PSYCHIATRY SERVICES UPDATE

Size: px
Start display at page:

Download "PSYCHIATRY SERVICES UPDATE"

Transcription

1 PSYCHIATRY SERVICES UPDATE Mark Leary MD, Interim Chief Kathy Ballou RN, Director of Nursing Anton Nigusse Bland MD, PES Medical Director Emily Lee MD, Inpatient Psychiatry Medical Director

2 TRUE NORTH 2

3 ZSFG PSYCHIATRY ACUTE & EMERGENCY SERVICES PATIENT FLOW VISION STATEMENT Ensure that our patients will be discharged to the appropriate level of care as soon as they are ready. Maintain access for patients who need the most acute services. 3

4 BACKGROUND Part of System of Care Owned and operated by the City and County of San Francisco, Department of Public Health (DPH) A component of the San Francisco Health Network (SFHN) Psychiatric services are an integral part of emergency and outpatient network Collaborates closely with DPH and SFHN in providing services 4

5 BACKGROUND Psychiatric Emergency Services (PES) Only PES in San Francisco > 7,500 encounters/year Psychiatrists and Nurses on-site 24/7 for behavioral health emergencies Emergency assessment Crisis stabilization Transfer to acute inpatient care Referral/linkage to ongoing outpatient care Inpatient Psychiatry Largest acute inpatient service in San Francisco 44 acute admission and acute step-down beds (2 units) Jail Psychiatric Inpatient Unit (8 beds) integrated with Jail Behavioral Health Services 5

6 PES AND INPATIENT CLINICAL CHALLENGES Serious mental illness (psychosis, high suicide risk) Homelessness (60%) Involuntary treatment (PES 60%, Inpatient 95%) Often unlinked to outpatient treatment despite intensive efforts High levels of substance use disorders Multiple co-morbid medical conditions (dementia, limited ambulation, traumatic brain injury, diabetes) Criminal justice involvement 6

7 CURRENT CONDITIONS (2018 Jan-May) Psychiatric Emergency Services (PES) 677 encounters/month Median Length of Stay = 13.3 hours Condition Red (diversion) = 11% Outside ER transfer acceptance rate = 73% 7

8 CURRENT CONDITIONS (2018 Jan-May) Inpatient Psychiatry Acute admissions = 68 patients/month Median Inpatient LOS = 7 days Mean Inpatient LOS = 15 days Length of Stay Range = 1 to 700+ days Readmission rate to inpatient within 30 days of discharge = 3% 8

9 TARGET AND GOALS No. Targets Baseline By December 2018, 80% of patients surveyed on inpatient psychiatry will indicate satisfaction with services 2 By December 2018, increase percent of acute inpatient care days by 20% 3 By December 2018, reduce PES Condition Red (diversion) by 25% Goal % 80% 21% 25% 20% 15% 4 By December 2018, increase completed interfacility transfers from other hospitals to PES by 33% (excludes inappropriate referrals) 30% 40% 9

10 COUNTERMEASURES No. Root Cause Proposed Countermeasure Outcomes 1 Protracted stays in PES for non-acute patients (1)Pilot for Diversion of ADU Candidates from PES to DUCC (2)Vertical treatment pilot for segmenting flow between high-acuity and low-acuity care needs (3)Redesign of staff workflows to reduce wait times for assessment 516% increase in referrals to DUCC 52% reduction in Condition Red 17% reduction in Length of Stay 10

11 COUNTERMEASURES (cont.) No. Root Cause Proposed Countermeasure Outcomes 2 Protracted stays on Inpatient Service for non-acute patients (1) Weekly team meetings with DPH Transitions and SF Conservatorship Director to expedite placement of inpatients (2) ZSFG Psychiatry Compliance Committee Documentation Training for Inpatient Staff (3) Implement inpatient administrative day billing by collaborating with DPH, Transitions, UM, and clinical staff (4) DPH Transitions opening of SF Healing Center (St. Mary s) and Hummingbird respite (5) SF Conservator s Office implementation of Post-Acute Community Conservatorship (PACC) + Affidavit B (meds) 29% increase in acute care days Monthly inpatient admissions stable 57% increase in administrative (behavioral) days 11 new PACC conservatorships started on Inpatient (20 overall) 11

12 OUTCOMES: PES Condition Red % 60% 50% 49% 47% 51% 40% 30% 20% 10% 41% 36% 34% 33% 30% 31% 27% 28% 24% 22% 20% 21% 21% 18% 17% 18% 18% 17% 15% 16% 14% 14% 15% 12% 10% 7% 5% 0% Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec % 36% 41% 49% 30% 47% 51% 17% 33% 24% 28% 22% % 17% 18% 20% 18% 15% 14% 31% 16% 15% 21% 21% % 14% 7% 5% 12% 10% PES DUCC ADU pilot starts

13 OUTCOMES: PES Median Length of Stay (hours) Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec PES DUCC ADU pilot starts 13

14 OUTCOMES: DUCC Client Referral Sources PES DUCC ADU pilot starts 14

15 OUTCOMES: Transfers from Outside Hospitals to PES % of patients from outside hospitals (screened appropriate) who were transferred to PES 100% 90% 80% 89% 83% 90% 94% 70% 60% 50% 40% 43% 47% 55% 30% 20% 16% 26% 24% 26% 23% 10% 0% Created 7/18/18 Source: PES e-chart PES DUCC ADU pilot starts 15

16 INPATIENT OUTCOMES: Acute Day % 100% 90% 80% 70% 60% 50% 40% 30% 24% 21% 27% 22% 20% 18% 17% 10% 14% 24% 20% 23% 22% 24% 28% 29% 29% 29% 19% 0% Created 7/18/17 Source: PES e-chart 16

