Riverview Psychiatric Center Accomplishments and Challenges January 2006.
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Transcript of Riverview Psychiatric Center Accomplishments and Challenges January 2006.
Riverview Psychiatric Center Accomplishments and
Challenges
January 2006
Entering 2005 Challenges
Union class action grievances, Ending of Receivership, Asserting Executive Branch control, Orientation of new key leadership
positions, Resolution toward implementation of a
recovery philosophy, Significantly low staff morale,
Accomplishments of 2005
Unparallel reduction in Restraint Significant Reduction in Staff Lost
time/Medical injuries Momentous decline in mandated shift use Major decline in use of Overtime Enhanced Budget Control Exceeding all Third Party Standard Reviews Attained Enhancements in Service Delivery
Restraint InitiativesDecember of 2005 first time in 166 year history of no Mechanical Restraint.
In July of 2005, 31 restraint episodes were recorded. The average mechanical restraint was for over three and a half hours. In December 2005, eight restraints occurred with an average of approximately six minutes.
93% below National Mean for hours of restraint use.
Restraints by Type
2527
8
1 1 00
5
10
15
20
25
30
Oct-05 Nov-05 Dec-05
Month
# o
f R
estr
ain
ts
Hands on Restraint
Mechanical Restraint
Linear (Hands onRestraint)Linear (MechanicalRestraint)
Staff Injuries
Reportable (Lost Time & Medical) Direct Care Staff Injuries
0.00%
0.50%
1.00%
1.50%
2.00%
2.50%
3.00%
3.50%
4.00%
4.50%
Dec-0
4
Jan-
05
Feb-0
5
Mar
-05
Apr-0
5
May
-05
Jun-
05
Jul-0
5
Aug-0
5
Sep-0
5
Oct-0
5
Nov-0
5
Dec-0
5
Month
Pe
r 1
00
0 P
atie
nt D
ays
A 75% reduction of lost time and Medical Injuries of staff from December 2004 to December 2005.
A reduction in workers medical costs of $188,435.40 in 2005 as compared to 2004.
Mandated Shift Use
A 90% reduction of Mandated shift work from December 2004 to December 2005.
Successful alliance with unions to develop improved efficiency of scheduling staff.
Mandates FY2006
0
5
10
15
20
25
By pay period
Num
ber o
f Man
date
s
Overtime UtilizationRPC is showing a Reduction of 19% to date compared to the same time frame last fiscal year (7/01/04 to 12/21/05).
FY 2005 1st time in 15 years Hospital did not exceed Personnel Budget.
Over $175,000.00 Saved
RIVERVIEW PSYCHIATRIC CENTEROVERTIME COMPARISON BY MONTH
FY05 VS FY06
010,00020,00030,00040,00050,00060,00070,00080,00090,000
100,000110,000120,000
DOLL
ARS
FY2005OVERTIMEFY2006OVERTIME
Budget
Budget controls implemented to manage hospital budget and self fund (1) Meditech computer system and (2) community forensic services.
RIVERVIEW PSYCHIATRIC CENTERALL OTHER EXPENDITURES
FY2006
0
500,000
1,000,000
1,500,000
2,000,000
BUDGET
ACTUAL
RIVERVIEW PSYCHIATRIC CENTEROVERTIME COMPARISON BY MONTH
FY05 VS FY06
010,00020,00030,00040,00050,00060,00070,00080,00090,000
100,000110,000120,000
JUL AUG SEP OCT NOV DEC JAN FEB MAR APR MAY JUN
DO
LLAR
S
FY2005 OVERTIME
FY2006 OVERTIME
Third Party Review
Full Three Year License Awarded November 1, 2005
CMS Certified July 12, 2005 Three Year Joint Commission
Accreditation, Unannounced Survey November 25, 2005.
Service Enhancements
Increasing Vocational Service Provisions Increasing Delivery of Psycho-Educational
Services Initiating a Forensic 72 Hour Stabilization
Service Standardizing Forensic Procedures with
DOC Increasing Peer Specialist Provisions
Current Improvement Initiatives
Enhance Bed Utilization Average Length of Stay to be reduced Timeliness of discharges to improve
Reduce use of Seclusion Provide each unit with defined alternatives Increase clinical review
Increase Community Educational Experiences• Provide a community training event each quarter• Increase provider participation in routine training at
Riverview
Employee Morale Measures
Reduced rate of Separations from Employment as compared to five year average.
Improved Retention Rate from 2004 to 2005 moving from 85.71% to 87.21%.
Average turnover rate for the Department of Heath & Human Services for 2005 was 14.02%. Riverview’s turnover rate from 2005 was 12.79%. This is down from 14.29% in 2004.
Separations by Year 2000 - 2005
4248
42 40
55
43
0
10
20
30
40
50
60
2000 2001 2002 2003 2004 2005
Year
Total
numb
er of
sepa
ration
s
Closing Comments
Riverview Psychiatric Center has been through major changes during 2005. Moving from Receivership to Executive Branch control, provisional license to full, from class action grievances by the unions to shared leadership initiatives. Moving from a medical model to a modern recovery oriented model.
Riverview Staff have been there when difficult decisions have had to be made, when difficult assessments had to be made, and when action was required. Fidelity to the principles of client dignity, quality service, respect and accountability have been upheld.
The accomplishments over this 12 month period have been striking. All of Maine, and especially the staff at Riverview should look back with a sense of pride and forward with a sense of optimism.
Leadership Contacts
If you have questions concerning Riverview Psychiatric Center, please consider the below contacts;
David S. Proffitt, Superintendent 624-4656
William Nelson, MD, Medical Director 624-4658
Jamie Morrill, Deputy Superintendent 624-4675
Brian Daskivich, Deputy Superintendent 624-4613
Lucia Nadeau, Human Resources 624-4660Visit RPC on the Web at http://www.maine.gov/dhhs/riverview/index.shtml