Measures of drug reactions, Target: 0 adverse drug events and Rx 1.25 Actual: 0 other management data. Resource Documentation Target: 100% Reports of Clinical Rx 397 Actual: 32 Interventions. Psychiatric Emergency Process: Monthly audit of Target: 100% All 100% all psych emergencies Actual: 100% measures against 8 criteria. Operational Audit: Monthly audit of 8 Target: 100% Rx 100% operational indicators from Actual: 88% CPS contract. * * a corrective action plan was provided and initiated immediately Risk Management Heather Racine RN, BSN I. Measure Name: Allegations of Abuse, Neglect, and Exploitation Measure Description: All patients have the right to be free from abuse, neglect or exploitation, as well as the fear of being abused, neglected or exploited. Allegations or information indicating that abuse, neglect, or exploitation may have occurred must be thoroughly and promptly investigated with appropriate follow-up action taken. Type of Measure: Performance Improvement Methodology: The numerator will be all allegations for the quarter that were found to be promptly investigated with appropriate follow-up action taken. The denominator will be all allegations for the quarter. Results Unit Baseline YTD 1Q2018 2Q2018 3Q2018 4Q2018 Target: 100% # of 1Q2018 compliance 100% 100% allegations per 100% with 14/14 14/14 quarter 14/14 allegation process
Measures of drug reactions, adverse drug events and other management data. Rx 1.25 Target: Actual: 0 0 Resource Documentation Reports of Clinical Interventions. Rx 397 Target: Actual: 100% 32 Psychiatric Emergency Process: Monthly audit of all psych emergencies measures against 8 criteria. All 100% Target: Actual: 100% 100% Operational Audit: Monthly audit of 8 operational indicators from CPS contract. * Rx 100% Target: Actual: 100% 88% * a corrective action plan was provided and initiated immediately Risk Management Heather Racine RN, BSN I. Measure Name: Allegations of Abuse, Neglect, and Exploitation Measure Description: All patients have the right to be free from abuse, neglect or exploitation, as well as the fear of being abused, neglected or exploited. Allegations or information indicating that abuse, neglect, or exploitation may have occurred must be thoroughly and promptly investigated with appropriate follow-up action taken. Type of Measure: Performance Improvement Methodology: The numerator will be all allegations for the quarter that were found to be promptly investigated with appropriate follow-up action taken. The denominator will be all allegations for the quarter. Results Unit Baseline 1Q2018 2Q2018 3Q2018 4Q2018 YTD Target: 100% compliance with allegation process # of allegations per quarter 1Q2018 100% 14/14 100% 14/14 100% 14/14
DDPCQuarterlyReport1Q2018.docx