Measure Description: Admittance of all NCR patients within 24 hours of referral Type of Measure: Quality Assurance Results Unit Baseline 1Q2017 2Q2017 3Q2017 4Q2017 YTD NCR 100% 100% 100% 100% 100% Target referrals admitted N/A 100% 100% within 24 4/4 4/4 Actual hours Data Analysis: There were 4 NCR admissions this quarter. All were admitted the day of referral. Action Plan: Continue to gather data on wait days for NCR admissions. Keep one bed available on the Forensic unit for NCR admissions at all times. July 2016 August 2016 September 2016 1Q2017 # of NCR Admissions 1 0 3 4 Average Wait Days 0 0 0 0 II. Measure Name: Jail Transfer Bed Measure Description: Keep one Jail Transfer bed open and track length of stay and legal outcomes. Type of Measure: Performance Improvement July 2016 August 2016 September 2016 1Q2017 # of Jail Transfer 0 0 0 0 Admissions # of Jail Transfer 1 0 0 1 Discharges There were no Jail Transfers admitted this quarter. Currently unable to have an Data Analysis: open bed designated for jail transfers due to the large number of court ordered forensic patients. Action Plan: Continue to track data and keep one bed available for jail transfers. III. Measure Name: Off PA Admission Paperwork
Measure Description: Admittance of all NCR patients within 24 hours of referral Type of Measure: Quality Assurance Results Unit Baseline 1Q2017 2Q2017 3Q2017 4Q2017 YTD Target NCR referrals admitted within 24 hours N/A 100% 100% 100% 100% 100% Actual 100% 4/4 100% 4/4 Data Analysis: There were 4 NCR admissions this quarter. All were admitted the day of referral. Action Plan: Continue to gather data on wait days for NCR admissions. Keep one bed available on the Forensic unit for NCR admissions at all times. July 2016 August 2016 September 2016 1Q2017 # of NCR Admissions 1 0 3 4 Average Wait Days 0 0 0 0 II. Measure Name: Jail Transfer Bed Measure Description: Keep one Jail Transfer bed open and track length of stay and legal outcomes. Type of Measure: Performance Improvement July 2016 August 2016 September 2016 1Q2017 # of Jail Transfer Admissions 0 0 0 0 # of Jail Transfer Discharges 1 0 0 1 Data Analysis: There were no Jail Transfers admitted this quarter. Currently unable to have an open bed designated for jail transfers due to the large number of court ordered forensic patients. Action Plan: Continue to track data and keep one bed available for jail transfers. III. Measure Name: Off PA Admission Paperwork
2017Q1.docx