if necessary, by an independent The first part of the evaluation clinical consultant, to consisted of testing the competency of staff in demonstrating knowledge and a CONSENT DECREE Quality Improvement Actions Taken During the Measure Quarter Recommendation determine whether sufficiently ability of MOAB techniques. individualized interventions are The consistently were unable being designed and consistently to demonstrate MOAB implemented to replace techniques. However they quite unacceptable behavior with easily demonstrated NAPPI appropriate alternative behaviors. techniques. It is important to note: The fact that staff reverted back to skills they had learned over many years of practice (NAPPI) is not unusual in this case. Through repetition and practice, motor skills become automatic. The brain in essence the skills into “hardwires” term memory. The key is to replace those memories” “muscle with new memories (skills) through the repetition and practice of new skills and/or techniques. Riverview is providing consistent on-going instruction by providing annual MOAB recertification training and skills drills to improve staff competency through opportunities to develop new muscle memories to replace those acquired through NAPPI training. The second part of the evaluation consisted on reviewing six videos of patient related events on the
if necessary, by an independent clinical consultant, to The first part of the evaluation consisted of testing the competency of staff in demonstrating knowledge and a CONSENT DECREE Recommendation Quality Improvement Measure Actions Taken During the Quarter determine whether sufficiently individualized interventions are being designed and consistently implemented to replace unacceptable behavior with appropriate alternative behaviors. ability of MOAB techniques. The consistently were unable to demonstrate MOAB techniques. However they quite easily demonstrated NAPPI techniques. It is important to note: The fact that staff reverted back to skills they had learned over many years of practice (NAPPI) is not unusual in this case. Through repetition and practice, motor skills become automatic. The brain in essence “hardwires” the skills into memory. The key is to replace those “muscle memories” with new memories (skills) through the repetition and practice of new skills and/or techniques. Riverview is providing consistent on-going instruction by providing annual MOAB recertification training and skills drills to improve staff competency through opportunities to develop new muscle memories to replace those acquired through NAPPI training. The second part of the evaluation consisted on reviewing six videos of patient related events on the term
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