17 INPATIENT OUTCOMES: Admissions/month Created 4/2/18 Source: ZSFG data cemter 17

18 INPATIENT OUTCOMES: Administrative Day % 25% 20% 21% 15% 10% 5% 0% 3% 1% 3% 4% 6% 3% 1% 9% 9% 11% 13% 15% 9% 7% 7% 13% Created 7/18/17 Source: PES e-chart 18

19 CHALLENGES AND BARRIERS Relative lack of bed resources in continuum of care (hotels, board & care, residential treatment, LSAT beds for high need/risk patients) Relative lack of linkage resources available to PES (especially evenings/weekends), Recruitment and retention of medical providers Recruitment of new Psychiatry Chief 19

20 ACHIEVEMENTS Launch of Recovery Model practice on inpatient psychiatry to improve patient experience Significant increase in transfer acceptance rate from outside hospitals to PES Implementation of Post-Acute Community Conservatorship (PACC) with SF Conservatorship Office 20

21 NEXT STEPS Monitor data to measure impact of SF Healing Center (St. Mary s) and Hummingbird Respite Continue active partnership with DPH Transitions and SF Conservator to place challenging patients in the community Continue to Plan-Do-Study-Act countermeasures 21

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August 2016

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August 2016 Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, August By: Terry Dentoni, MSN, RN, CNL, SFGH Chief Nursing Officer 1. Professional Nursing..1 2. Emergency Department

More information

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, March 2018

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, March 2018 Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, March By: Terry Dentoni, MSN, RN, CNL - ZSFG Chief Nursing Officer 1. Professional Nursing......1-2 2. Emergency

More information

1. November RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 12.5%

1. November RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 12.5% PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, December 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. November 2013-2320 RN VACANCY RATE: Overall 2320 RN

More information

Behavioral Health Division JPS Health Network

Behavioral Health Division JPS Health Network Behavioral Health Division JPS Health Network Macro Trends 1 in 5 Adults in America experience a mental illness Diversion of Behavioral Health patients from jail Federal Prisons Mental Illness State Prison

More information

San Francisco Whole Person Care California Medi-Cal 2020 Waiver Initiative

San Francisco Whole Person Care California Medi-Cal 2020 Waiver Initiative San Francisco Whole Person Care California Medi-Cal 2020 Waiver Initiative Update April 3, 2018 Health Commission Maria X Martinez, Director Whole Person Care Barry Zevin, MD, Medical Director Street Medicine

More information

HUMMINGBIRD PLACE PSYCHIATRIC RESPITE Behavioral Health Navigation Center

HUMMINGBIRD PLACE PSYCHIATRIC RESPITE Behavioral Health Navigation Center HUMMINGBIRD PLACE PSYCHIATRIC RESPITE Behavioral Health Navigation Center San Francisco Department of Public Health SFHN TRANSITIONS DIVISION Presented by: Luis Calderon, Transitions Care Coordinator Director

More information

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November 2017

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November 2017 Report Contents: PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, November By: Terry Dentoni, MSN, RN, CNL - ZSFG Chief Nursing Officer 1. Professional Nursing.....1 2. Emergency

More information

Julie Kelley, MSW, MPH Program Chief, Mental Heath/Psychiatry Contra Costa Regional Medical Center Martinez, CA

Julie Kelley, MSW, MPH Program Chief, Mental Heath/Psychiatry Contra Costa Regional Medical Center Martinez, CA Julie Kelley, MSW, MPH Program Chief, Mental Heath/Psychiatry Contra Costa Regional Medical Center Martinez, CA Patients and Families as Care Partners April 20, 2011 Little about us Contra Costa Regional

More information

1. March RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 13.8%

1. March RN VACANCY RATE: Overall 2320 RN vacancy rate for areas reported is 13.8% PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, April 2014 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. March 2014-2320 RN VACANCY RATE: Overall 2320 RN vacancy

More information

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2013 Terry Dentoni, RN, MSN, CNL, Interim Chief Nursing Officer 1. 2320 RN Vacancy Rates for the Month of January 2013

More information

ABC s of PES. Greg Miller, MD MBA CMO Unity Center for Behavioral Health

ABC s of PES. Greg Miller, MD MBA CMO Unity Center for Behavioral Health ABC s of PES Greg Miller, MD MBA CMO Unity Center for Behavioral Health Content Outline Overview of Unity Services Emergency Psychiatry: Historical Perspective Emergency Psychiatry: Current Service Delivery

More information

Behavioral Health Services. San Francisco Department of Public Health

Behavioral Health Services. San Francisco Department of Public Health Behavioral Health Services San Francisco Department of Public Health Slide 2 Agenda Behavioral Health Services in San Francisco Mental Health Services Substance Use Disorder Services Levels of Care Behavioral

More information

SFGH Dept of Psychiatry August 14, 2012

SFGH Dept of Psychiatry August 14, 2012 SFGH Dept of Psychiatry August 14, 2012 James W. Dilley, MD Professor of Clinical Psychiatry Chief, SFGH Department of Psychiatry Vice Chair UCSF Dept of Psychiatry Executive Director UCSF Alliance Health

More information

A New Model of Urgent and Emergency Mental Health Care

A New Model of Urgent and Emergency Mental Health Care A New Model of Urgent and Emergency Mental Health Care Transforming Urgent Access to Mental Health Services across 7 days & Interfacing with the wider system Dr Paul Brown- Consultant Psychiatrist, Sunderland

