member potentially subject to and restraint events to the A weekly report of seclusion such restrictive measures. Court Master. The Staff and and restraint events is sent to Specifically, class members Organizational Development the Court Master weekly. with a history of unacceptable Office will conduct its first behavior, such as aggression annual review of the MOAB towards peers and/or staff, program and present results to The Staff and Organizational need to be reviewed again by Executive Leadership in Development Office has the January 2015. identified a consultant to conduct a review of the CONSENT DECREE Quality Improvement Actions Taken During the Measure Quarter Recommendation treatment team, and, if MOAB program and upon necessary, by an independent completion will present results clinical consultant, to to Executive Leadership. determine whether sufficiently individualized interventions are being designed and consistently implemented to replace unacceptable behavior with appropriate alternative behaviors. The reporting requirements by On an annual basis (starting in Riverview has identified a Paragraphs 188 and 189 of the January 2015), the Staff and consultant with expertise in Consent Decree should be Organizational Development MOAB. The scope of work, completed as mandated. Office will present a report to deliverables and delivery date Executive Leadership at the are being negotiated. hospital on the Behavioral Management system being The Staff and Organizational used. The report will include Development Office are (but is not limited to) working on the metrics to be information on: reported. Documentation on certification and Training data are reported in external reviews of the hospital’s Quarterly behavioral Report. management system Number of staff Injury data are reported in the trained hospital’s Quarterly Report. Number of staff The Risk Manager continues to retrained provide the Court Master a Results of inter-rater summary report of all reliability tests for seclusion and restraint events. trainers Number of staff Jonathan Alexis, consultant, injuries
member potentially subject to such restrictive measures. Specifically, class members with a history of unacceptable behavior, such as aggression towards peers and/or staff, need to be reviewed again by the and restraint events to the Court Master. The Staff and Organizational Development Office will conduct its first annual review of the MOAB program and present results to Executive Leadership in January 2015. A weekly report of seclusion and restraint events is sent to the Court Master weekly. The Staff and Organizational Development Office has identified a consultant to conduct a review of the CONSENT DECREE Recommendation Quality Improvement Measure Actions Taken During the Quarter treatment team, and, if necessary, by an independent clinical consultant, to determine whether sufficiently individualized interventions are being designed and consistently implemented to replace unacceptable behavior with appropriate alternative behaviors. MOAB program and upon completion will present results to Executive Leadership. The reporting requirements by Paragraphs 188 and 189 of the Consent Decree should be completed as mandated. On an annual basis (starting in January 2015), the Staff and Organizational Development Office will present a report to Executive Leadership at the hospital on the Behavioral Management system being 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 staff injuries Riverview has identified a consultant with expertise in MOAB. The scope of work, deliverables and delivery date are being negotiated. The Staff and Organizational Development Office are working on the metrics to be reported. 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. Jonathan Alexis, consultant,
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