Each patient 100% 100% 100% 100% 100% Target receiving OT FY 2015 services has an 97% 100% 100% MD order 25/25 25/25 Actual Data Analysis: In review of Occupational Therapy Services Log all patients referred for services from July 1st to September 30, 2015 had both the referral sheet completed as well at the doctor’s order attached to it. Action Plan: Reviewed the results of the audit with Occupational Therapy staff and reviewed with staff the licensing standard that references not beginning Rehab. Services without an MD order. STRATEGIC PERFORMANCE EXCELLENCE II. Measure Name: Vocational Services Documentation Measure Description: Improving health outcomes/patient care. In order to receive effective treatment, all patients engaged in the Vocational Rehabilitation Program will have updated treatment plans and weekly documentation on the progress towards addressing the intervention outlines in the treatment plan. Methodology: Each quarter Rehabilitation Services Director will audit the charts of the patients involved in the Vocational Rehabilitation Program to review treatment plans and progress notes to ensure they are being completed in a timely manner and updated on a regular basis. The numerator will be the number of patient charts with the required documentation and the denominator will be the total number of patients in the Vocational Rehabilitation Program. To achieve and maintain an overall goal of 100% for 4 consecutive Quarters Goal: Performance Improvement Type of Measure: Results Unit 1Q2016 2Q2016 3Q2016 4Q2016 YTD Each patient 100% 100% 100% 100% 100% working in the Target Voc. Rehab. 60% Program has 50% 50% required 6/12 6/12 Actual documentation Data Analysis:
Target Each patient receiving OT services has an MD order FY 2015 97% 100% 100% 100% 100% 100% Actual 100% 25/25 100% 25/25 Data Analysis: In review of Occupational Therapy Services Log all patients referred for services from July 1st to September 30, 2015 had both the referral sheet completed as well at the doctor’s order attached to it. Action Plan: Reviewed the results of the audit with Occupational Therapy staff and reviewed with staff the licensing standard that references not beginning Rehab. Services without an MD order. STRATEGIC PERFORMANCE EXCELLENCE II. Measure Name: Vocational Services Documentation Measure Description: Improving health outcomes/patient care. In order to receive effective treatment, all patients engaged in the Vocational Rehabilitation Program will have updated treatment plans and weekly documentation on the progress towards addressing the intervention outlines in the treatment plan. Methodology: Each quarter Rehabilitation Services Director will audit the charts of the patients involved in the Vocational Rehabilitation Program to review treatment plans and progress notes to ensure they are being completed in a timely manner and updated on a regular basis. The numerator will be the number of patient charts with the required documentation and the denominator will be the total number of patients in the Vocational Rehabilitation Program. Goal: To achieve and maintain an overall goal of 100% for 4 consecutive Quarters Type of Measure: Performance Improvement Results Unit 1Q2016 2Q2016 3Q2016 4Q2016 YTD Target Each patient working in the Voc. Rehab. Program has required documentation 60% 100% 100% 100% 100% 100% Actual 50% 6/12 50% 6/12 Data Analysis:
2016Q1.docx