Select Committee on Quality Improvement in State Hospitals Hospital...

DSHS | Facilities, Finance, and Analytics Administration | Research and Data Analysis Division ● OCTOBER 2018 1

Select Committee on QualityImprovement in State HospitalsPERIODIC REPORTING

Alice Huber, PhDFacilities, Finance, and Analytics Administration Research and Data Analysis [email protected]

October 18, 2018

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Information about PatientsPART 1

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Adult Psychiatric Inpatient Discharges by Facility and Patient StatusPatients Age 18 and Older at First Episode Admission • Episode Ending Discharges in SFY 2018

STATUSUPDATEDOCT 2018

Western State Hospital – Forensic5% n = 896

SFY 2018 Psychiatric Inpatient

DischargesTOTAL = 16,307(Unknown = 15)

AdamsAsotin

Benton Chelan

Douglas Ferry

Franklin Garfield

Grant Columbia

KittitasKlickitatLincoln

Okanogan Pend Oreille

Skamania Stevens

Spokane Walla Walla

Whitman Yakima

Eastern Washington CountiesBased on BHO

Western Washington

CountiesBased on BHO

Clallam Clark Cowlitz Grays Harbor Island Jefferson King Kitsap Lewis

Mason Pacific Pierce San Juan Skagit Snohomish Thurston Wahkiakum Whatcom

Eastern State Hospital – Forensic2% n = 295

NOTE: The highest level of care is selected for the discharging facility since that is the direction patients usually move through the system. Thus, if a patient was in both an E&T and a Community Hospital during an episode, the discharge from the Community Hospital is counted, but not the E&T discharge.

Western State Hospital – Civil2% n = 280

Community HospitalWestern Washington Counties 56% n = 9,093

Evaluation & TreatmentWestern Washington Counties

14% n = 2,338

Community HospitalEastern Washington Counties

10% n = 1,586

Evaluation & TreatmentEastern Washington Counties

9% n = 1,424

Washington Patients Discharged from Out-of-State Facilities

1% n = 146 (Idaho = 83, Oregon = 49, Others = 14)

Eastern State Hospital – Civil1% n = 234


Episode Length for Patients Discharged from State HospitalsAdult Forensic Patients – Competency Restoration

Patients Discharged SFY 2011 through 2018Q4 • Age 18 and Older at First Admission of the Episode

5068

36

52

0

50

100

150

200

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

Median length of stay (days) by quarter

WSH Competency Restoration

ESH Competency Restoration

STATUSUPDATED OCT 2018

NOTES: Episode length is reported by the most intensive service location within an episode. Consecutive service spans are combined into a single episode of care. EXAMPLE: A patient admitted to a Community Hospital on the day of an Evaluation & Treatment discharge would be counted in the Community Hospital column and their Evaluation & Treatment days would be included in the overall length of stay. Eastern State Hospital patients with a legal authority of 72-hour or 14-day court commitment are counted as Evaluation & Treatment patients. Patients with treatment at both state hospitals in the same episode were assigned to the hospital where they spent the most time in that episode.

STATE FISCAL YEAR

2011 2013 2014 2015 2016 20172012 2018

SOURCE: DSHS Research and Data Analysis Division, Integrated Client Databases, October 2018.


Number and Length of Episodes for Patients Discharged from State HospitalsAdult Forensic Patient DETAIL

Median length of stay(days) by quarter

SFY 2013 SFY 2014 SFY 2015 SFY 2016 SFY 2017 SFY 2018Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

Eastern State Hospital

ALL FORENSIC 87 50 73 73 68 70 50 48 39 38 51 79 93 79 46 33 50 86 49 80 47 45 50 53

Competency Restoration 87 50 71 71 68 68 50 45 38 38 51 80 80 68 46 33 50 79 48 79 47 45 49 52

Western State Hospital

ALL FORENSIC 109 69 74 74 78 78 76 77 76 72 72 70 76 71 71 67 64 53 60 76 61 61 74 71


MEDIAN EPISODE LENGTH

NUMBER OF EPISODES

Count of episodes by quarter

SFY 2013 SFY 2014 SFY 2015 SFY 2016 SFY 2017 SFY 2018Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4


ALL FORENSIC 37 53 27 47 30 26 39 34 38 46 36 27 36 37 63 64 63 70 74 71 74 68 68 86



ALL FORENSIC 167 142 158 143 171 165 163 179 157 192 172 164 161 191 170 222 224 231 234 248 217 227 211 241






Episode Length for Patients Discharged from State HospitalsAdult Civil Patients

49

138

93

387

0

50

100

150

200

250

300

350

400






STATE FISCAL YEAR

2011 2013 2014 2015 2016 20172012 2018




Episode Length for Adult Community Hospital and Evaluation and Treatment Patients

79

0

10

20

30

40


Evaluation & Treatment

Community Hospital



STATE FISCAL YEAR

2011 2013 2014 2015 2016 20172012 2018





SFY 2013 SFY 2014 SFY 2015Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4

Eastern State Hospital – CIVIL 54 62 60 70 63 56 77 68 56 51 76 72

Western State Hospital – CIVIL 137 127 142 141 125 143 143 170 153 130 151 149

Community Hospital 8 8 8 8 9 9 9 9 9 8 8 8

Evaluation & Treatment 8 8 10 8 9 10 10 9 9 8 8 9





Community Hospital 9 8 8 8 8 8 9 8 9 9 9 9


Median Episode Length for Adult Civil Commitments at State Hospitals, Community Hospital and Evaluation and Treatment Patients: DETAIL





Number of episodes by quarter




Community Hospital 1,745 1,640 1,680 1,667 1,803 1,556 1,666 1,757 1,871 1,833 1,907 1,969


Number of episodes by quarter




Community Hospital 1,967 2,001 2,311 2,436 2,601 2,552 2,645 2,698 2,677 2,627 2,763 2,778


Number of Mental Health Inpatient Episodes for Adult Civil Commitments at State Hospitals, Community Hospital and Evaluation & Treatment Patients: DETAIL





State Hospital Median Length of Stay by Fiscal Year Quarter and Legal StatusExcludes time spent in other inpatient facilities prior to admission at the hospital

86

164

227

404

0

100

200

300

400

500

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

791

347

105 228

0

300

600

900

1,200

1,500

1,800

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

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Q2

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Q1

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Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

Q1

Q2

Q3

Q4

DETAIL: Residential days at the hospital on the first day of each fiscal quarter. No prior inpatient days at Evaluation and Treatment or Community Hospital are counted in the Length of Stay. Legal status reported for the first day of the quarter. Patients who change status (e.g. Forensic to Civil) have their LOS continued in the new status and are reported based on their legal status on the reporting date.

