Ramona Strickland Case
PI/RISK MANAGEMENT REPORT: Ramona Strickland reviewed the attached Clinical Dashboards for Acute and Residential Services.
For Acute Services, three (3) elements did not meet the benchmark. There were nineteen (19) holds (11 patients). Three (3) patients accounted for sixty-one percent (61%). Ten (10) holds were on the Adult unit and nine (9) holds on the Adolescent unit.
For Residential Services, there were twenty-eight (28) holds. Rate of seventeen (17%), increased from last month. There were three (3) or four (4) patients that were repeat behaviors over and over that required restraint and holds.
Psychiatric Evaluations – Ramona reported that psychiatric evaluations are looking much better. However, there is an amendment …show more content…
Discharge Summary – Ramona Strickland reported that Discharge Summaries are looking better. CMS is requiring that we add a summary of the patient condition at discharge. This would include psychiatric, physical, and their social function. All have to be included in the discharge summary. Doctor’s suggested that the Treatment Team be involved in the Discharge Summary to determine patient’s social function. This would be completed at the 7 day review and could be pulled at the time of discharge.
Treatment Team Update – Felecia Arbuah, Director of Clinical Services, reported that Treatment team has improved. When completing the Master Treatment plan it is important that if charts are pulled the diagnosis has been entered so that the when the Master Treatment plan is being completed you know what the diagnosis is. In addition, the Clinicians have been told to prioritize the patients. Felecia Arbuah and Cathy Becker are still working with the teams to improve the process. Policy states that the clinician has 72 hours to perform the initial assessment of the patient. Example, if a patient comes in on Monday evening, treatment team is conducted Wednesday morning but the patient is not being seen. Doctor’s state 72 hours is too long to not see the patient. Felecia is going to see if nuisance can be added to the computer so Clinicians can review psychiatric evaluations instead of having to go through
For Acute Services, three (3) elements did not meet the benchmark. There were nineteen (19) holds (11 patients). Three (3) patients accounted for sixty-one percent (61%). Ten (10) holds were on the Adult unit and nine (9) holds on the Adolescent unit.
For Residential Services, there were twenty-eight (28) holds. Rate of seventeen (17%), increased from last month. There were three (3) or four (4) patients that were repeat behaviors over and over that required restraint and holds.
Psychiatric Evaluations – Ramona reported that psychiatric evaluations are looking much better. However, there is an amendment …show more content…
Discharge Summary – Ramona Strickland reported that Discharge Summaries are looking better. CMS is requiring that we add a summary of the patient condition at discharge. This would include psychiatric, physical, and their social function. All have to be included in the discharge summary. Doctor’s suggested that the Treatment Team be involved in the Discharge Summary to determine patient’s social function. This would be completed at the 7 day review and could be pulled at the time of discharge.
Treatment Team Update – Felecia Arbuah, Director of Clinical Services, reported that Treatment team has improved. When completing the Master Treatment plan it is important that if charts are pulled the diagnosis has been entered so that the when the Master Treatment plan is being completed you know what the diagnosis is. In addition, the Clinicians have been told to prioritize the patients. Felecia Arbuah and Cathy Becker are still working with the teams to improve the process. Policy states that the clinician has 72 hours to perform the initial assessment of the patient. Example, if a patient comes in on Monday evening, treatment team is conducted Wednesday morning but the patient is not being seen. Doctor’s state 72 hours is too long to not see the patient. Felecia is going to see if nuisance can be added to the computer so Clinicians can review psychiatric evaluations instead of having to go through