used. The report will include Training data are reported in (but is not limited to) the hospital’s Quarterly information on: Report. Documentation on certification and Injury data are reported in the external reviews of hospital’s Quarterly Report. behavioral management system The Risk Manager continues to Number of staff provide the Court Master a trained summary report of all Number of staff seclusion and restraint events. retrained Results of inter-rater reliability tests for trainers Number of injuries Number of patient injuries Number of incident reports showing that CONSENT DECREE Quality Improvement Actions Taken During the Measure Quarter Recommendation staff varied from techniques Review of fact-findings or investigations where behavioral management system failed to achieve goals Findings from external reviews of the MOAB program The Risk Manager reviews 100% of all incident reports for seclusion and restraint daily to determine whether further actions are required. A summary report of 100% of all seclusion and restraint events
used. The report will include (but is not limited to) information on: Documentation on certification and external reviews of behavioral management system Number of staff trained Number of staff retrained Results of inter-rater reliability tests for trainers Number of injuries Number of patient injuries Number of incident reports showing that Training data are reported in the hospital’s Quarterly Report. Injury data are reported in the hospital’s Quarterly Report. The Risk Manager continues to provide the Court Master a summary report of all seclusion and restraint events. CONSENT DECREE Recommendation Quality Improvement Measure Actions Taken During the Quarter staff varied from techniques Review of fact-findings or investigations where behavioral management system failed to achieve goals Findings from external reviews of the MOAB program The Risk Manager reviews 100% of all incident reports for seclusion and restraint daily to determine whether further actions are required. A summary report of 100% of all seclusion and restraint events
Section-13-Riverview-Report-FY16Q1.docx