SOURCE: DSHS Research and Data Analysis Division, Integrated Client Databases, October 2017. BHSS SH Daily Census.

MEDIAN DAYS – CIVIL MEDIAN DAYS – FORENSIC


Eastern State Hospital Western State Hospital


STATE FISCAL YEAR STATE FISCAL YEAR

2011 2012 2013 2014 2015 2016 2017 2018 2011 2012 2013 2014 2015 2016 2017 2018



State Hospital Care MeasuresPART 2

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DSHS | Facilities, Finance, and Analytics Administration | Research and Data Analysis Division ● OCTOBER 2018 12DSHS | Financial Services Administration | Research and Data Analysis Division ● SEPTEMBER 2018 12

Overall rates of admission screening for risk of violence to self, risk of violence to others, substance use, psychological trauma history, and patient strengths

at Eastern State Hospital and Western State Hospital

60%

96%

83%77%

0%

25%

50%

75%

100%

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2014 2015 2016


Eastern State HospitalNational Average

Target = 100%

DATA SOURCE: Reports from Eastern State Hospital and Western State Hospital. National average from NRI’s HBIPS Comparative Statistics Report (HAP and BHC).MEASURE DEFINITION: Overall rates of multi-factor admission screening conducted by the third day post admission. Measure is calculated when patient is discharged.DATA NOTES: 1 Overall rate calculations: Numerator = Psychiatric inpatients with admission screening by the third day post admission for all of the following: a) risk of violence to self, b) risk of violence to others, c) substance use, d) psychological trauma history, and e) patient strengths. Denominator = All psychiatric inpatient discharges. 2 Included populations in the denominator are patients with ICD-9-CM Principal or Other Diagnosis Codes for Mental Disorders. 3 2016 Q3 reflects a change to the screening form data which was required by CMS.

HBIPS 1a

http://emis.dshs.wa.gov/Report/View?definition=HBIPS%201a*197901-999906*15973&format=excel

2017

STATUSUPDATED SEP 2018

NEXT UPDATEOCT 2018

STATE FISCAL YEAR

2018

http://emis.dshs.wa.gov/Report/View?definition=HBIPS%201a*197901-999906*15973&format=excel


11.8

18.316.0

22.1

0

5

10

15

20

25

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Prior Eastern State Hospital Target (through SFY 2018) = 15.00

DATA SOURCE: Reports from Eastern State Hospital and Western State Hospital.MEASURE DEFINITION: Active treatment hours delivered (per 7 patient days) during the reporting quarter, at each of Eastern State Hospital and Western State Hospital. Includes both civil and forensic patients.DATA NOTES: 1 The performance targets will be reached on or prior to June 30, 2017. 2 The rate is calculated by dividing the number of active treatment hours delivered in a given quarter by the number of patient days utilized by a state hospital in that quarter; and then multiplying the quotient by seven. 3 Active treatment hours are distinctly tracked for each of the state hospitals, for purposes of calculating quarterly rates by facility.

Quarterly rates of active treatment hours delivered per 7 patient days at Eastern State Hospital and Western State Hospital for all patients

Rate per 7 patient days

Overall Target = 20.0

SP 1.2 (ABX.5)


NEXT UPDATEDEC 2018

http://emis.dshs.wa.gov/Report/View?definition=ABX.5*197901-999906*10689&format=excel

2014 2015 2016 2017

STATE FISCAL YEAR

2018 2019

Eastern State Hospital Target Increased to 20.0

http://emis.dshs.wa.gov/Report/View?definition=ABX.5*197901-999906*10689&format=excel


Rate of Aggression, Injury, Assault, Seclusion and Restraint at Western State Hospital

0.070.11

0.92

0.00

0.20

0.40

0.60

0.80

1.00

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Patient to Patient AggressionSevere Patient Injuries

Patient to Staff Assaults

Rate per 1,000 Patient Days at Western State

0.25 0.670.00

2.00

4.00

6.00

8.00

10.00

Q3J-F-M

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Restraint

Seclusion

Rate per 1,000 Patient Hours at Western State

NOTE: Incidents are distinctly tracked for each of the state hospitals, for purposes of mapping rates by facility. 2 An injury occurs when a patient suffers physical harm or damage, excluding the result of a disease process. Severe patient injuries include all patient injuries with a severity level of "3" or higher (3 = medical intervention; 4 = hospitalization; 5 = death)..SOURCES: Reports from Eastern State Hospital and Western State Hospital.

https://www.dshs.wa.gov/data/metrics/AB3.2.xlsx | https://www.dshs.wa.gov/data/metrics/ABX.7.xlsx | https://www.dshs.wa.gov/data/metrics/ABX.8.xlsx

SP 3.2 (AB3.2), ABX.7, ABX.8, ABX3.1, ABX4.1

https://www.dshs.wa.gov/data/metrics/ABX3.1.xlsx | https://www.dshs.wa.gov/data/metrics/ABX4.1.xlsx


NEXT UPDATEOCT 2018

2012 2013 2014 2015 2016 2017 2018

STATE FISCAL YEAR

2012 2013 2014 2015 2016 2017 2018

STATE FISCAL YEAR

https://www.dshs.wa.gov/data/metrics/AB3.2.xlsx

https://www.dshs.wa.gov/data/metrics/ABX.7.xlsx


https://www.dshs.wa.gov/data/metrics/ABX3.1.xlsx



Rate of Aggression, Injury, Assault, Seclusion and Restraint at Eastern State Hospital

0.040.04

0.46

0.00

0.20

0.40

0.60

0.80

1.00

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Patient to Patient Aggression Severe Patient InjuriesPatient to Staff Assaults

Rate per 1,000 Patient Days at Eastern State

2.62

0.050.00

2.00

4.00

6.00

8.00

10.00

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Restraint

SeclusionRate per 1,000 Patient Hours at Eastern State

NOTE: Incidents are distinctly tracked for each of the state hospitals, for purposes of mapping rates by facility. 2 An injury occurs when a patient suffers physical harm or damage, excluding the result of a disease process. Severe patient injuries include all patient injuries with a severity level of "3" or higher (3 = medical intervention; 4 = hospitalization; 5 = death)..SOURCES: Reports from Eastern State Hospital and Western State Hospital.

