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By Monica E. Oss

October 5, 2010

Over the past few months, we’ve discussed the continuous system problems (clinical, administrative, and financial) that result in high emergency room use (and readmissions) for consumers with behavioral disorders (see Lilliputian Ideas Won’t Solve the Sorry State of Hospital Readmissions all members and Readmissions Rates A Lightning Rod For Field all members).

Since then, we published the results of an evaluation of an interesting approach to ending the readmission merry-go-round. The team at Michigan’s Oakland County Community Mental Health Authority shared with us the data from their Clinical Practice Improvement Project (CPI), Meeting the Challenge of High Inpatient Utilization: Success Through Collaboration & A Group Case Review Approach ).

Over a 12 month period, this project reduced hospital admissions by 57% and hospital stays by 68% among a group of the most challenging and highest utilizing consumers. The research by the team attributed the success of their model to five elements:

  1. Multi-disciplinary collaboration

  2. Multi-axial assessment and treatment approach

  3. Focused professional peer pressure

  4. On-going clinical focus

  5. Informed involvement

Be sure to check out all of their data in last month’s issue of the OPEN MINDS newsletter. And, if you have program data that you would like to share, don’t hesitate to contact my colleague Sarah Threnhauser, OPEN MINDS editor, and me at


Monica E. Oss
Chief Executive Officer, OPEN MINDS

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Read more about the problem of high readmission rates in 47.8% of California Patients Admitted With Psychoses Diagnosis Readmitted Within One Year all members 

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