More information

Improve the Efficiency and Service of the Emergency Room at North Side Hospital

Improve the Efficiency and Service of the Emergency Room at North Side Hospital Improve the Efficiency and Service of the Emergency Room at North Side Hospital John Melton, VP and CEO Washington County Operations meltonjw@msha.com Kerry Vermillion, CFO Washington County Operations

More information

Quality Management Report 2017 Q2

Quality Management Report 2017 Q2 Quality Management Report 2017 Q2 Quality Management Program CMS STAR Ratings Member Satisfaction (CAHPS & HOS) HEDIS Risk Adjustment DHS Member Incident Reporting Member Satisfaction Surveys Pay for Performance

More information

Miami-Dade County Mental Health Diversion Facility July 2016

Miami-Dade County Mental Health Diversion Facility July 2016 Miami-Dade County Mental Health Diversion Facility July 2016 I. SUMMARY The purpose of the Mental Health Diversion Facility is to create a comprehensive and coordinated system of care for individuals with

More information

Discharge and Follow-Up Planning. Presented by the Clinical and Quality Team

Discharge and Follow-Up Planning. Presented by the Clinical and Quality Team Discharge and Follow-Up Planning Presented by the Clinical and Quality Team After today s training you will be able to: Identify and summarize important information about discharge planning Have adequate

More information

Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability

Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability Leveraging the Accountable Care Unit Model to create a culture of Shared Accountability How we improved Patient Safety and Quality Outcomes at Northwest Hospital Our Journey to Shared Accountability Implementation

More information

Change Management at Orbost Regional Health

Change Management at Orbost Regional Health Change Management at Orbost Regional Health Our change management journey 1 Medication Change System Meds at Beds 2 The slightly exaggerated before process 3 Project Goals The purpose of the Meds at Beds

More information

Tina Nelson, MBA, BSN Lisa Stepp, BSN, RN Rebecca Fyffe, BSN, RN Jessica Coughenour, LPN

Tina Nelson, MBA, BSN Lisa Stepp, BSN, RN Rebecca Fyffe, BSN, RN Jessica Coughenour, LPN Establishing a Conservative Approach to the Prevention of Pressure Ulcers with the Utilization of Data Analytics to Monitor Effectiveness of Quality Efforts and Best Practice Models Tina Nelson, MBA, BSN

More information

SFGH Strategic Plan

SFGH Strategic Plan SFGH Strategic Plan 2015-2018 Iman Nazeeri Simmons, Chief Operating Officer James Marks, Chief of Medical Staff 1 2 1 SFGH Strategy 2015-2018 3.5 Years of Lean Management Creating value for our patients

More information

Kentucky Sepsis Summit. August 2016

Kentucky Sepsis Summit. August 2016 1 Kentucky Sepsis Summit August 2016 St. Elizabeth Healthcare About Us: - 7 facilities & over 1200 licensed beds - Serving the NKY/Cincinnati Region in: - Orthopedic Care - Heart and Vascular Institute

More information

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, May 2010 Sharon McCole-Wicher, RN, MS, Chief Nursing Officer

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, May 2010 Sharon McCole-Wicher, RN, MS, Chief Nursing Officer PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, May 2010 Sharon McCole-Wicher, RN, MS, Chief Nursing Officer 1. April 2010 2320 RN VACANCY RATE: Overall 2320 RN vacancy rate for

More information

MHP Work Plan: 1 Behavioral Health Integrated Access

MHP Work Plan: 1 Behavioral Health Integrated Access PROGRAM INFORMATION: Program Title: Youth Wellness Center Provider: Department of Behavioral Health Program Description: The Department of Behavioral Health (DBH) Youth Wellness Center is designed to improve

More information

Laguna Honda Lean Transformation. Laguna Honda Strategic Performance Management November 2017

Laguna Honda Lean Transformation. Laguna Honda Strategic Performance Management November 2017 Laguna Honda Lean Transformation Laguna Honda Strategic Performance Management November 2017 Background MAKE IT BETTER 4. 1. Performance Improvement FIX IT Do the work and make it happen 3. Create best

More information

IMPROVING TRANSITIONS FROM ACUTE CARE TO REHAB: SPREADING CHANGE ACROSS GTA HOSPITAL SITES FOR PATIENTS POST-HIP FRACTURE

IMPROVING TRANSITIONS FROM ACUTE CARE TO REHAB: SPREADING CHANGE ACROSS GTA HOSPITAL SITES FOR PATIENTS POST-HIP FRACTURE IMPROVING TRANSITIONS FROM ACUTE CARE TO REHAB: SPREADING CHANGE ACROSS GTA HOSPITAL SITES FOR PATIENTS POST-HIP FRACTURE GTA Rehab Network Charissa Levy, Sharon Ocampo-Chan, Donna Renzetti October 2016

More information

Mental Health Services - Delayed Discharges: Update

Mental Health Services - Delayed Discharges: Update NHS Greater Glasgow & Clyde NHS Board Meeting Chief Officer, Glasgow City HSCP and Nurse Director October 20 Paper No: /56 Mental Health Services - Delayed Discharges: Update Recommendation:- The NHS Board

More information

TARRANT COUNTY DIVERSION INITIATIVES

TARRANT COUNTY DIVERSION INITIATIVES TARRANT COUNTY DIVERSION INITIATIVES Texas Council June 2015 Ramey C. Heddins, CCHP Director Mental Health Support Services Kathleen Carr Rae, Public Policy Specialist WHAT IS THE PROBLEM? Prison 3-year

