Medical History, including chief complaint; HPI; past, social & family 100% 100% 100% 25/25 hx., ROS, and physical exam w/in 24 32/32 57/57 hrs., conclusion and plan. Summary of patient’s psychosocial 92% 94% 93% 23/25 needs as appropriate to the patients * 30/32 53/57 100% Psychiatric Evaluation in patient’s 100% 100% 25/25 record w/in 24 hrs. of admission 32/32 57/57 92% Psychiatric Evaluation authenticated 84% 88% 23/25 within 60 hours of admission 27/32 50/57 88% Physician (TO/VO w/in 72 hrs.) 91% 89% 142/161 162/179 304/340 Evidence of appropriate informed 93% 96% 100% consent 26/28 51/53 25/25 4 4 Declined Declined Clinical observations including the 100% 100% 100% results of therapy. 25/25 32/32 57/57 Nursing discharge Progress Note with 96% 100% 98% time of discharge departure 24/25 32/32 56/57 Consultation reports, when applicable 100% 100% 100% 9/9 10/10 19/19 16 N/A 22 N/A 38 N/A 96% Advance Directive Status on admission 94% 95% 24/25 and SW follow up after 30/32 54/57 100% Notice of Privacy 100% 100% 25/25 32/32 57/57 Chart Completion w/in 30 days of 100% 97% 98% discharge date/discharge summary 25/25 31/32 56/57 completed within 30 days Discharge Packet sent to follow up 100% 84% 93% provider within 5 days of discharge. 32/32 21/25 53/57
Medical History, including chief complaint; HPI; past, social & family hx., ROS, and physical exam w/in 24 hrs., conclusion and plan. 100% 32/32 100% 25/25 100% 57/57 Summary of patient’s psychosocial needs as appropriate to the patients * 94% 30/32 92% 23/25 93% 53/57 Psychiatric Evaluation in patient’s record w/in 24 hrs. of admission 100% 32/32 100% 25/25 100% 57/57 Psychiatric Evaluation authenticated within 60 hours of admission 84% 27/32 92% 23/25 88% 50/57 Physician (TO/VO w/in 72 hrs.) 91% 162/179 88% 142/161 89% 304/340 Evidence of appropriate informed consent 93% 26/28 4 Declined 100% 25/25 96% 51/53 4 Declined Clinical observations including the results of therapy. 100% 32/32 100% 25/25 100% 57/57 Nursing discharge Progress Note with time of discharge departure 100% 32/32 96% 24/25 98% 56/57 Consultation reports, when applicable 100% 10/10 22 N/A 100% 9/9 16 N/A 100% 19/19 38 N/A Advance Directive Status on admission and SW follow up after 94% 30/32 96% 24/25 95% 54/57 Notice of Privacy 100% 32/32 100% 25/25 100% 57/57 Chart Completion w/in 30 days of discharge date/discharge summary completed within 30 days 97% 31/32 100% 25/25 98% 56/57 Discharge Packet sent to follow up provider within 5 days of discharge. 100% 32/32 84% 21/25 93% 53/57
2Q2017.docx