Reduce time from Assessment to Admission

Aim Statement:Decrease time from asssessment to admission from a baseline of 5 days to 2 days by 1/1/24

Location:Peoria

Start Date:11/14/2023

End Date:03/01/2024

Name of coalition or program:Outpatient Services

What customer population are you trying to help?MAR

Executive Sponsor:Barbara Smith

Change Leader:Jerry Rashad Alyssa Worthington

Change Team:

Jill Larson - Assessment Staff
Tiffany Morrow - Warm Handoff Specialist
Danny Johnson - MAR Admission Staff
Maxine Campen - Lab Supervisor

How will you collect data to measure the impact of change? Who will collect it?

Danny Johnson will collect data and share with change team:
-time from assessment to admission for each client
-time to first lab appt from assessment and referral
-number of clients that no-show
-reasons for no-shows

What is the expected impact of this change project? How will the Executive Sponsor know?

New client's currently are delayed from beginning services due to lab requirements - would like to reduce time from assessment to admission so that clients can begin dosing same day, or at the latest, within 2 days of assessment. Reduction in no-shows.

PDSA

PDSA Cycle #   1 Cycle Begin Date   11/07/2023 Cycle End Date   12/12/2023 What is the change to be tested?   Warm handoff staff will transport client to lab for appt so that the client does same or next day. PLAN   -Warm handoff staff will be contacted on day of assessment for eligible clients. -Warm handoff staff will return to MAR facility and transport to lab and remain with clients until labs are completed. -Lab will mark labs as stat and communicate with MAR nurse / doctor if there are concerns. MAR will count number of clients that did / did not receive lab same day and reason - these will be staffed by team on daily basis to problem solve delays. DO   -Warm handoff staff began transporting clients for labs on 11/20/23. STUDY   - 5 of 5 clients were transported by warm handoff staff from 11/20 through 11/24. - Lab staff did not mark some labs as stat (3 out of 5) - this was communicated to lab staff on 11/24/23. -4 of 5 clients did complete labs same day and were prepared to dose the following day. 1 of 5 clients was not able to begin dosing the same or following day due to lab confusion. ACT   Team made a decision to adopt transport by warm handoff staff and will adapt the lab component so that the lab is called with each new admission.