Sponsor
This work was funded by Oregon Health & Science University and CareOregon.
Published In
Journal of Hospital Medicine
Document Type
Post-Print
Publication Date
8-2017
Subjects
Substance abuse -- Hospital patients -- Services for, Substance abuse -- Treatment, Hospital utilization, Hospitals -- Admission and discharge -- Effect of substance abuse on
Abstract
People with substance use disorders (SUD) have high rates of hospitalization and readmission, long lengths of stay, and skyrocketing healthcare costs. Yet, models for improving care are extremely limited. We performed a needs assessment and then convened academic and community partners, including a hospital, community SUD organizations, and Medicaid accountable care organizations, to design a care model for medically complex hospitalized patients with SUD. Needs assessment showed that 58% to 67% of participants who reported active substance use said they were interested in cutting back or quitting. Many reported interest in medication for addiction treatment (MAT). Participants had high rates of costly readmissions and longer than expected length of stay. Community stakeholders identified long wait times and lack of resources for medically complex patients as key barriers. We developed the Improving Addiction Care Team (IMPACT), which includes an inpatient addiction medicine consultation service, rapid-access pathways to posthospital SUD treatment, and a medically enhanced residential care model that integrates antibiotic infusion and residential addiction care. We developed a business case and secured funding from Medicaid and hospital payers. IMPACT provides one pathway for hospitals, payers, and communities to collaboratively address the SUD epidemic.
Locate the Document
DOI
10.12788/jhm.2736
Persistent Identifier
http://archives.pdx.edu/ds/psu/24723
Citation Details
Published as: Englander H, Weimer M, Solotaroff R, Nicolaidis C, Chan B, Velez C, Noice A, Hartnett T, Blackburn E, Barnes P, Korthuis PT. Planning and designing the Improving Addiction Care Team (IMPACT) for hospitalized adults with substance use disorder. Journal of Hospital Medicine. 2017;12(5):339-342. https://doi.org10.12788/jhm.2736. PMCID: PMC5542562
Description
This is the author’s version of a work that was accepted for publication in the Journal of Hospital Medicine. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Journal of Hospital Medicine, 12(5), 339-342. doi:10.12788/jhm.2736