More information

San Francisco Whole Person Care California Medi-Cal 2020 Waiver Initiative

San Francisco Whole Person Care California Medi-Cal 2020 Waiver Initiative San Francisco Whole Person Care California Medi-Cal 2020 Waiver Initiative February 2, 2018 COIT Budget & Performance Subcommittee SF WHOLE PERSON CARE Background: What is it? Targeted Population in SF:

More information

Taming Length of Stay Challenges Through Analytics

Taming Length of Stay Challenges Through Analytics Taming Length of Stay Challenges Through Analytics March 3, 2016 Dr. Michelle Pezzani, Medical Director Utilization Management at El Camino Hospital & Palo Alto Medical Foundation (PAMF) Petrina Griesbach

More information

The Reduction of Seclusion & Restraint in the University of Michigan Psychiatric Emergency Services with the Introduction of 24/7 Nurse Staffing

The Reduction of Seclusion & Restraint in the University of Michigan Psychiatric Emergency Services with the Introduction of 24/7 Nurse Staffing The Reduction of Seclusion & Restraint in the University of Michigan Psychiatric Emergency Services with the Introduction of 24/7 Nurse Staffing Sharon P. Stetz MSN Marvella M. Muzik, MS PMHNP, BC Objectives

More information

Reduce Readmissions & Avoidable ED Visits: Advocate Health Care s Medically Integrated Crisis Community Support

Reduce Readmissions & Avoidable ED Visits: Advocate Health Care s Medically Integrated Crisis Community Support Reduce Readmissions & Avoidable ED Visits: Advocate Health Care s Medically Integrated Crisis Community Support by Sheri Richardt, L.C.S.W. Manager for Crisis/CL/First Access/MICCS/After Care and Shastri

More information

NHS performance statistics

NHS performance statistics NHS performance statistics Published: 8 th February 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official

More information

Overview of a new study to assess the impact of hospice led interventions on acute use. Jonathan Ellis, Director of Policy & Advocacy

Overview of a new study to assess the impact of hospice led interventions on acute use. Jonathan Ellis, Director of Policy & Advocacy Overview of a new study to assess the impact of hospice led interventions on acute use Jonathan Ellis, Director of Policy & Advocacy The problem Almost 600,000 people die each year Half will die in a hospital

More information

L19: Improving Transitions from the Hospital to Post Acute Care Settings

L19: Improving Transitions from the Hospital to Post Acute Care Settings This presenter has nothing to disclose L19: Improving Transitions from the Hospital to Post Acute Care Settings Gail A. Nielsen December 8, 2013 25th Annual National Forum on Quality Improvement in Health

More information

Northern Health - Acute Services. Evidence Based Practice Venous Thromboembolism Prevention

Northern Health - Acute Services. Evidence Based Practice Venous Thromboembolism Prevention Northern Health - Acute Services Evidence Based Practice Venous Thromboembolism Prevention (VTE) Jeannette Kamar Christine Lamotte, Liam Carter Improving Patient Safety Preventing and Managing Venous Thromboembolism

More information

CHC-A Continuity Dashboard. All Sites Continuity - Asthma. 2nd Qtr-03. 2nd Qtr-04. 2nd Qtr-06. 4th Qtr-03. 4th Qtr-06. 3rd Qtr-04.

CHC-A Continuity Dashboard. All Sites Continuity - Asthma. 2nd Qtr-03. 2nd Qtr-04. 2nd Qtr-06. 4th Qtr-03. 4th Qtr-06. 3rd Qtr-04. PPC1: ACCESS AND COMMUNICATION Element B: Access and Communication Results Item 1: Visits with assigned PCP Continuity data is reviewed each month at our Office Redesign Committee (ORDC). The data is collected

More information

Corporate Services Employment Report: January Employment by Staff Group. Jan 2018 (Jan 2017 figure: 1,462) Overall 1,

Corporate Services Employment Report: January Employment by Staff Group. Jan 2018 (Jan 2017 figure: 1,462) Overall 1, Corporate Services Employment Report: January Employment by Staff Group Jan (Jan 20 figure: 1,462) Jan % Overall 1,520 +58 +4.0% 8 Management (VIII+) 403 +52 4.8% Clerical & Supervisory (III to VII) 907

More information

Colorado Medical-Dental Integration Project (CO MDI)

Colorado Medical-Dental Integration Project (CO MDI) Colorado Medical-Dental Integration Project (CO MDI) Allison Cusick, MPA, CHES National Oral Health Conference April 2016 Colorado Medical-Dental Integration CO MDI Five-Year Initiative Launched in 2014

More information

NHS performance statistics

NHS performance statistics NHS performance statistics Published: 14 th December 217 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official

More information

Identifying Errors: A Case for Medication Reconciliation Technicians

Identifying Errors: A Case for Medication Reconciliation Technicians Organization: Solution Title: Calvert Memorial Hospital Identifying Errors: A Case for Medication Reconciliation Technicians Program/Project Description and Goals: What was the problem to be solved? To

More information

Readmission Reduction: Patient Interviews. KHA Quality Conference March, 2018

Readmission Reduction: Patient Interviews. KHA Quality Conference March, 2018 Readmission Reduction: Patient Interviews KHA Quality Conference March, 2018 Initial Driver Diagram Use Data and Root Cause Analysis to drive Continuous Improvement Analyze data to inform targeting approach

More information

NHS Performance Statistics

NHS Performance Statistics NHS Performance Statistics Published: 8 th March 218 Geography: England Official Statistics This monthly release aims to provide users with an overview of NHS performance statistics in key areas. Official

More information

Board Briefing. Board Briefing of Nursing and Midwifery Staffing Levels. Date of Briefing January 2018 (December 2017 data)

