2Q2016 3Q2016 4Q2016 1Q2017 Goal 2013 2016 2016 2016 2016 2015 2016 2016 2015 2016 2016 2015 2016 Mar May Oct Nov Dec Apr Aug Baseline Sept Sept Feb Jan June July Nursing 14 11 8 10 11 8 10 11 8 10 1 0 0 0 Mandates Mental Health Worker 49 62 41 32 62 41 32 62 41 32 6 10 6 0 (MHW) Mandates Nursing mandates increased from 12 last quarter to 1 this quarter. MHW mandates decreased from 131 last quarter to 22 this quarter. Nursing Department Chart Review Effectiveness 1Q2017 - Lower Saco Findings Compliance Indicators 12 of 15 80% GAP note written in appropriate manner at least every 24 hours 13 of 15 87% STGs/ Interventions relate directly to content of GAP note 9 of 15 67% Weekly Summary note completed 1 n/a Diabetes education Teaching checklist shows documentation of client 1 of 15 67% teaching (diabetic clients) 9 n/a Multidisciplinary Teaching checklist active being completed 14 of 15 100% 1 n/a Dental education Teaching checklist 9 of 15 60% Nursing Assessment of Suicide risk being completed with Treatment 15 of 15 100% Plan review
Baseline Sept 2013 2Q2016 3Q2016 4Q2016 1Q2017 Goal Oct 2015 Nov 2015 Dec 2015 Jan 2016 Feb 2016 Mar 2016 Apr 2016 May 2016 June 2016 July 2016 Aug 2016 Sept 2016 Nursing Mandates 14 11 8 10 11 8 10 11 8 10 1 0 0 0 Mental Health Worker (MHW) Mandates 49 62 41 32 62 41 32 62 41 32 6 10 6 0 Nursing mandates increased from 12 last quarter to 1 this quarter. MHW mandates decreased from 131 last quarter to 22 this quarter. Nursing Department Chart Review Effectiveness 1Q2017 - Lower Saco Indicators Findings Compliance GAP note written in appropriate manner at least every 24 hours 12 of 15 80% STGs/ Interventions relate directly to content of GAP note 13 of 15 87% Weekly Summary note completed 9 of 15 1 n/a 67% Diabetes education Teaching checklist shows documentation of client teaching (diabetic clients) 1 of 15 9 n/a 67% Multidisciplinary Teaching checklist active being completed 14 of 15 1 n/a 100% Dental education Teaching checklist 9 of 15 60% Nursing Assessment of Suicide risk being completed with Treatment Plan review 15 of 15 100%
2017Q1.docx