Planning and designing the improving addiction care team (IMPACT) for hospitalized adults with substance use disorder

Honora Englander, Melissa Weimer, Rachel Solotaroff, Christina Nicolaidis, Benjamin Chan, Christine Velez, Alison Noice, Tim Hartnett, Ed Blackburn, Pen Barnes, Philip (Todd) Korthuis

Research output: Contribution to journalArticle

16 Citations (Scopus)

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.

Original languageEnglish (US)
Pages (from-to)339-342
Number of pages4
JournalJournal of Hospital Medicine
Volume12
Issue number5
DOIs
StatePublished - May 1 2017

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Substance-Related Disorders
Needs Assessment
Medicaid
Length of Stay
Accountable Care Organizations
Health Care Costs
Inpatients
Hospitalization
Referral and Consultation
Medicine
Organizations
Anti-Bacterial Agents
Therapeutics

ASJC Scopus subject areas

  • Leadership and Management
  • Fundamentals and skills
  • Health Policy
  • Care Planning
  • Assessment and Diagnosis

Cite this

Planning and designing the improving addiction care team (IMPACT) for hospitalized adults with substance use disorder. / Englander, Honora; Weimer, Melissa; Solotaroff, Rachel; Nicolaidis, Christina; Chan, Benjamin; Velez, Christine; Noice, Alison; Hartnett, Tim; Blackburn, Ed; Barnes, Pen; Korthuis, Philip (Todd).

In: Journal of Hospital Medicine, Vol. 12, No. 5, 01.05.2017, p. 339-342.

Research output: Contribution to journalArticle

Englander, Honora ; Weimer, Melissa ; Solotaroff, Rachel ; Nicolaidis, Christina ; Chan, Benjamin ; Velez, Christine ; Noice, Alison ; Hartnett, Tim ; Blackburn, Ed ; Barnes, Pen ; Korthuis, Philip (Todd). / Planning and designing the improving addiction care team (IMPACT) for hospitalized adults with substance use disorder. In: Journal of Hospital Medicine. 2017 ; Vol. 12, No. 5. pp. 339-342.
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