Board Briefing. Board Briefing of Nursing and Midwifery Staffing Levels. Date of Briefing January 2018 (December 2017 data) Board Briefing Board Briefing of Nursing and Midwifery Staffing Levels Date of Briefing January 2018 (December 2017 data) This paper is for: Sponsor: Chief Nurse- Dame Eileen Sills (DBE) Decision Author:

More information

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2009 Sue Currin, RN, MS, Chief Nursing Officer

PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2009 Sue Currin, RN, MS, Chief Nursing Officer PATIENT CARE SERVICES REPORT Submitted to the Joint Conference Committee, February 2009 Sue Currin, RN, MS, Chief Nursing Officer 1. January 2009 2320 RN VACANCY RATE: Overall 2320 RN vacancy rate for

More information

HIMSS Nicholas E. Davies Award of Excellence Case Study Nebraska Medicine October 10, 2017

HIMSS Nicholas E. Davies Award of Excellence Case Study Nebraska Medicine October 10, 2017 HIMSS Nicholas E. Davies Award of Excellence Case Study Nebraska Medicine October 10, 2017 Nebraska Medicine $1.2 billion academic health system 8,000 employees More than 1,000 affiliated physicians Primary

More information

Diversion and Forensic Capacity: Presentation to the Senate Committee on Health and Human Services

Diversion and Forensic Capacity: Presentation to the Senate Committee on Health and Human Services Diversion and Forensic Capacity: Presentation to the Senate Committee on Health and Human Services Mike Maples, Deputy Commissioner Lauren Lacefield Lewis, Assistant Commissioner Department of State Health

More information

Brent Treichler, M.D., FACEP Assistant Professor, UT Southwestern Department of Surgery, Division of Emergency Medicine Chief of Emergency Services,

Brent Treichler, M.D., FACEP Assistant Professor, UT Southwestern Department of Surgery, Division of Emergency Medicine Chief of Emergency Services, Brent Treichler, M.D., FACEP Assistant Professor, UT Southwestern Department of Surgery, Division of Emergency Medicine Chief of Emergency Services, Parkland Health and Hospital System September 13, 2010

More information

The Long and Winding Road-map: From Waiver Services to VBP and Other Stops Along the Way

The Long and Winding Road-map: From Waiver Services to VBP and Other Stops Along the Way The Long and Winding Road-map: From Waiver Services to VBP and Other Stops Along the Way Mental Health Association in New York State, Inc. Annual Meeting Gregory Allen, MSW Director Division of Program

More information

Transforming Healthcare Delivery, the Challenges for Behavioral Health

Transforming Healthcare Delivery, the Challenges for Behavioral Health Transforming Healthcare Delivery, the Challenges for Behavioral Health Presented by: M.T.M. Services, LLC P. O. Box 1027, Holly Springs, NC 27540 Phone: 919-434-3709 Fax: 919-773-8141 E-mail: mtmserve@aol.com

More information

Departments to Improve. February Chad Faiella RN, Terri Martin RN. 1 Process Excellence

Departments to Improve. February Chad Faiella RN, Terri Martin RN. 1 Process Excellence Coordination of Multiple Departments to Improve ED Throughput February 2011 Chad Faiella RN, Terri Martin RN 1 Agenda OhioHealth information Grant Medical Center facts Bed assignment process Key takeaways

More information

WPCC Workgroup. 2/20/2018 Meeting

WPCC Workgroup. 2/20/2018 Meeting WPCC Workgroup 2/20/2018 Meeting Today s Agenda 1. Introductions 2. Medicaid Transformation Overview 3. WPCC in the Transformation 4. Change Plan Overview 5. Review of Supporting Data 6. Change Plan Deep

More information

Workshop: Nursing Sensitive Indicators. Annelie Meiring and Suseth Goosen

Workshop: Nursing Sensitive Indicators. Annelie Meiring and Suseth Goosen Workshop: Nursing Sensitive Indicators Annelie Meiring and Suseth Goosen The level of patient care your facility provides is imperative it dictates your facility's financial success, as well as its reputation

More information

BLACK/AFRICAN AMERICAN HEALTH INITIATIVE Ayanna Bennett, MD Director Of Interdivisional Initiatives. October 18, 2016 Update

BLACK/AFRICAN AMERICAN HEALTH INITIATIVE Ayanna Bennett, MD Director Of Interdivisional Initiatives. October 18, 2016 Update BLACK/AFRICAN AMERICAN HEALTH INITIATIVE Ayanna Bennett, MD Director Of Interdivisional Initiatives October 18, 2016 Update BAAHI History 2014 BAAHI Charter: PHD and SFHN agree to work together to improve

More information

GOB Project 193 Mental Health Diversion Facility Service Capacity and Fiscal Impact Estimates June 9, 2016

GOB Project 193 Mental Health Diversion Facility Service Capacity and Fiscal Impact Estimates June 9, 2016 GOB Project 193 Mental Health Diversion Facility Service Capacity and Fiscal Impact Estimates June 9, 2016 I. SUMMARY The purpose of the Mental Health Diversion Facility (Facility) is to create a comprehensive

More information

AGENDA. Introduction and Executive Leadership Year in Review Environment of Care Report and Policy Approvals

AGENDA. Introduction and Executive Leadership Year in Review Environment of Care Report and Policy Approvals AGENDA Introduction and Executive Leadership Year in Review Environment of Care Report and Policy Approvals San Francisco General Hospital and Trauma Center Executive Leadership Roland Pickens, Interim

More information

Lynn Ives, MSN, RN-BC; Jessie Reich, MSN, RN, ANP-BC, CMSRN. Disclosure. Learning Objectives. The speakers have no conflicts of interest to disclose

