Monthly Targets 10% reduction monthly x4 from baseline STRATEGIC PERFORMANCE EXCELLENCE Mandate Occurrences: When no volunteers are found to cover a required staffing need, an employee is mandated to cover the staffing need according to policy. FY15 Q1 FY15 Q2 FY15 Q3 FY15 Q4 Goal Baseline 2015 2015 2015 2013 2014 2015 2014 2014 2015 2014 2014 2015 Mar May New Nov Oct Dec Aug2014 Feb April Sept Sep July Jan June 10% reduction Nursing 14 4 2 1 3 1 4 6 20 11 2 4 6 monthly Mandates x4 from baseline) Mental 10% Health reduction Worker 49 16 18 12 45 39 38 66 39 51 20 44 56 monthly (MHW) x4 from Mandates baseline) Nursing mandates decreased from 37 last quarter to 12 this quarter. MHW mandates decreased from 156 last quarter to 120 this quarter. STRATEGIC PERFORMANCE EXCELLENCE Nursing Department Initial Chart Compliance April – June 2015 Lower Saco Indicator Findings Compliance 1. Universal Assessment completed by RN within 24 hours 19 of 19 100% 2. All sections completed or deferred within document 19 of 19 100% 3. Initial Safety Treatment Plan initiated 19 of 19 100%
Monthly Targets 10% reduction monthly x4 from baseline STRATEGIC PERFORMANCE EXCELLENCE Mandate Occurrences: When no volunteers are found to cover a required staffing need, an employee is mandated to cover the staffing need according to policy. New Baseline Sept 2013 FY15 Q1 FY15 Q2 FY15 Q3 FY15 Q4 Goal July 2014 Aug2014 Sep 2014 Oct 2014 Nov 2014 Dec 2014 Jan 2015 Feb 2015 Mar 2015 April 2015 May 2015 June 2015 Nursing Mandates 14 4 2 1 3 1 4 6 20 11 2 4 6 10% reduction monthly x4 from baseline) Mental Health Worker (MHW) Mandates 49 16 18 12 45 39 38 66 39 51 20 44 56 10% reduction monthly x4 from baseline) Nursing mandates decreased from 37 last quarter to 12 this quarter. MHW mandates decreased from 156 last quarter to 120 this quarter. STRATEGIC PERFORMANCE EXCELLENCE Nursing Department Initial Chart Compliance April – June 2015 Lower Saco Indicator Findings Compliance 1. Universal Assessment completed by RN within 24 hours 19 of 19 100% 2. All sections completed or deferred within document 19 of 19 100% 3. Initial Safety Treatment Plan initiated 19 of 19 100%