider review to assist in simplifying the referral process

The aim is to reach 56% of patients leaving with plans to get specialized outpatient treatment through Rogers.

Inpatient team works to improve daily programming

With the goal of getting more patients to participate in group activities to enhance their care, an RIE team focused on scheduling and space for programming in West Allis. 

They started with some tough realities: only 54% of groups occur as scheduled and only 28% of patients attended groups during the time evaluated. The target is to achieve 80% of groups occurring as scheduled with at least 65% of patients participating.

To reach those goals, the group is:

  • Increasing programming opportunities on weekend and evening shifts and promoting groups with signage and education to patients

  • Creating online resources and materials on the programs and expectations for downtime 

  • Using a new resource shelf with well-organized games and materials

The team will monitor results and also watch to see how the changes impact clinical quality through the CGI score and patient satisfaction through Press Ganey scores.

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