Measure Description: Improving health outcomes/patient care. In order to receive effective treatment, all patients engaged in the Vocational Rehabilitation Program will have updated treatment plans and weekly documentation on the progress towards addressing the intervention outlines in the treatment plan. Methodology: Each quarter Rehabilitation Services Director will audit the charts of the patients involved in the Vocational Rehabilitation Program to review treatment plans and progress notes to ensure they are being completed in a timely manner and updated on a regular basis. The numerator will be the number of patient charts with the required documentation and the denominator will be the total number of patients in the Vocational Rehabilitation Program. Goal: To achieve and maintain an overall goal of 100% for 4 consecutive Quarters Type of Measure: Performance Improvement Results Unit Baseline 1Q2016 2Q2016 3Q2016 4Q2016 YTD Each patient 100% 100% 100% 100% 100% Target working in the Voc. Rehab. 60% Program has 50% 91% 97% 90% 886% the required Actual 6/12 29/32 29/30 27/30 91/104 documentation Data Analysis: Charts were audited using the Rehab. Services Services tool. There –Vocational were only 3 charts in which a weekly note was not done on time. Action Plan: This will become a Quality Assurance measure beginning July 2016. Safety & Security Responsible Party: Philip Tricarico, Safety Officer I. Measure Name: Grounds Safety & Security Incidents
Measure Description: Improving health outcomes/patient care. In order to receive effective treatment, all patients engaged in the Vocational Rehabilitation Program will have updated treatment plans and weekly documentation on the progress towards addressing the intervention outlines in the treatment plan. Methodology: Each quarter Rehabilitation Services Director will audit the charts of the patients involved in the Vocational Rehabilitation Program to review treatment plans and progress notes to ensure they are being completed in a timely manner and updated on a regular basis. The numerator will be the number of patient charts with the required documentation and the denominator will be the total number of patients in the Vocational Rehabilitation Program. Goal: To achieve and maintain an overall goal of 100% for 4 consecutive Quarters Type of Measure: Performance Improvement Results Unit Baseline 1Q2016 2Q2016 3Q2016 4Q2016 YTD Target Each patient working in the Voc. Rehab. Program has the required documentation 60% 100% 100% 100% 100% 100% Actual 50% 6/12 91% 29/32 97% 29/30 90% 27/30 886% 91/104 Data Analysis: Charts were audited using the Rehab. Services –Vocational Services tool. There were only 3 charts in which a weekly note was not done on time. Action Plan: This will become a Quality Assurance measure beginning July 2016. Safety & Security Responsible Party: Philip Tricarico, Safety Officer I. Measure Name: Grounds Safety & Security Incidents