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Planning and Designing the Improving Addiction Care Team (IMPACT) for Hospitalized Adults with Substance Use Disorder.
J Hosp Med. 2017 05; 12(5):339-342.JH

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. Journal of Hospital Medicine 2017;12:339-342.

Authors+Show Affiliations

Oregon Health and Science University, Portland, OR; Central City Concern, Portland, OR.Oregon Health and Science University, Portland, OR; CODA, Inc., Portland, OR.Central City Concern, Portland, OR.Oregon Health and Science University, Portland, OR; School of Social Work, Portland State University, Portland, OR.Oregon Health and Science University, Portland, OR.School of Social Work, Portland State University, Portland, OR.CODA, Inc., Portland, OR.CODA, Inc., Portland, OR.Central City Concern, Portland, OR.Oregon Health and Science University, Portland, OR.Oregon Health and Science University, Portland, OR.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28459904

Citation

Englander, Honora, et al. "Planning and Designing the Improving Addiction Care Team (IMPACT) for Hospitalized Adults With Substance Use Disorder." Journal of Hospital Medicine, vol. 12, no. 5, 2017, pp. 339-342.
Englander H, Weimer M, Solotaroff R, et al. Planning and Designing the Improving Addiction Care Team (IMPACT) for Hospitalized Adults with Substance Use Disorder. J Hosp Med. 2017;12(5):339-342.
Englander, H., Weimer, M., Solotaroff, R., Nicolaidis, C., Chan, B., Velez, C., Noice, A., Hartnett, T., Blackburn, E., Barnes, P., & Korthuis, P. T. (2017). Planning and Designing the Improving Addiction Care Team (IMPACT) for Hospitalized Adults with Substance Use Disorder. Journal of Hospital Medicine, 12(5), 339-342. https://doi.org/10.12788/jhm.2736
Englander H, et al. Planning and Designing the Improving Addiction Care Team (IMPACT) for Hospitalized Adults With Substance Use Disorder. J Hosp Med. 2017;12(5):339-342. PubMed PMID: 28459904.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Planning and Designing the Improving Addiction Care Team (IMPACT) for Hospitalized Adults with Substance Use Disorder. AU - Englander,Honora, AU - Weimer,Melissa, AU - Solotaroff,Rachel, AU - Nicolaidis,Christina, AU - Chan,Benjamin, AU - Velez,Christine, AU - Noice,Alison, AU - Hartnett,Tim, AU - Blackburn,Ed, AU - Barnes,Pen, AU - Korthuis,P. Todd, PY - 2017/5/2/entrez PY - 2017/5/2/pubmed PY - 2018/3/3/medline SP - 339 EP - 342 JF - Journal of hospital medicine JO - J Hosp Med VL - 12 IS - 5 N2 - 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. Journal of Hospital Medicine 2017;12:339-342. SN - 1553-5606 UR - https://www.unboundmedicine.com/medline/citation/28459904/Planning_and_Designing_the_Improving_Addiction_Care_Team__IMPACT__for_Hospitalized_Adults_with_Substance_Use_Disorder_ L2 - https://doi.org/10.12788/jhm.2736 DB - PRIME DP - Unbound Medicine ER -