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Riverview Psychiatric Center Performance Improvement Report 2nd Quarter 2006

This report outlines the achievements and challenges of Riverview Psychiatric Center in the second quarter of 2006, including financial management, staff and client injuries reduction, restraint and seclusion use, discharge successes, and leadership contacts.

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Riverview Psychiatric Center Performance Improvement Report 2nd Quarter 2006

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  1. Riverview Psychiatric Center Executive SummaryPerformance ImprovementReport 2nd Quarter, 2006 David S. Proffitt, Superintendent

  2. Budget Measures • The hospital continues to manage it’s fiscal resources to meet operational needs. • Finances are now tracked on a monthly basis and expenditures measured against YTD allocations.

  3. Overtime Utilization • All time low the first pay period in December (12/7/05). • Expected increase at the end of December due to the holiday season.

  4. Mandated Shift Work • Reduced from the beginning of the fiscal year (July 05 - Sept 05) from an average of 9 per pay period for last quarter to an average of 1.8 this quarter (Oct 05 - Dec 05). • Two (2) of the last 3 pay periods in this quarter have no mandates. • An outstanding achievement for Unit staff, Unions, and Hospital Administration!

  5. Staff Injuries • This three-month review highlights a decrease in direct care staff injuries from an overall of 2% for last quarter to 1.33% for this quarter. • Comparison to last year during these same months (Oct 04 - Dec 04) we had an average of 2.66% of direct care injuries per 1000 client days. • A 50 % decrease in 1 year.

  6. Client Injuries • Simultaneous to reductions in staff injuries, client injuries have also been reduced.

  7. Restraint Use • There were no mechanical restraint events in the entire facility for the last six weeks of the quarter. • Hours of restraint dramatically below national mean. • Accomplished simultaneously to reducing staff injuries!

  8. Use of Seclusion • Riverview is aggressively addressing use of seclusion and anticipates a dramatic reduction by end of next quarter.

  9. Discharge Successes • Hospital has demonstrated improvements in discharge process resulting in reduced rapid readmissions.

  10. Challenges in Average Length of Hospitalization • Improvements in D/C planning have occurred, overall transitions into the community have become more challenging. • Significant increases in ALS are being experienced. • Re-engineering of “Case Resolution Conferences” with AMHS Regional Staff now occurring and show promise.

  11. 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 Daskinvich, Deputy Superintendent 624-4613 • Lucia Nadeau, Human Resources 624-4660 • Visit RPC on the Web athttp://www.maine.gov/dhhs/riverview/index.shtml

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