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Office of Mental Health

 

Readmissions Quality Collaborative
Links to Relevant Quality Improvement Resources and Articles

Across the country, numerous organizations are conducting quality improvement initiatives to reduce readmissions. Many of these focus on medical rehospitalizations, but increasingly, attention is being paid to the unique issues affecting behavioral health readmissions. Whether or not they are designed specifically for behavioral health, these projects have produced a body of information that project teams can learn from and/or adapt for the current project.

Project Re-Engineered Discharge (Project RED):

Project Re-Engineered Discharge Leaving OMH site (Project RED) is a research group at Boston University Medical Center that develops and tests strategies to improve the hospital discharge process in a way that promotes patient safety and reduces re-hospitalization rates. The RED intervention is founded on 12 components Leaving OMH site and has been proven to reduce medical re-hospitalizations.

The Project RED Toolkit Leaving OMH site includes “how-to” manuals and templates for specific activities, such as:

Institute for Healthcare Improvement: State Action on Avoidable Readmissions

The Institute for Healthcare Improvement (IHI) Leaving OMH site focuses on identifying and testing new models of care and promoting adoption of best practices and effective innovations.  In May 2009, IHI launched the STate Action on Avoidable Rehospitalizations (STAAR) Leaving OMH site initiative.  The following documents are posted on the STAAR materials page.Leaving OMH site

  • Effective Interventions to Reduce Rehospitalizations: A Compendium of 15 Promising Interventions
  • Effective Interventions to Reduce Rehospitalizations: A Survey of the Published Evidence
  • How-to Guide: Improving Transitions from the Hospital to Community Settings to Reduce Avoidable Rehospitalizations

Agency for Healthcare Research and Quality

The Agency for Healthcare Research and Quality (AHRQ) Leaving OMH site is the health services research arm of the U.S. Department of Health and Human Services (HHS).  Numerous publications and resources are available on the AHRQ website. 

In one AHRQ project, a health plan and several psychiatric hospitals successfully worked together to reduce readmissions by reviewing data and developing strategies to improve post-discharge care.  A description of the project activities and results Leaving OMH site is posted on the AHRQ website.

Will It Work Here? A Decisionmaker's Guide  to Adopting Innovations Leaving OMH site may be helpful to quality collaborative project teams.

Reducing Avoidable Readmissions Effectively (RARE)

The RARE Campaign Leaving OMH site was conducted in Minnesota in 2011-2012 to reduce avoidable readmissions.  They developed a set of recommended actions for improved care transitions in the behavioral health population. PDF DocumentLeaving OMH site A recorded webinar on Improved Care Transitions for Mental Illnesses and Substance Use Disorder Leaving OMH site is available; accompanying slides are posted on their webinars page Leaving OMH site(dated October 2, 2012).

Pittsburgh Regional Health Initiative

The Pittsburgh Regional Health Initiative (PRHI) Leaving OMH site is a regional collaborative of medical, business and civic leaders organized to address healthcare safety and quality improvements. 
PRHI Readmission Reduction Guide: A Manual for Preventing Hospitalizations PDF DocumentLeaving OMH site provides a roadmap to conducting a Readmissions quality improvement project.

NIATx

Network for the Improvement of Addiction Treatment (NIATx)Leaving OMH site, which has evolved to serve not only the addiction community but all types of behavioral health care providers, is a learning collaborative within the Center for Health Enhancement Systems Studies (CHESS) Leaving OMH site at the University of Wisconsin. The NIATx Model of Process Improvement Leaving OMH siteis designed specifically for behavioral health care; it supports providers in making small changes that substantially impact outcomes. The many available resources include:

Comments or questions about the information on this page can be directed to the PSYCKES Team.