https://www.dshs.wa.gov/data/metrics/AB3.2.xlsx | https://www.dshs.wa.gov/data/metrics/ABX.7.xlsx | https://www.dshs.wa.gov/data/metrics/ABX.8.xlsx

SP 3.2 (AB3.2), ABX.7, ABX.8, ABX3.1, ABX4.1

https://www.dshs.wa.gov/data/metrics/ABX3.1.xlsx | https://www.dshs.wa.gov/data/metrics/ABX4.1.xlsx


NEXT UPDATEOCT 2018

2012 2013 2014 2015 2016 2017

2012 2013 2014 2015 2016 2017

2018

2018

STATE FISCAL YEAR

STATE FISCAL YEAR

https://www.dshs.wa.gov/data/metrics/AB3.2.xlsx






1%

33%

69%

73%

14%

64%

100%

100%

0%

25%

50%

75%

100%

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DSHS | Financial Services Administration | Research and Data Analysis Division ● SEPTEMBER 2018 16


Prior National Average

Prior Target = 100%

DATA SOURCE: Reports from Eastern State Hospital and Western State Hospital. National average from NRI’s HBIPS Comparative Statistics Report (HAP and BHC).MEASURE DEFINITION: Overall rates of post discharge continuing care plan.DATA NOTES: 1 This measure has been discontinued as a Hospital-Based Inpatient Psychiatric Services Measure. Related replacement measures will be available when data is compiled for January-March 2017. 2 Overall rate calculations: Numerator: Inpatients for whom the post discharge continuing care plan is created and contains all of the following: reason for hospitalization, principal discharge diagnosis, discharge medications and next level of care recommendations. Denominator: Inpatient discharges. 3 Included populations: Patients referred for next level of care with mental disorder diagnoses.

Overall rates of post discharge continuing care plans created at Eastern State Hospital and Western State Hospital

BH7


NOTE: This measure was discontinued as of October-December 2015. Replacement measure (at right) began January-March 2017.

http://emis.dshs.wa.gov/Report/View?definition=BH7*197901-999906*20653&format=excel

WSH

PRIOR MEASURE

ENDS

NEW MEASURE BEGINS

As of Jan 2017, these items are required in the Transition Record:INPATIENT CARE• Reason for inpatient

admission• Major procedures and tests• Principal diagnosis at

dischargePOST-DISCHARGE/PATIENT SELF-MANAGEMENT• Current medication list• Studies pending at discharge• Patient instructionsADVANCED CARE PLAN• Advance directiveCONTACT INFORMATION/PLAN FOR FOLLOW-UP CARE• 24-hour/7-day contact for

emergencies• Contact information for

studies pending at discharge• Plan for follow-up care• Primary physician ESH

New National Average


NEXT UPDATEOCT 2018

2014 2015 2016 2017

STATE FISCAL YEAR

2018



Overall rates of post discharge continuing care plans transmitted to next level of care provider upon discharge at

Eastern State Hospital and Western State Hospital

85% 81%

0%

37%

67% 71%

16%

68%

0%

25%

50%

75%

100%

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DATA SOURCE: Reports from Eastern State Hospital and Western State Hospital. National average from NRI’s HBIPS Comparative Statistics Report (HAP and BHC).MEASURE DEFINITION: Overall rates of post discharge continuing care plan transmitted to next level of care provider upon discharge.DATA NOTES: 1 This measure has been discontinued as a Hospital-Based Inpatient Psychiatric Services Measure. Related replacement measures will be available when data is compiled for January-March 2017. 2 Overall rate calculations: Numerator: inpatients for whom the post discharge continuing care plan was transmitted to the next level of care clinician or entity. Denominator: inpatient discharges. 3 Included populations: Patients referred for next level of care with mental disorder diagnoses.

BH8

Prior National Average

Prior Target = 100%



WSH

ESH

New National Average


NEXT UPDATEOCT 2018

2014 2015 2016 2017

STATE FISCAL YEAR

2018

NOTE: This measure was discontinued as of October-December 2015. Replacement measure (at right) began January-March 2017.

PRIOR MEASURE

ENDS

NEW MEASURE BEGINS

As of Jan 2017, these items are required in the Transition Record:INPATIENT CARE• Reason for inpatient

admission• Major procedures and tests• Principal diagnosis at

dischargePOST-DISCHARGE/PATIENT SELF-MANAGEMENT• Current medication list• Studies pending at discharge• Patient instructionsADVANCED CARE PLAN• Advance directiveCONTACT INFORMATION/PLAN FOR FOLLOW-UP CARE• 24-hour/7-day contact for

emergencies• Contact information for

studies pending at discharge• Plan for follow-up care• Primary physician



Overall rates of patients discharged on multiple antipsychotic medications with appropriate justification at Eastern State Hospital and Western State Hospital

50%

94%

12%

87%

0%

25%

50%

75%

100%

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National Average

Target = 100%

DATA SOURCE: Reports from Eastern State Hospital and Western State Hospital. National average from NRI’s HBIPS Comparative Statistics Report (HAP and BHC).MEASURE DEFINITION: Overall rates of patients discharged from a hospital-based inpatient psychiatric setting on two or more antipsychotic medications with appropriate justification.DATA NOTES: 1 Overall rate calculations: Numerator: psychiatric inpatients discharged on two or more routinely scheduled antipsychotic medications with appropriate justification. Denominator: psychiatric inpatient discharges on two or more routinely scheduled antipsychotic medications. 2 Included populations in the denominator are patients with ICD-9-CM Principal or Other Diagnosis Codes for Mental Disorders.

HBIPS 5a

http://emis.dshs.wa.gov/Report/View?definition=HBIPS.5a*197901-999906*16027&format=excel


NEXT UPDATEOCT 2018

2014 2015 2016 2017

STATE FISCAL YEAR

2018

http://emis.dshs.wa.gov/Report/View?definition=HBIPS.5a*197901-999906*16027&format=excel


Measures Related to the Trueblood CasePART 3

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DATA SOURCE: FES modules in Cache database(WSH) and MILO database(ESH).MEASURE DEFINITION: For all Trueblood class member court orders for jail-based competency evaluations completed in the specified month, the average number of days from order signature to completed evaluation.