Lynn Ives, MSN, RN-BC; Jessie Reich, MSN, RN, ANP-BC, CMSRN. Disclosure. Learning Objectives. The speakers have no conflicts of interest to disclose Reducing Falls with Injury on an Inpatient Geriatric Psychiatry Unit through Elevation of Nursing Support Staff: An Interprofessional Approach Lynn Ives, MSN, RN-BC Kathryn Farrell, MSN, RN John Brennan,

More information

Transitions in Care. Discharge Planning Pathway & Dashboard

Transitions in Care. Discharge Planning Pathway & Dashboard Transitions in Care Discharge Planning Pathway & Dashboard Scott Jarrett Executive Vice President and Chief of Clinical Programs Humber River Hospital Carol Hatcher Vice President Clinical Programs Humber

More information

Countywide Emergency Department Ambulance Patient Transfer of Care Report Performance Report

Countywide Emergency Department Ambulance Patient Transfer of Care Report Performance Report Countywide Emergency Department 9-1-1 Ambulance Patient Transfer of Care Report Performance Report Prepared by: Contra Costa Emergency Medical Services Visit us at www.cccems.org 2/11/2016 Contra Costa

More information

PERFORMANCE MEASURE DATE / RESULTS / ANALYSIS FOLLOW-UP / ACTION PLAN

PERFORMANCE MEASURE DATE / RESULTS / ANALYSIS FOLLOW-UP / ACTION PLAN Resident-to-Resident Assaults AIM: To decrease incidents of Resident to Residents assaults by 5% in the Fiscal Year (FY) 2011-2012. MONITORING: Data is collected from all instances in which State of California

More information

Mental Health Liaison Workshop

Mental Health Liaison Workshop Mental Health Liaison Workshop UEC Improvement Collaborative Event The Kia Oval, 07 December 2017 Neil Brimblecombe - Chair (co MH Clinical Lead UECC) Barbara Cleaver - Consultant in Emergency Medicine

More information

Florida Department of Children and Families Office of Substance Abuse and Mental Health Care Coordination Rating System (Managing Entity)

Florida Department of Children and Families Office of Substance Abuse and Mental Health Care Coordination Rating System (Managing Entity) Florida Department of Children and Families Office of Substance Abuse and Mental Health Care Coordination Rating System (Managing Entity) Instructions: The checklist examines the core competencies of Care

More information

San Francisco Pilot Program Behavioral Health Focus

San Francisco Pilot Program Behavioral Health Focus San Francisco Pilot Program Behavioral Health Focus David Serrano Sewell Hospital Council of Northern & Central California Abbie Yant Dignity Health Convening for Change: Addressing San Francisco s Emergency

More information

Countywide Emergency Department Ambulance Patient Transfer of Care Report Performance Report

Countywide Emergency Department Ambulance Patient Transfer of Care Report Performance Report Countywide Emergency Department 9-1-1 Ambulance Patient Transfer of Care Report Performance Report Prepared by: Contra Costa Emergency Medical Services Visit us at www.cccems.org 2/28/2017 Patient Transfer

More information

Enlisted Professional Military Education FY 18 Academic Calendar. Table of Contents COLLEGE OF DISTANCE EDUCATION AND TRAINING (CDET):

Enlisted Professional Military Education FY 18 Academic Calendar. Table of Contents COLLEGE OF DISTANCE EDUCATION AND TRAINING (CDET): Enlisted Professional Military Education FY 18 Academic Calendar Table of Contents STAFF NON-COMMISSIONED OFFICER ACADEMIES: SNCO Academy Quantico SNCO Academy Camp Pendleton SNCO Academy Camp Lejeune

More information

Harris County - Jail Population September 2016 Report

Harris County - Jail Population September 2016 Report Comparison of Jail Population 1st Mtg 1 Year Last Current Aug-09 Sep-15 Aug-16 of Ago Month Month Council - - - Category 1 Aug-09 Sep-15 Aug-16 Sep-16 Sep-16 Sep-16 Sep-16 Pretrial Detainees (By Highest

More information

CAMDEN CLARK MEDICAL CENTER:

CAMDEN CLARK MEDICAL CENTER: INSIGHT DRIVEN HEALTH CAMDEN CLARK MEDICAL CENTER: CARE MANAGEMENT TRANSFORMATION GENERATES SAVINGS AND ENHANCES CARE OVERVIEW Accenture helped Camden Clark Medical Center, (CCMC), a West Virginia-based

More information

How can we provide the same world class care to patients with psychiatric disorders? 11/27/2016. Dec 2016 Orlando, FL

How can we provide the same world class care to patients with psychiatric disorders? 11/27/2016. Dec 2016 Orlando, FL The presenters have nothing to disclose Transforming Emergency Psychiatry Karen Murrell, MD, MBA, FACEP Physician Lead-Emergency Medicine, Kaiser Northern California Assistant Physician in Chief- Hospital

More information

Alaska Psychiatric Institute. Admissions & Demographic Annual Report

Alaska Psychiatric Institute. Admissions & Demographic Annual Report Alaska Psychiatric Institute Admissions & Demographic Annual Report (As of 8/2/27) 1 Total Admissions FY, FY4, FY, FY, FY7 18 1 Number Of 14 12 1 8 FY FY4 FY FY FY7 4 2 FY Admissions - 1,227 FY Admisions

More information

Sutton Homes of Care Vanguard Programme

Sutton Homes of Care Vanguard Programme Sutton Homes of Care Vanguard Programme An Innovative End of Life Care model for care homes Kings Fund Conference 6 th December 2016 Corinne Campion, Clinical Nurse Specialist, Supportive Care Home Team

