Peer Support will make a documented attempt to have patients fill out a survey before 30% 82% 62% 22% discharge or annually to evaluate the 19/64 46/56 28/45 14/63 effectiveness of the peer support relationship during hospitalization. 100% 100% 100% 100% Grievances responded to on time by Peer 86/86 Support, within 1 day of receipt. 65/65 98/98 161/161 1Q2016: 5, 6, 7: These indicators were inadvertently removed from the Peer Support Services contract effective July 1, 2015. Peer Support has since been informed that these are Consent Decree requirements and will remedy the situation and report on them in 2Q2016. #5, the Personal Medicine Form, was being completed by Nursing Staff. CONSENT DECREE Treatment Planning V10) 95% of patients have a preliminary treatment and transition plan developed within 3 working days of admission; Indicators 2Q2015 3Q2015 4Q2015 1Q2016 1. Service Integration Meeting and form completed by the end 100% 100% 100% 100% of the 3rd day. 45/45 45/45 45/45 45/45 2. Patient participation in Service Integration Meeting. 93% 95% 93% 95% 42/45 43/45 42/45 43/45 3. Social Worker participation in Service Integration Meeting. 100% 100% 100% 100% 45/45 45/45 45/45 45/45 4. Initial Comprehensive Psychosocial Assessments completed 95% 95% 97% 95% within 7 days of admission. 43/45 43/45 44/45 43/45 5. Initial Comprehensive Assessment contains summary 100% 100% 100% 100% narrative with conclusion and recommendations for discharge 45/45 45/45 45/45 45/45 and Social Worker role. 6. Annual Psychosocial Assessment completed and current in 100% 100% 100% 100% chart. 10/10 10/10 10/10 15/15 1Q2016: 2. patients declined to meet for the Service Integration Meeting and declined follow up. 4. One Comprehensive Psychosocial Assessment was not completed within the 7 day timeframe; it was completed at 10 days. CONSENT DECREE
Peer Support will make a documented attempt to have patients fill out a survey before discharge or annually to evaluate the effectiveness of the peer support relationship during hospitalization. 30% 19/64 82% 46/56 62% 28/45 22% 14/63 Grievances responded to on time by Peer Support, within 1 day of receipt. 100% 65/65 100% 98/98 100% 86/86 100% 161/161 1Q2016: 5, 6, 7: These indicators were inadvertently removed from the Peer Support Services contract effective July 1, 2015. Peer Support has since been informed that these are Consent Decree requirements and will remedy the situation and report on them in 2Q2016. #5, the Personal Medicine Form, was being completed by Nursing Staff. CONSENT DECREE Treatment Planning V10) 95% of patients have a preliminary treatment and transition plan developed within 3 working days of admission; Indicators 2Q2015 3Q2015 4Q2015 1Q2016 1. Service Integration Meeting and form completed by the end of the 3rd day. 100% 45/45 100% 45/45 100% 45/45 100% 45/45 2. Patient participation in Service Integration Meeting. 95% 43/45 93% 42/45 95% 43/45 93% 42/45 3. Social Worker participation in Service Integration Meeting. 100% 45/45 100% 45/45 100% 45/45 100% 45/45 4. Initial Comprehensive Psychosocial Assessments completed within 7 days of admission. 95% 43/45 95% 43/45 95% 43/45 97% 44/45 5. Initial Comprehensive Assessment contains summary narrative with conclusion and recommendations for discharge and Social Worker role. 100% 45/45 100% 45/45 100% 45/45 100% 45/45 6. Annual Psychosocial Assessment completed and current in chart. 100% 15/15 100% 10/10 100% 10/10 100% 10/10 1Q2016: 2. patients declined to meet for the Service Integration Meeting and declined follow up. 4. One Comprehensive Psychosocial Assessment was not completed within the 7 day timeframe; it was completed at 10 days. CONSENT DECREE