UCP Quality ControlKIRSTEN WESTERMANN, PATRICK CONNORS, TRAVIS RICE, & ZACHARY ORING

Staff Trainingo One overall program for all staff

o Separate sections for each area of staffing (Nurses, Psychologists, etc.)

o Supervisor for each area is responsible for entering data into program

o Entries of submission will be reviewed twice, by supervisor and head

✓ for submitted, reviewed, and finalized training

✓ not reviewed but submitted and finished

X still not submitted or finished, approaching deadline

X reviewed and error was found

Task ListID Task Title Priority Status %

Complete Assigned To Start Date Due Date

1 First Aid (3) Low In Progress 30.00% Judy Harper 12/10/2015 4/7/2016

3 Psychological physical

Intervention Training

(2) Normal DeferredX

60.00% Frank Hawber

9/3/2015 1/1/2016

6 Administrator review

(1) High Waiting on someone else

✓25.00% Randy

Gardner12/10/2015 12/31/2015

7 Supervisor review

(2) Normal Not StartedX

0.00% Torrie Hunter

12/10/2015 12/31/2015

Client Satisfactiono Surveys will be sent out and/or given to clients or care takers

o Incentive to have surveys filled out and returned – raffle, gift card, etc.

o Short, yet direct survey

o Surveys will be compiled and answers will be entered into database

o Database will spit out Pareto chart – weak points, strong points, reoccurring weak areas

Ex.

Category 1 Category 2 Category 3 Category 4 Category 5 Category 60

5

10

15

20

25

Problem Area

Personell Care Equipment Facility Problems0

10

20

30

40

50

60

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Count

Cumulative %

Issues Count Cumulative Count Cumulative %Personell Care 50 50 50%Equipment 35 85 85%Facility Problems 25 100 100%

Survey focuses…o Client name – refer to intake forms for additional information

o How often client attends UCP

o Who client directly deals with as for staff

o Age group of client

o Client satisfaction rates

o Problem areas

Case Recordso Opening page – search for specific client record or open list of all

oInput case information – program would specify what percentage is complete

o If client hasn’t attended UCP in 3+ years, records go to holding Records would delete after 30 days, freeing up space Client would have to fill out new paperwork if they return

o Rank clients based upon frequency of visits Clients who visit most often – top of list, most accessible Clients who visit the least – bottom of list

o Status will notify staff how complete records are

UCP Case Records

Client Name % Complete Status

Joe Jones 100% GoodAbby Adams 100% GoodTom Smith 93% OkBobby Bright 80% OkTiffany Lions 100% GoodTom Brown 50% Needs Completion………Tim West 75% (pending) - 27 daysLisa Frank 90% (pending) - 2 days

o Ability to click name and access records

o Patients who are in “holding” and going to be deleted in 30 days get highlighted

Orange for 30 – 15 days Red for under 15 days

o Status shows where they stand for record completion

Critical Incidents o Single program to input incidents – entries will be entered by incident code

ex. #550 – physical abuse Staff members would also be assigned numbers for confidentiality

o Check biweekly o Information checked by number of persons involved, redundancy checks for accuracyo Program able to report reoccurring incidents & staff/clients involved with multiple incidentso Rating scale of incidence seriousness – code red and code yellowo Emails sent out to staff or clients who are at risk

Critical Incidents

Client Name Incident Number Client Incident History Rating Scale of Incident

Zack Oring #219 2nd Incident 2

Darrel Dickerson #900 5th Incident 5

Thomas Whalen #365 1st Incident 1

Stacy Adams #520 1st Incident 3

Peter Findel #100 3rd Incident 4

Staff Name Incident Number Staff Incident History Rating Scale of Incident

Suzie Que #300 1st Incident 1

Linda Pine #300 3rd Incident 1

Luke Eve #219 1st Incident 4

Devon Williams #550 2nd Incident 2

Lucy Smith #101 1st Incident 5