Jail-based Competency EvaluationsTimely response to Trueblood class member court orders

Average number of days from court order signature to completed evaluation

BH 21

Court Ordered Limit = 14 days


NEXT UPDATENOV 2018

61.3

10.614.6

9.80

25

50

75

100AP

R

MAY JUN

JUL

AUG

SEP

OCT

NO

V

DEC

JAN

FEB

MAR AP

R

MAY JUN

JUL

AUG

SEP

OCT

NO

V

DEC

JAN

FEB

MAR AP

R

MAY JUN

JUL

AUG

SEP

OCT

NO

V

DEC

JAN

FEB

MAR AP

R

MAY JUN

2015



Limit = 7 days

2016 2017

Limit = 21 days

CALENDAR YEAR

2018

Limit = 14 days

Regarding 14-DAY and 21 DAY Court Ordered Limits: Compliance deadlines: 14 days from receipt of order (if the order was received within 0 and 7 days from order signature date) or 21 days from order signature date (if the order was received after 7 days from order signature date).


Complete within . . . = Pending = 21+ days = 21 days = 14 days

93%

99%

95%

93%

94%

92%

93%

94%

94%

94%

90%

87%

91%

90%

94%

95%

92%

88%

100%

98%

91%

91%

97%

95%

5569

61 6036

65 58 5462

5269 68

5472

4962 63

5273

6476

5363 65

0

50

100

150

200

250

300

350

JUL

AUG

SEP

OCT

NO

VDE

CJA

NFE

BM

AR APR

MAY JUN

JUL

AUG

SEP

OCT

NO

VDE

CJA

NFE

BM

AR APR

MAY JUN


SFY 2017 SFY 2018

Total court orders signed is shown in BOLD

DATA SOURCE: FES modules in Cache database(WSH) and MILO database(ESH).MEASURE DEFINITION: For all Trueblood class member court orders for jail-based competency evaluations completed within 14 days from receipt of court order or 21 days from order signature in the specified month.

Completed Jail-based Competency Evaluations Timely response to Trueblood class member court orders

Number of competency evaluations complete within 14 days from receipt of order or 21 days from signature of order

UPDATED OCT 2018

NEXT UPDATENOV 2018

STATUS

BH 21


73%

73%

68%

80%

66%

72%

79%

86%

84%

83%

70%

64%

74%

74%

72%

80%

90%

96%

95%

98%

96%

96%

97%

95%

25% 25

%32

%19

%34

%27

%21

%13

%14

%17

% 30%

36%

25%

26%

27%

19%

8%

224 23

025

323

620

518

8 197

178

249

213

257 27

021

826

823

6 254 259

181

226 23

426

826

130

128

0

0

50

100

150

200

250

300

350

JUL

AUG

SEP

OCT

NO

VDE

CJA

NFE

BM

AR APR

MAY JUN

JUL

AUG

SEP

OCT

NO

VDE

CJA

NFE

BM

AR APR

MAY JUN


SFY 2017 SFY 2018



DATA SOURCE: FES modules in Cache database(WSH) and MILO database(ESH).MEASURE DEFINITION: For all Trueblood class member court orders for inpatient competency evaluations completed in the specified month, the average number of days from order signature to hospital admission for evaluation.

Inpatient Competency Evaluations Timely response to Trueblood class member court orders

Average number of days from court order signature to hospital admission for evaluation

BH 20

56.3

23.822.2

11.5

0

25

50

75

100AP

R

MAY JUN

JUL

AUG

SEP

OCT

NO

V

DEC

JAN

FEB

MAR AP

R

MAY JUN

JUL

AUG

SEP

OCT

NO

V

DEC

JAN

FEB

MAR AP

R

MAY JUN

JUL

AUG

SEP

OCT

NO

V

DEC

JAN

FEB

MAR AP

R

MAY JUN

2015 2016



Limit = 7 days

2017


NEXT UPDATENOV 2018

CALENDAR YEAR

2018

Limit = 14 days



92%

91%

100%

67%

89%

73%

80%

100%

90%

50%

50%

33%

38%

67%

88%

27%

20%

83%

50%

50%

67%

63%

89%

80%

33%

100%

83%

83%

90%

100%

212

1112

69

1110

610

610

89

89

59

85

126

10 10

0

10

20

30

40

JUL

AUG

SEP

OCT

NO

VDE

CJA

NFE

BM

AR APR

MAY JUN

JUL

AUG

SEP

OCT

NO

VDE

CJA

NFE

BM

AR APR

MAY JUN


SFY 2017 SFY 2018




DATA SOURCE: FES modules in Cache database(WSH) and MILO database(ESH).MEASURE DEFINITION: For all Trueblood class member court orders for inpatient competency evaluations completed within 7 days from receipt of court order or 14 days from order signature in the specified month.

Admissions for Inpatient Competency EvaluationsTimely response to Trueblood class member court orders

Number of admissions for inpatient competency evaluations within 7 days from receipt of order or 14 days from signature of order

BH 20

UPDATED OCT 2018

NEXT UPDATENOV 2018

STATUS

23%

27%

26%

25%

33%

16%

31%

14%

23%

25%

46%

44%

56%

77%

73%

74%

87%

90%

75%

67%

84%

91%

97%

84%

84%

69%

86% 77

%75

%10

0%81

%82

%67

%54

%90

%56

%22

%

0%

22%

2233

2723

2120

1519

2329

2519

1629

2216

1516

176

1310

1618

0

10

20

30

40

JUL

AUG

SEP

OCT

NO

VDE

CJA

NFE

BM

AR APR

MAY JUN

JUL

AUG

SEP

OCT

NO

VDE

CJA

NFE

BM

AR APR

MAY JUN


SFY 2017 SFY 2018



DATA SOURCE: FES modules in Cache database(WSH) and MILO database(ESH).MEASURE DEFINITION: For all court orders for competency restoration placement completed in the specified month, the average number of days from order signature to hospital admission.

Competency Restoration Services Timely response to Trueblood class member court ordersAverage number of days from court order signature to hospital admission

BH 22

54.7

26.6

38.6

11.9

0

25

50

75

100AP

R

MAY JUN

JUL

AUG

SEP

OCT

NO

V

DEC

JAN

FEB

MAR AP

R

MAY JUN

JUL

AUG

SEP

OCT

NO

V

DEC

JAN

FEB

MAR AP

R

MAY JUN

JUL

AUG

SEP

OCT

NO

V

DEC

JAN

FEB

MAR AP

R

MAY JUN

2015



2016 2017

CALENDAR YEAR

2018

Limit = 7 days

Limit = 14 days

UPDATED OCT 2018

NEXT UPDATENOV 2018

STATUS


DATA SOURCE: FES modules in Cache database(WSH) and MILO database(ESH).MEASURE DEFINITION: For all Trueblood class member court orders for competency restoration services completed within 7 days from receipt of court order or 14 days from order signature in the specified month.

