PWERST 82% 97% 100% REPORTING POLICIES 82% 99% 99% RN EXAM 100% S/R LP 84% 100% 74% TJCREP 84% 99% 100% Action Plan: Staff Education will complete monthly audits, send monthly e-mails to staff that have not completed their learning packets, send a notice to supervisors by the 3Q of the calendar year to address their staff that are out of compliance, and alert the superintendent of employees out of compliance. Measure Name: RN/MHW Additional Continuing Education Measure Description: Both Registered Nurses and Mental Health Workers are required to have additional continuing education specific to discipline. Methodology: The numerator will be the number of RN/MHW’s that completed additional continuing education requirements for the quarter and the denominator will be the total number of RN/MHW’s for the quarter. The goal is to have 100% compliance of additional continuing education requirements by the staff education year end in the 2Q of each fiscal year. Results Baseline Unit 3Q2017 4Q2017 1Q2018 2Q2018 1Q2018 Target % Compliance 100% 100% % RNs 62% 62% completed Actual % MHWs 66% 66% completed Data Analysis: This is a new measure starting 1Q2018. The above reflects Staff Education requirements for Nurses and Mental Health Workers for 1Q2018. The goal is for 100% compliance by the staff education year end in the 2Q of each fiscal year Action Plan: Staff Education has created multiple learning packets specific to each discipline which was released in September 2017. Staff Education will complete monthly audits, send monthly e-mails to staff that have not completed their learning packets, send a notice to supervisors by the 3Q of the calendar year to address their staff that are out of compliance, and alert the superintendent of employees out of compliance. Measure Name: Direct Care Staff Skills Fair Measure Description: All direct care staff members are required to attend Staff Education’s Skills Fair.
PWERST 82% 97% 100% REPORTING POLICIES 82% 99% 99% RN EXAM 100% S/R LP 84% 100% 74% TJCREP 84% 99% 100% Action Plan: Staff Education will complete monthly audits, send monthly e-mails to staff that have not completed their learning packets, send a notice to supervisors by the 3Q of the calendar year to address their staff that are out of compliance, and alert the superintendent of employees out of compliance. Measure Name: RN/MHW Additional Continuing Education Measure Description: Both Registered Nurses and Mental Health Workers are required to have additional continuing education specific to discipline. Methodology: The numerator will be the number of RN/MHW’s that completed additional continuing education requirements for the quarter and the denominator will be the total number of RN/MHW’s for the quarter. The goal is to have 100% compliance of additional continuing education requirements by the staff education year end in the 2Q of each fiscal year. Results Unit Baseline 1Q2018 3Q2017 4Q2017 1Q2018 2Q2018 Target % Compliance 100% 100% Actual % RNs completed 62% 62% % MHWs completed 66% 66% Data Analysis: This is a new measure starting 1Q2018. The above reflects Staff Education requirements for Nurses and Mental Health Workers for 1Q2018. The goal is for 100% compliance by the staff education year end in the 2Q of each fiscal year Action Plan: Staff Education has created multiple learning packets specific to each discipline which was released in September 2017. Staff Education will complete monthly audits, send monthly e-mails to staff that have not completed their learning packets, send a notice to supervisors by the 3Q of the calendar year to address their staff that are out of compliance, and alert the superintendent of employees out of compliance. Measure Name: Direct Care Staff Skills Fair Measure Description: All direct care staff members are required to attend Staff Education’s Skills Fair.
DDPCQuarterlyReport1Q2018.docx