Contact during admission. (v8) 100% 100% 100% 100% 64/64 49/49 64/64 51/51 Community Integration/Bridging Inpatient & OPS. 100% 100% 100% 100% Inpatient 58 91 26 21 OPS 127 131 204 221 Peer Support will make a documented attempt to have patients fill out a survey before discharge or 22% 41% 46% 19% annually to evaluate the effectiveness of the peer 14/63 20/49 30/65 9/48 support relationship during hospitalization. Grievances responded to on time by Peer 100% 100% 100% 89% Support, within 1 day of receipt. 161/161 97/97 77/77 82/92 Peer Specialist will meet with resident’s within 48 100% 100% 100% 100% hours of admission and complete progress note 64/64 49/49 64/64 51/51 to document meeting. Each resident has documented contact with a 100% 100% 100% 100% peer supporter during (target 64/64 49/49 64/64 51/51 is 100%). Treatment Planning V10) 95% of patients have a preliminary treatment and transition plan developed within 3 working days of admission; Indicators 1Q2016 2Q2016 3Q2016 4Q2016 Service Integration Meeting and form completed 100% 100% 100% 100% by the end of the 3rd day. 45/45 45/45 45/45 45/45 Patient participation in Service Integration 93% 95% 97% 95% Meeting. 42/45 43/45 44/45 43/45 Social Worker participation in Service Integration 100% 100% 100% 100% Meeting. 45/45 45/45 45/45 45/45 Initial Comprehensive Psychosocial Assessments 97% 95% 95% 93% completed within 7 days of admission. 44/45 43/45 43/45 42/45 Initial Comprehensive Assessment contains 100% 100% 100% 100% summary narrative with conclusion and 45/45 45/45 45/45 45/45 recommendations for discharge and Social
Contact during admission. (v8) 100% 64/64 100% 49/49 100% 64/64 100% 51/51 Community Integration/Bridging Inpatient & OPS. Inpatient OPS 100% 58 127 100% 91 131 100% 26 204 100% 21 221 Peer Support will make a documented attempt to have patients fill out a survey before discharge or annually to evaluate the effectiveness of the peer support relationship during hospitalization. 22% 14/63 41% 20/49 46% 30/65 19% 9/48 Grievances responded to on time by Peer Support, within 1 day of receipt. 100% 161/161 100% 97/97 100% 77/77 89% 82/92 Peer Specialist will meet with resident’s within 48 hours of admission and complete progress note to document meeting. 100% 64/64 100% 49/49 100% 64/64 100% 51/51 Each resident has documented contact with a peer supporter during (target is 100%). 100% 64/64 100% 49/49 100% 64/64 100% 51/51 Treatment Planning V10) 95% of patients have a preliminary treatment and transition plan developed within 3 working days of admission; Indicators 1Q2016 2Q2016 3Q2016 4Q2016 Service Integration Meeting and form completed by the end of the 3rd day. 100% 45/45 100% 45/45 100% 45/45 100% 45/45 Patient participation in Service Integration Meeting. 93% 42/45 95% 43/45 97% 44/45 95% 43/45 Social Worker participation in Service Integration Meeting. 100% 45/45 100% 45/45 100% 45/45 100% 45/45 Initial Comprehensive Psychosocial Assessments completed within 7 days of admission. 97% 44/45 95% 43/45 95% 43/45 93% 42/45 Initial Comprehensive Assessment contains summary narrative with conclusion and recommendations for discharge and Social 100% 45/45 100% 45/45 100% 45/45 100% 45/45
2016Q4.docx