Competency Restoration Services Timely response to Trueblood class member court orders

Number of hospital admissions within 7 days from receipt of court order or 14 days from signature of order

BH 22

UPDATED OCT 2018

NEXT UPDATENOV 2018

STATUS


91%

95%

68%

56%

92%

74%

64%

89%

56%

47%

76%

32%

44% 26

%36

%

44%

53%

68%

94% 64

% 68%

79%

85%

94%

100% 91

%

117

22 1918

1219 22

18 18 1913 14

2216

11 1222

17 19 2016

2023

0

25

50

75

100

125

JUL

AUG

SEP

OCT

NO

VDE

CJA

NFE

BM

AR APR

MAY JUN

JUL

AUG

SEP

OCT

NO

VDE

CJA

NFE

BM

AR APR

MAY JUN


SFY 2017 SFY 2018




31%

29%

22%

17%

37%

20%

23%

27%

20%

31%

24%

26%

21%

69%

71%

78%

81%

74%

83%

63%

69%

77%

84%

79% 77

%76

% 73%

80%

68%

69%

66%

84%

78% 75

%79

% 46%

31%

28%

48%

6795

104

7582

9682

9510

777

100

100

9810

898

105

9180 79

95 9512

196 98

0

25

50

75

100

125

JUL

AUG

SEP

OCT

NO

VDE

CJA

NFE

BM

AR APR

MAY JUN

JUL

AUG

SEP

OCT

NO

VDE

CJA

NFE

BM

AR APR

MAY JUN


SFY 2017 SFY 2018



Outcomes after DischargePART 4

Getty Images/iStock


DATA NOTES: • Readmission to a State Hospital, Community Psychiatric Hospital, or Evaluation & Treatment facility is included, with the exception of the competency

restoration facilities in Yakima and Maple Lane.• Contiguous inpatient stays do not count as readmission, they are joined into an episode of care. In most cases, inpatient episodes end when there is at least

one day between a discharge and a subsequent admission at another inpatient setting. For discharges from a state hospital to a jail or medical facility, readmissions to the hospital within 30-days are considered a continuation of the episode.

Psychiatric ReadmissionsPART 4a


Forensic Discharges with Any Type of Inpatient Psychiatric Readmission*

Percent readmitted to any psychiatric inpatient facility following discharge by State Fiscal Year

30-DAY PSYCHIATRIC READMISSION

4% 5% 5% 5% 6% 8%

0%

50%

2012 2013 2014 2015 2016 2017

Western State Hospital – Forensic

2% 3% 3% 4% 4% 6%

0%

50%

2012 2013 2014 2015 2016 2017

Eastern State Hospital – Forensic


24% 24%26% 25% 26% 25%

0%

50%

2012 2013 2014 2015 2016 2017


15% 15% 15%

22%17% 17%

0%

50%

2012 2013 2014 2015 2016 2017


SOURCE: DSHS Research and Data Analysis Division, Integrated Client Databases, May 2018.

23 of 654 28 of 608 34 of 672 37 of 683 43 of 742 73 of 943

3 of 155 4 of 159 4 of 119 5 of 138 7 of 197 15 of 265

159 of 654 144 of 608 175 of 672 173 of 683 195 of 742 240 of 943

23 of 155 24 of 159 18 of 119 31 of 138 33 of 197 45 of 265

NOTE: *Readmission to any psychiatric inpatient setting including the competency restoration facilities in Yakima and Maple Lane.

STATUSUPDATEDMAY 2018


Civil Discharges with Any Type of Inpatient Psychiatric Readmission*



6% 9% 9% 10% 8%5%

0%

50%

2012 2013 2014 2015 2016 2017

Western State Hospital – Civil

11% 10%7%

10% 10% 9%

0%

50%

2012 2013 2014 2015 2016 2017

Eastern State Hospital – Civil


25%29% 27% 29%

33%

26%

0%

50%

2012 2013 2014 2015 2016 2017


30% 30%24%

28% 31%28%

0%

50%

2012 2013 2014 2015 2016 2017



30 of 484 47 of 546 43 of 459 45 of 459 30 of 366 19 of 348

65 of 599 54 of 516 37 of 548 49 of 478 48 of 458 29 of 319

119 of 484 157 of 546 123 of 459 131 of 459 120 of 366 90 of 348

178 of 599 153 of 516 130 of 548 136 of 478 142 of 458 90 of 319




Community Hospital and E&T Discharges with Any Type of Inpatient Psychiatric Readmission*



11% 10% 11% 11% 11% 11%

0%

50%

2012 2013 2014 2015 2016 2017

Community Hospitals

14% 14% 13% 14% 15%20%

0%

50%

2012 2013 2014 2015 2016 2017

Evaluation & Treatment Centers


25% 25% 26% 28% 27% 27%

0%

50%

2012 2013 2014 2015 2016 2017

Community Hospitals

31% 32% 30% 30% 31%

39%

0%

50%

2012 2013 2014 2015 2016 2017


679 of 6,407 656 of 6,543 736 of 6,545 860 of 7,493 923 of 8,569 1,154 of 10,172

342 of 2,479 473 of 3,305 438 of 3,360 531 of 3,682 586 of 4,020 802 of 3,913

1,617 of 6,407 1,618 of 6,543 1,684 of 6,545 2,068 of 7,493 2,284 of 8,569 2,705 of 10,172

769 of 2,479 1,065 of 3,305 1,011 of 3,360 1,116 of 3,682 1,264 of 4,020 1,508 of 3,913





Death Following ExitPART 4b


Cause of Death Following Exit – All Inpatient Settings For patients aged 18 and older at first admission in an episode ending in the 6-year period from 7/1/2011 through 6/30/2017


62%17%

8%5%

3%3%3%2%2%1.5%1.5%0.8%0.8%0.8%0.4%

14.2%

36%16%18%

15%

1.5%

NATURAL CAUSES

Dementia

Heart disease

Malignant neoplasms (cancer)

Cerebrovascular diseases (stroke)

