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The NIATx Model and  Problem Gambling Treatment Reducing Paperwork  Improving care
Thanks!!!!! ,[object Object],[object Object],[object Object]
What is NIATx? ,[object Object]
What we know   ,[object Object],[object Object]
Why Process Improvement? ,[object Object],[object Object],[object Object]
Four AIMS Reduce Waiting Times Reduce No-Shows Increase Admissions Increase Continuation
IT works!!!!! NIATx members have realized…  ,[object Object],[object Object],[object Object],[object Object]
Can this model work for problem gambling treatment?
The Iowa NIATx-Problem Gambling Project Issues to be addressed ,[object Object],[object Object],[object Object],[object Object]
Walkthrough Results for the State ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Program Barriers ,[object Object],[object Object],[object Object],.
Reduce Paperwork
Reduce Paperwork--Eliminate Redundancy in Assessment Jackson
Reduce Paperwork by Using DT Form [Distance Treatment Form]
Reduce No Shows
Jackson Recovery Used Reminder Calls to Reduce No Shows
Counselors Used MI Skills to Increase Successful Discharge
The Model for Improvement ,[object Object],[object Object]
Question #1 What are we trying to accomplish? ,[object Object]
 
Question #2 How will we know a change is really an improvement? ,[object Object]
   Key Paths to Recovery     NIATx measures: ,[object Object],[object Object],[object Object],[object Object],[object Object]
Data, data, data!!!! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Question #3 What changes can we make that will result in an improvement? ,[object Object]
Model for Improvement 3. What changes can we test that will result in an improvement? 1. What are we trying to accomplish? 2. How will we know that a change is an improvement? Act Plan Study Do
So can we do this in Oregon???
Oregon Gambling  NIATx Project ,[object Object]
The Guinea Pig Cascadia ,[object Object],[object Object],[object Object],[object Object]
We started with a….
What we found ,[object Object],[object Object],[object Object]
Goal to reduce paperwork ,[object Object],[object Object],[object Object],[object Object]
What we created….
Program Handbook
Required Paperwork
Overall
Intake/Assessment Time to Complete
Next goal-  Get people in quicker
Average # of Days to  2 nd  Appointment
The Big Goal  Keep them coming back!
Show Rate to  2 nd  Appointment
Business Case ,[object Object],[object Object],[object Object]
Lessons Learned ,[object Object]
The role of data- easy and let’s you see what might not be obvious
Improved staff’s sense of ownership of paperwork- involved in the development and modification
[object Object],[object Object],[object Object]
About paperwork… ,[object Object]
Next Steps ,[object Object],[object Object],[object Object],[object Object]
Resources ,[object Object],[object Object],[object Object],[object Object],[object Object]
THANKS!!!

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Problem Gambling NIATx Pilot Project

Editor's Notes

  1. Nolan’s model--three questions and PDSA, but not just one PDSA. Difference between this and Juran is the emphasis on repeated PDSA cycles