More information

Southwest Texas Regional Advisory Council

Southwest Texas Regional Advisory Council Executive Summary In 1989, the Texas legislature identified a need to ensure trauma resources were available to every person in Texas. The Omni Rural Health Care Rescue Act, directed the Bureau of Emergency

More information

Urgent Care Short Term Actions to Improve Performance

Urgent Care Short Term Actions to Improve Performance To: Trust Board From: Chief Operating Officer Date: March 2017 Healthcare standard Title: Urgent Care Short Term Actions to Improve Performance Author/Responsible Director: Michael Woods / Andrew Prydderch

More information

Innovative Strategies to Improve Mental Health Integration in Pediatric Primary Care

Innovative Strategies to Improve Mental Health Integration in Pediatric Primary Care Innovative Strategies to Improve Mental Health Integration in Pediatric Primary Care 30th Annual Children's Mental Health Research & Policy Conference March 6, 2017 One Agency. One Mission. One Voice.

More information

Key Performance Indicators

Key Performance Indicators Regional Nephrology System (RNS) Chronic Disease Prevention and Management Key Performance Indicators 8/9 Fiscal Year End Report Version: 1. Date published: April 7th, 9 Created by: Ethel Doyle: RNS Interim

More information

OhioHealth s Mission: To Improve the Health of Those We Serve

OhioHealth s Mission: To Improve the Health of Those We Serve Enhancing SAFE SKIN Through Computer Utilization OhioHealth s Mission: To Improve the Health of Those We Serve 2 1 3 Grant Medical Center 21,000 patient discharges/year Average daily census of 260 Magnet

More information

Integrating Community and Primary Care: the eyes and ears of general practice

Integrating Community and Primary Care: the eyes and ears of general practice re Integrating Community and Primary Care: the eyes and ears of general practice Context and Evidence Increasing numbers of people over 65 with chronic conditions being managed in primary care. Acute exacerbations

More information

PERFORMANCE IMPROVEMENT REPORT

PERFORMANCE IMPROVEMENT REPORT PERFORMANCE IMPROVEMENT REPORT First Quarter Fiscal Year 214 October-December, 213 Daniel Coffey, CEO 1 Executive Summary The Quarterly Performance Improvement Report summarizes the measures used to monitor

More information

Medical Respite Program Expansion

Medical Respite Program Expansion Medical Respite Program Expansion Alice Moughamian, RN, CNS, Program Director, Medical Respite and Sobering Center Hali Hammer, MD, Director of Primary Care SFDPH Medical Respite Program Program of SF

More information

Title. SF Health Network Telephone Communication Program. Subtitle. Antenor Arenas Director, Centralized Call Center

Title. SF Health Network Telephone Communication Program. Subtitle. Antenor Arenas Director, Centralized Call Center SF Health Network Telephone Communication Program December 15, 2015 Antenor Arenas Director, Centralized Call Center Title Anna Robert, RN, DrPH Director of Care Coordination Subtitle 1 Overview Organizational

More information

Creating A Niche: Medical-Surgical Nurses Role in Succesful Program Development (Oral)

Creating A Niche: Medical-Surgical Nurses Role in Succesful Program Development (Oral) Lehigh Valley Health Network LVHN Scholarly Works Patient Care Services / Nursing Creating A Niche: Medical-Surgical Nurses Role in Succesful Program Development (Oral) Eileen Sacco MSN, RN, CNRN, ONC

More information

Decreasing the Unplanned Readmission Rate of Patients receiving Outpatient Antibiotic Therapy(OPAT)

Decreasing the Unplanned Readmission Rate of Patients receiving Outpatient Antibiotic Therapy(OPAT) Decreasing the Unplanned Readmission Rate of Patients receiving Outpatient Antibiotic Therapy(OPAT) Dr. Jose Cadena Dr. Amruta Parekh University of Texas Health Science Center at San Antonio San Antonio,

More information

Working Together for a Healthier Washington

Working Together for a Healthier Washington Working Together for a Healthier Washington Laura Kate Zaichkin, Administrator, Office of Health Innovation & Reform Health Care Authority April 29, 2015 Why do we need health system transformation? Because

More information

Overcoming Psycho-Social Hurdles to Transitional Care

Overcoming Psycho-Social Hurdles to Transitional Care Overcoming Psycho-Social Hurdles to Transitional Care Matt Eisenhower Director, Community Health Development Peter Rice, M.D. Medical Director Overcoming Psycho-Social Hurdles to Transitional Care This

More information

National Trends Winter 2016

National Trends Winter 2016 National Trends Winter 216 About the National Trends data This report presents a unique and real-time view of trends within temporary nursing including bank and agency usage. The data used has been drawn

More information

The Behavioral Health System. Presentation to the House Select Committee on Mental Health

The Behavioral Health System. Presentation to the House Select Committee on Mental Health The Behavioral Health System Presentation to the House Select Committee on Mental Health John Hellerstedt, M.D. Commissioner Lauren Lacefield Lewis Assistant Commissioner Division for Mental Health and

More information

Executive Summary MEDICARE FEE-FOR-SERVICE (FFS) HOSPITAL READMISSIONS: QUARTER 4 (Q4) 2012 Q STATE OF CALIFORNIA

Executive Summary MEDICARE FEE-FOR-SERVICE (FFS) HOSPITAL READMISSIONS: QUARTER 4 (Q4) 2012 Q STATE OF CALIFORNIA MEDICARE FEE-FOR-SERVICE (FFS) HOSPITAL READMISSIONS: QUARTER 4 (Q4) 2012 Q3 2013 Executive Summary STATE OF CALIFORNIA The Centers for Medicare & Medicaid Services (CMS) has tasked Health Services Advisory