*Behavioral health disorders

Diabetes mellitus

Chronic liver disease and cirrhosis

Chronic Obstructive Pulmonary Disease (COPD)

Essential hypertension and hypertensive renal disease

Influenza and pneumonia

Parkinson’s disease

Renal failure

Viral hepatitis

Human immunodeficiency virus (HIV) disease

Other natural causes

UNNATURAL CAUSES

Suicide

Unintentional

Undetermined

UNKNOWN

NATURAL CAUSES

UNNATURAL CAUSES

UNKNOWN

60%12%

10%7%

3%3%3%2%2%1.2%1.0%0.8%0.7%0.7%0.7%0.4%

14%

38%18%

17%1.9%1.0%0.1%

1.6%

NATURAL CAUSESDementia

Heart diseaseMalignant neoplasms (cancer)

*Behavioral health disordersChronic Obstructive Pulmonary Disease (COPD)

Diabetes mellitusCerebrovascular diseases (stroke)Chronic liver disease and cirrhosis

Influenza and pneumoniaEssential hypertension and hypertensive renal disease

Human immunodeficiency virus (HIV) diseaseRenal failure

SepticemiaViral hepatitis

Parkinson’s diseaseOther natural causes

UNNATURAL CAUSES Suicide

Unintentional Undetermined

Homicide Legal intervention

UNKNOWN

NATURAL CAUSES

UNNATURAL CAUSES

UNKNOWN

30-day Mortality Rate

All discharges, all facilitiesSFY 2012-2017

0.5%Deaths = 269 of 49,884

patients

180-day Mortality Rate

All discharges, all facilitiesSFY 2012-2017

1.8%Deaths = 902 of 49,884

patients

*Cause of death taken from DOH death records. Behavioral Health Disorders includes death caused by IDC-10 codes F10-F99. Unintentional includes drug/alcohol poisoning, fall, suffocation, drowning, etc. Legal intervention includes injuries inflicted by the police or other law-enforcing agents.

Overall Mortality

Overall Mortality

CAUSE OF DEATH WITHIN 30 DAYSTOTAL DEATHS = 269

CAUSE OF DEATH WITHIN 180 DAYSTOTAL DEATHS = 902

STATUSUPDATED MAY 2018


1.3%

0% 0% 0% 0%

1.5%

0%

5%

2012 2013 2014 2015 2016 2017

Forensic Discharges with Death Occurring Following ExitPercent by final facility in an episode and State Fiscal Year

DEATH WITHIN 30 DAYS

0% 0% 0.1% 0% 0% 0%0%

5%

2012 2013 2014 2015 2016 2017




0.3%0.7%

0.9% 0.7%1.2%

0.4%

0%

5%

2012 2013 2014 2015 2016 2017


2.6%

0.0%

0.8%

0.0%

2.0%1.5%

0%

5%

2012 2013 2014 2015 2016 2017


0 of 654 0 of 608 1 of 672 0 of 683 0 of 742 0 of 943

2 of 155 0 of 159 0 of 119 0 of 138 0 of 197 4 of 265

2 of 654 4 of 608 6 of 672 5 of 683 9 of 742 4 of 943

4 of 155 0 of 159 1 of 119 0 of 138 4 of 197 4 of 265




Civil Discharges with Death Occurring Following Exit Percent by final facility in an episode and State Fiscal Year


0.4% 0.9% 0.9%0.2%

1.6%0.3%

0%

10%

2012 2013 2014 2015 2016 2017


0.3%1.0%

0.4% 0.4% 0.4%

2.2%

0%

10%

2012 2013 2014 2015 2016 2017



2.1%1.5%

2.4%1.1%

2.7%1.4%

0%

10%

2012 2013 2014 2015 2016 2017


1.3%2.1%

0.9% 1.0%2.0%

3.8%

0%

10%

2012 2013 2014 2015 2016 2017



2 of 484 5 of 546 4 of 459 1 of 459 6 of 366 1 of 348

2 of 599 5 of 516 2 of 548 2 of 478 2 of 458 7 of 319

10 of 484 8 of 546 11 of 459 5 of 459 10 of 366 5 of 348

8 of 599 11 of 516 5 of 548 5 of 478 9 of 458 12 of 319



Community Hospital and E&T Discharges with Death Occurring Following ExitPercent by final facility in an episode and State Fiscal Year


0.5% 0.5% 0.4% 0.4% 0.4% 0.4%

0%

5%

2012 2013 2014 2015 2016 2017

Community Hospitals

0.1% 0.2% 0.2% 0.3% 0.3% 0.2%0%

5%

2012 2013 2014 2015 2016 2017



1.7% 1.5% 1.3% 1.5% 1.5% 1.5%

0%

5%

2012 2013 2014 2015 2016 2017

Community Hospitals

1.1% 1.1% 1.1% 1.0% 0.7%1.2%

0%

5%

2012 2013 2014 2015 2016 2017



30 of 6,407 31 of 6,543 24 of 6,545 30 of 7,493 36 of 8,569 38 of 10,172

3 of 2,479 7 of 3,305 7 of 3,360 10 of 3,682 12 of 4,020 9 of 3,913

110 of 6,407 100 of 6,543 88 of 6,545 113 of 7,493 131 of 8,569 151 of 10,172

28 of 2,479 37 of 3,305 37 of 3,360 36 of 3,682 30 of 4,020 46 of 3,913



Risk Factors (Arrests, Homelessness)PART 4c


Forensic Discharges with Arrests Following ExitPercent by final facility in an episode and State Fiscal Year

ARRESTED WITHIN 1 MONTH

13%10% 12% 14% 14% 12%

0%

50%

2012 2013 2014 2015 2016 2017


6%9% 9% 10%

6% 8%

0%

50%

2012 2013 2014 2015 2016 2017


ARRESTED WITHIN 6 MONTHS

26% 25%28% 29% 30% 29%

0%

50%

2012 2013 2014 2015 2016 2017


17%21% 23% 24%

17%22%

0%

50%

2012 2013 2014 2015 2016 2017


SOURCE: DSHS Research and Data Analysis Division, Integrated Client Databases, May 2018. Charges for felonies and gross misdemeanors reported by WA State Patrol.

