With consultation from class A content analysis will be The hospital’s Human Rights members and staff on the conducted on all debriefing Committee has reviewed a units, there should an forms to determine themes patient survey instrument. CONSENT DECREE Quality Improvement Actions Taken During the Measure Quarter Recommendation examination of the weaknesses and patterns. The results from Members of the Peer Support and vulnerabilities that could this analysis will be shared with Office will conduct the survey lead to abuse, neglect and leadership and included in the across the hospital. After exploitation at Riverview. Quarterly Report. Results of completion of the survey, staff staff surveys will be included in will meet with patients and the Quarterly Report. The staff on the units about results of the patient discharge weaknesses and vulnerabilities survey will continue to be about abuse, neglect and included in the Quarterly exploitation. Report. Patient discharge survey data are included in the Quarterly Report. The Consent Decree language 100% of alleged cases of The Risk Manager continues to should be modified to specify abuse, neglect, or exploitation verify that all cases of abuse, that timely reporting of abuse are reviewed and reported as neglect, or exploitation are and neglect cases should be required by statute, rule, and reviewed and reported as made to Adult Protective Consent Decree. The Court required by statute, rule, and Services (APS), Licensing, the Master and Patient Advocate Consent Decree. The Court Court Master and Plaintiffs' will receive copies of the Master and Patient Advocates Counsel. validation form received after receive copies of the validation submitting reports to Adult form received after submitting Protective Services. A reports to APS. A monthly monthly summary report of all summary is prepared for the allegations of abuse, neglect, hospital’s HRC. Substantiated and exploration is prepared for claims of abuse, neglect, or the hospital’s Human Rights exploitation are noted in the Committee. Substantiated hospital’s Quarterly Report. claims of abuse, neglect, or exploitation are noted in the hospital's Quarterly Report. JOINT COMMISSION Hospital-Based Inpatient Psychiatric Services (ORYX Data Elements) The Joint Commission Quality Initiatives
With consultation from class members and staff on the units, there should an A content analysis will be conducted on all debriefing forms to determine themes The hospital’s Human Rights Committee has reviewed a patient survey instrument. CONSENT DECREE Recommendation Quality Improvement Measure Actions Taken During the Quarter examination of the weaknesses and vulnerabilities that could lead to abuse, neglect and exploitation at Riverview. and patterns. The results from this analysis will be shared with leadership and included in the Quarterly Report. Results of staff surveys will be included in the Quarterly Report. The results of the patient discharge survey will continue to be included in the Quarterly Report. Members of the Peer Support Office will conduct the survey across the hospital. After completion of the survey, staff will meet with patients and staff on the units about weaknesses and vulnerabilities about abuse, neglect and exploitation. Patient discharge survey data are included in the Quarterly Report. The Consent Decree language should be modified to specify that timely reporting of abuse and neglect cases should be made to Adult Protective Services (APS), Licensing, the Court Master and Plaintiffs' Counsel. 100% of alleged cases of abuse, neglect, or exploitation are reviewed and reported as required by statute, rule, and Consent Decree. The Court Master and Patient Advocate will receive copies of the validation form received after submitting reports to Adult Protective Services. A monthly summary report of all allegations of abuse, neglect, and exploration is prepared for the hospital’s Human Rights Committee. Substantiated claims of abuse, neglect, or exploitation are noted in the hospital's Quarterly Report. The Risk Manager continues to verify that all cases of abuse, neglect, or exploitation are reviewed and reported as required by statute, rule, and Consent Decree. The Court Master and Patient Advocates receive copies of the validation form received after submitting reports to APS. A monthly summary is prepared for the hospital’s HRC. Substantiated claims of abuse, neglect, or exploitation are noted in the hospital’s Quarterly Report. JOINT COMMISSION Hospital-Based Inpatient Psychiatric Services (ORYX Data Elements) The Joint Commission Quality Initiatives