More information

Collaboration Between Radiology and Utilization Management to Reduce Inappropriate MRI Orders and Patient Wait Times. Problem/Goal

Collaboration Between Radiology and Utilization Management to Reduce Inappropriate MRI Orders and Patient Wait Times. Problem/Goal Collaboration Between Radiology and Utilization Management to Reduce Inappropriate MRI Orders and Patient Wait Times A. Chang, C. Hyun, N. Mehta, S. Kim, M. Grube, M. Blair, A. Yi VA Loma Linda Healthcare

More information

JMOC Update: Behavioral Health Redesign. December 15 th, 2016

JMOC Update: Behavioral Health Redesign. December 15 th, 2016 JMOC Update: Behavioral Health Redesign December 15 th, 2016 2 Implementation Schedule BH Redesign 7/1/2017: Medicaid requires rendering (NPI) practitioner*, ORP, and/or supervisor on claims Go Live for

More information

Bridging the Gap Between Crisis and Care: How to Effectively Integrate Psychiatric Emergency Care Within a Community Hospital Emergency Department.

Bridging the Gap Between Crisis and Care: How to Effectively Integrate Psychiatric Emergency Care Within a Community Hospital Emergency Department. Bridging the Gap Between Crisis and Care: How to Effectively Integrate Psychiatric Emergency Care Within a Community Hospital Emergency Department. Jeannine Loucks, MSN, RN BC PMHN Laura Derr, BSN, RN

More information

FHA HIIN Readmissions Peer Sharing Webinar: Improving Care Transitions through a Discharge Lounge. July 24, 2018

FHA HIIN Readmissions Peer Sharing Webinar: Improving Care Transitions through a Discharge Lounge. July 24, 2018 FHA HIIN Readmissions Peer Sharing Webinar: Improving Care Transitions through a Discharge Lounge July 24, 2018 Welcome & Overview How are we doing on Reducing Readmissions? Peer Sharing Presentation:

More information

ZSFG Dept of Psychiatry Core Measure Update. Joint Conference Committee of the SF Health Commission 26 April 2016

ZSFG Dept of Psychiatry Core Measure Update. Joint Conference Committee of the SF Health Commission 26 April 2016 ZSFG Dept of Psychiatry Core Measure Update Joint Conference Committee of the SF Health Commission 26 April 2016 1 Goals for Today Review progress towards: 1. Improving psychiatric patient care at ZSFG

More information

Influence of Patient Flow on Quality Care

Influence of Patient Flow on Quality Care Influence of Patient Flow on Quality Care Patients Waiting on Trolleys for an Inpatient Bed Patients who are Medically Fit to be discharged and cared for at Home with Support or in a Nursing Home or District

More information

Mental Health Crisis Case Management in a Rural Emergency Department. Allison Whisenhunt, LCSW Providence Seaside Hospital October 2017

Mental Health Crisis Case Management in a Rural Emergency Department. Allison Whisenhunt, LCSW Providence Seaside Hospital October 2017 Mental Health Crisis Case Management in a Rural Emergency Department Allison Whisenhunt, LCSW Providence Seaside Hospital October 2017 What if? What if video Objectives Acknowledge challenges of mental

More information

Implementing Medicaid Behavioral Health Reform in New York

Implementing Medicaid Behavioral Health Reform in New York Redesign Medicaid in New York State Implementing Medicaid Behavioral Health Reform in New York HIV Health and Human Services Planning Council of New York March 19, 2014 Agenda Goals Timeline BH Benefit

More information

San Francisco Whole Person Care California Medi-Cal 2020 Waiver Initiative

San Francisco Whole Person Care California Medi-Cal 2020 Waiver Initiative San Francisco Whole Person Care California Medi-Cal 2020 Waiver nitiative November 9, 2017 Long Term Care Coordinating Council SF WHOLE PERSON CARE What is Whole Person Care? San Francisco s Whole Person

More information

STATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018

STATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018 STATISTICAL PRESS NOTICE MONTHLY CRITICAL CARE BEDS AND CANCELLED URGENT OPERATIONS DATA, ENGLAND March 2018 Main Findings March 2018: Critical Care Beds There were 4,064 adult critical care beds available

More information

ILLINOIS 1115 WAIVER BRIEF

ILLINOIS 1115 WAIVER BRIEF ILLINOIS 1115 WAIVER BRIEF STATE TESTING FOR THE FOLLOWING ACHIEVED RESULTS: 1. Increased rates of identification, initiation, and engagement in treatment 2. Increased adherence to and retention in treatment

More information

Public Safety Realignment Act of 2011 (AB109)

Public Safety Realignment Act of 2011 (AB109) Community Corrections Partnership Executive Committee (CCPEC) Public Safety Realignment Act of 2011 (AB109) San Francisco Board of Supervisors Public Safety Committee Public Safety Realignment Hearing

More information

Board Briefing. Board Briefing of Nursing and Midwifery Staffing Levels. Date of Briefing August 2017 (July 2017 data)

Board Briefing. Board Briefing of Nursing and Midwifery Staffing Levels. Date of Briefing August 2017 (July 2017 data) Board Briefing Board Briefing of Nursing and Midwifery Staffing Levels Date of Briefing August 2017 (July 2017 data) This paper is for: Sponsor: Chief Nurse- Dame Eileen Sills (DBE) Decision Author: Workforce

More information