84 of 654 62 of 608 78 of 672 97 of 683 102 of 742 109 of 943

10 of 155 15 of 159 11 of 119 14 of 138 12 of 197 21 of 265

170 of 654 152 of 608 190 of 672 200 of 683 224 of 742 270 of 943

27 of 155 33 of 159 27 of 119 33 of 138 34 of 197 59 of 265


NOTE: Forensic data includes competency restoration facilities in Yakima and Maple Lane. In instances where the arrest appears in the same month as the state hospital discharge, the admission date must be prior to the start of that month.


Civil Discharges with Arrests Following ExitPercent by final facility in an episode and State Fiscal Year

7%5% 5%

7%5% 5%

0%

30%

2012 2013 2014 2015 2016 2017


6% 5% 6% 4% 5% 6%

0%

30%

2012 2013 2014 2015 2016 2017


14%12% 13%

15%12%

10%

0%

30%

2012 2013 2014 2015 2016 2017


9%13% 11% 11% 12%

15%

0%

30%

2012 2013 2014 2015 2016 2017


SOURCE: DSHS Research and Data Analysis Division, Integrated Client Databases, May 2018. Charges for felonies and gross misdemeanors.

36 of 484 27 of 546 23 of 459 34 of 459 19 of 366 17 of 348

33 of 599 25 of 516 31 of 548 21 of 478 24 of 458 19 of 319

68 of 484 63 of 546 58 of 459 68 of 459 44 of 366 35 of 348

55 of 599 65 of 516 63 of 548 52 of 478 55 of 458 48 of 319

ARRESTED WITHIN 1 MONTH ARRESTED WITHIN 6 MONTHS



Community Hospital and E&T Discharges with Arrests Following ExitPercent by final facility in an episode and State Fiscal Year

9% 9% 9% 10% 9% 10%

0%

30%

2012 2013 2014 2015 2016 2017

Community Hospitals

11% 12%10% 10% 10%

12%

0%

30%

2012 2013 2014 2015 2016 2017


16% 17% 17% 17% 17% 17%

0%

30%

2012 2013 2014 2015 2016 2017

Community Hospitals

21% 21%19% 18% 19%

21%

0%

30%

2012 2013 2014 2015 2016 2017



556 of 6,407 566 of 6,543 612 of 6,545 731 of 7,493 790 of 8,569 1,000 of 10,172

276 of 2,479 407 of 3,305 335 of 3,360 383 of 3,682 395 of 4,020 488 of 3,913

1,056 of 6,407 1,087 of 6,543 1,121 of 6,545 1,299 of 7,493 1,433 of 8,569 1,780 of 10,172

514 of 2,479 695 of 3,305 642 of 3,360 653 of 3,682 775 of 4,020 836 of 3,913

ARRESTED WITHIN 1 MONTH ARRESTED WITHIN 6 MONTHS



Forensic Discharges with Homelessness Following ExitPercent by final facility in an episode and State Fiscal Year| Narrow Definition of Homelessness, Non-adjusted

HOMELESS WITHIN 1 MONTH

11%8%

13%10%

11% 11%

0%

30%

2012 2013 2014 2015 2016 2017


6%4% 4% 4% 5% 6%

0%

30%

2012 2013 2014 2015 2016 2017


HOMELESS WITHIN 6 MONTHS

15%13%

17%14%

16% 15%

0%

30%

2012 2013 2014 2015 2016 2017


10% 9%6% 7% 7%

11%

0%

30%

2012 2013 2014 2015 2016 2017



69 of 654 49 of 608 84 of 672 66 of 683 85 of 742 103 of 943

10 of 155 6 of 159 5 of 119 5 of 138 9 of 197 16 of 265

100 of 654 82 of 608 115 of 672 94 of 683 122 of 742 145 of 943

15 of 155 14 of 159 7 of 119 10 of 138 13 of 197 28 of 265


NOTE: Patients admitted as Not Guilty by Reason of Insanity and for Competency Restoration are excluded from homeless counts. Homelessness defined as client being Homeless w/o Housing, client living in a Emergency Housing Shelter or in a Battered Spouse Shelter.


Civil Discharges with Homelessness Following ExitPercent by final facility in an episode and State Fiscal Year| Narrow Definition of Homelessness, Non-adjusted

3% 2% 3% 4%2% 1%

0%

30%

2012 2013 2014 2015 2016 2017


2% 2% 2% 2% 3% 4%

0%

30%

2012 2013 2014 2015 2016 2017


5% 4%6% 6%

4% 3%

0%

30%

2012 2013 2014 2015 2016 2017


3% 4% 3% 4% 4%7%

0%

30%

2012 2013 2014 2015 2016 2017


16 of 484 13 of 546 15 of 459 18 of 459 6 of 366 3 of 348

11 of 599 12 of 516 11 of 548 10 of 478 13 of 458 14 of 319

24 of 484 21 of 546 27 of 459 26 of 459 14 of 366 12 of 348

18 of 599 19 of 516 18 of 548 17 of 478 18 of 458 21 of 319

HOMELESS WITHIN 1 MONTH HOMELESS WITHIN 6 MONTHS



NOTE: Homelessness defined as client being Homeless w/o Housing, client living in a Emergency Housing Shelter or in a Battered Spouse Shelter.


Community Hospital and E&T Discharges with Homelessness Following Exit Percent by final facility in an episode and State Fiscal Year| Narrow Definition of Homelessness, Non-adjusted

10% 10% 10%12% 11% 11%

0%

30%

2012 2013 2014 2015 2016 2017

Community Hospitals

10% 11% 9%7%

11% 11%

0%

30%

2012 2013 2014 2015 2016 2017


13% 12% 13%15% 14% 14%

0%

30%

2012 2013 2014 2015 2016 2017

Community Hospitals

13% 14%12%

10%13% 13%

0%

30%

2012 2013 2014 2015 2016 2017


617 of 6,407 648 of 6,543 665 of 6,545 902 of 7,493 932 of 8,569 1,124 of 10,172

252 of 2,479 356 of 3,305 308 of 3,360 259 of 3,682 423 of 4,020 431 of 3,913

807 of 6,407 798 of 6,543 834 of 6,545 1,105 of 7,493 1,169 of 8,569 1,441 of 10,172

331 of 2,479 457 of 3,305 390 of 3,360 352 of 3,682 513 of 4,020 528 of 3,913

HOMELESS WITHIN 1 MONTH HOMELESS WITHIN 6 MONTHS



NOTE: Homelessness defined as client being Homeless w/o Housing, client living in a Emergency Housing Shelter or in a Battered Spouse Shelter.


