Baseline Unit Goal 1Q2017 2Q2017 3Q2017 4Q2017 Measure 4Q2016 Controlled Substance Loss Data: Pyxis-CII Safe Target: 0% All 0% 0% 0% 0% Compare Report. Actual: 0% Monthly CII Safe Vendor Target: 0 Rx 0 0 0 0 Receipt Report. Actual: 0 Monthly Pyxis Unresolved 0/ Target: 0 Controlled Drug All 0 0 0 month Actual: 0 Discrepancies. Medication Management Monitoring: Measures of drug reactions, adverse drug Target: 0 Rx 2 0 0 0 events and other Actual: 0 management data. Resource Documentation Reports of Clinical Rx 397 Actual: 867 Interventions. Consumer Surveys TJC PI.01.01.01 EP16: The hospital collects data on the following: Patient perception of the safety and quality of care, treatment, and services. In order to gain a perspective on the quality of care provided to our patients from the patient’s perspective, Dorothea Dix Psychiatric Center conducts two patient surveys; the Care Transition Measures Survey and the Inpatient Customer Survey. Care Transition Measures Survey The Care Transition Measures Survey (CTM-3) is a three question survey that is designed to ascertain the degree of patient understanding of and satisfaction with the discharge planning and preparation process. Dorothea Dix conducts a telephone poll of discharged patients approximate one to two weeks after discharge. This provides an opportunity to make a connection with the patients as they transition into the community setting and, on occasion, has provided the discharged patient with a support mechanism or safety net on those few
Measure Unit Baseline 4Q2016 Goal 1Q2017 2Q2017 3Q2017 4Q2017 Controlled Substance Loss Data: Pyxis-CII Safe Compare Report. All 0% Target: Actual: 0% 0% 0% 0% 0% Monthly CII Safe Vendor Receipt Report. Rx 0 Target: Actual: 0 0 0 0 0 Monthly Pyxis Unresolved Controlled Drug Discrepancies. All 0/ month Target: Actual: 0 0 0 0 0 Medication Management Monitoring: Measures of drug reactions, adverse drug events and other management data. Rx 2 Target: Actual: 0 0 0 0 0 Resource Documentation Reports of Clinical Interventions. Rx 397 Actual: 867 Consumer Surveys TJC PI.01.01.01 EP16: The hospital collects data on the following: Patient perception of the safety and quality of care, treatment, and services. In order to gain a perspective on the quality of care provided to our patients from the patient’s perspective, Dorothea Dix Psychiatric Center conducts two patient surveys; the Care Transition Measures Survey and the Inpatient Customer Survey. Care Transition Measures Survey The Care Transition Measures Survey (CTM-3) is a three question survey that is designed to ascertain the degree of patient understanding of and satisfaction with the discharge planning and preparation process. Dorothea Dix conducts a telephone poll of discharged patients approximate one to two weeks after discharge. This provides an opportunity to make a connection with the patients as they transition into the community setting and, on occasion, has provided the discharged patient with a support mechanism or safety net on those few
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