Behavioral Health (Substance Use Disorder Treatment, Outpatient MH)PART 4d

DATA NOTES: • BHA SUD data for FY2016 is incomplete across all treatment modalities and all BHO/FIMC regions beginning April 1, 2016, with the exception of North Central BHO.

SUD outcomes for 2016 are likely to increase from the currently reported values.• Admission to publicly funded residential, outpatient, or medication assisted substance use disorder treatment, does not include services delivered through the

Department of Corrections. Self-help group activities such as Alcoholics Anonymous are not funded by or reported to BHA. • SUD treatment need determined through HCA medical and pharmacy claims, WSP arrest indicators, and BHA treatment records. • Mental Health community outpatient services include all BHA-funded treatment modalities (excludes crisis , ITA, and support activities).


Discharges with Substance Use Disorder (SUD) Treatment Following ExitPercent by final facility in an episode and State Fiscal Year | Of those with SUD treatment need indicator only

IN SUD TREATMENT WITHIN 3 MONTHS

23% 25% 19%13% 18% 17%

0%

100%

2012 2013 2014 2015 2016 2017


23% 23% 25% 21%10%

18%

0%

100%

2012 2013 2014 2015 2016 2017



22 of 95 24 of 95 19 of 102 19 of 148 32 of 178 31 of 178

5 of 22 5 of 22 3 of 12 5 of 24 4 of 40 16 of 91


NOTE: Admission to publicly funded residential, outpatient, or medication assisted substance use disorder treatment, does not include services delivered through the Department of Corrections. SUD treatment need determined through HCA medical and pharmacy claims, WSP arrest indicators, and BHA treatment records.


25% 23%14% 16% 18% 22%

0%

100%

2012 2013 2014 2015 2016 2017


49%40% 40% 37%

26%19%

0%

100%

2012 2013 2014 2015 2016 2017


23 of 92 24 of 105 15 of 107 17 of 107 17 of 92 19 of 85

83 of 171 53 of 132 61 of 152 60 of 163 40 of 156 24 of 126


Community Hospital and E&T Discharges with SUD Treatment Following ExitPercent by final facility in an episode and State Fiscal Year | Of those with SUD treatment need indicator only


23% 22% 22% 19% 19% 23%

0%

100%

2012 2013 2014 2015 2016 2017

Community Hospitals

30% 30% 26%

12% 13%24%

0%

100%

2012 2013 2014 2015 2016 2017


955 of 4,092 918 of 4,220 898 of 4,173 933 of 4,999 1,034 of 5,416 1,393 of 6,179

268 of 900 383 of 1,287 347 of 1,313 298 of 2,535 338 of 2,531 416 of 1,727

NOTE: Admission to publicly funded residential, outpatient, or medication assisted substance use disorder treatment, does not include services delivered through the Department of Corrections. SUD treatment need determined through HCA medical and pharmacy claims, WSP arrest indicators, and BHA treatment records.




Forensic Discharges with Outpatient Mental Health Visit Following ExitPercent by final facility in an episode and State Fiscal Year | Based on those with Title XIX eligibility only

OUTPATIENT MH SERVICE WITHIN 7 DAYS

41% 44% 48%38%

30% 33%

0%

100%

2012 2013 2014 2015 2016 2017


70%76%

63%49%

58%69%

0%

100%

2012 2013 2014 2015 2016 2017


OUTPATIENT MH SERVICE WITHIN 30 DAYS

59% 61% 59% 57%46% 51%

0%

100%

2012 2013 2014 2015 2016 2017


81% 84%78%

61%74%

81%

0%

100%

2012 2013 2014 2015 2016 2017


56 of 135 69 of 156 82 of 171 90 of 239 95 of 317 118 of 357

30 of 43 28 of 37 25 of 40 24 of 49 40 of 69 72 of 105

80 of 135 95 of 156 101 of 171 136 of 239 147 of 317 181 of 357

35 of 43 31 of 37 31 of 40 30 of 49 51 of 69 85 of 105




Civil Discharges with Outpatient Mental Health Visit Following ExitPercent by final facility in an episode and State Fiscal Year | Based on those with Title XIX eligibility only

82% 78%84% 79% 76%

69%

0%

100%

2012 2013 2014 2015 2016 2017


90%79% 81% 85% 89% 89%

0%

100%

2012 2013 2014 2015 2016 2017


90% 87% 90% 85% 81% 78%

0%

100%

2012 2013 2014 2015 2016 2017


96%88% 92% 95% 95% 97%

0%

100%

2012 2013 2014 2015 2016 2017


142 of 174 136 of 175 147 of 174 157 of 198 122 of 160 90 of 130

207 of 229 157 of 198 167 of 207 183 of 215 179 of 201 127 of 142

157 of 174 152 of 175 157 of 174 168 of 198 130 of 160 101 of 130

219 of 229 174 of 198 190 of 207 204 of 215 190 of 201 138 of 142

OUTPATIENT MH SERVICE WITHIN 7 DAYS OUTPATIENT MH SERVICE WITHIN 30 DAYS




Community Hospital and E&T Discharges with Outpatient MH Visit Following Exit Percent by final facility in an episode and State Fiscal Year | Based on those with Title XIX eligibility only

58% 60% 61% 62% 59% 59%

0%

100%

2012 2013 2014 2015 2016 2017

Community Hospital

71% 73% 78% 82% 78% 74%

0%

100%

2012 2013 2014 2015 2016 2017


68% 70% 72% 74% 72% 72%

0%

100%

2012 2013 2014 2015 2016 2017

Community Hospital

81% 84% 87% 90% 87% 85%

0%

100%

2012 2013 2014 2015 2016 2017


1,923 of 3,304 1,981 of 3,296 2,361 of 3,852 3,138 of 5,079 3,177 of 5,387 3,735 of 6,305

719 of 1,018 982 of 1,353 1,177 of 1,515 1,646 of 2,017 1,728 of 2,222 1,575 of 2,116

2,237 of 3,304 2,310 of 3,296 2,792 of 3,852 3,770 of 5,079 3,874 of 5,387 4,570 of 6,305

828 of 1,018 1,133 of 1,353 1,312 of 1,515 1,817 of 2,017 1,923 of 2,222 1,805 of 2,116

OUTPATIENT MH SERVICE WITHIN 7 DAYS OUTPATIENT MH SERVICE WITHIN 30 DAYS

UPDATED MAY 2018


Select Committee on Quality Improvement in State Hospitals Hospital...

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