Riverview Psychiatric Riverview Psychiatric Center Center Executive SummaryExecutive Summary

Performance ImprovementPerformance Improvement ReportReport

22ndnd Quarter, 2006 Quarter, 2006

David S. Proffitt, SuperintendentDavid S. Proffitt, Superintendent

Budget MeasuresBudget Measures

RPC YTD BUDGET VS ACTUALQ1 FY2006

5.23

9.86

4.99

9.56

2

4

6

8

10

12

Personal Services General Operations

Milli

ons

of D

ollar

s BUDGET

EXPENDITURE

The hospital continues The hospital continues to manage it’s fiscal to manage it’s fiscal resources to meet resources to meet operational needs.operational needs.

Finances are now Finances are now tracked on a monthly tracked on a monthly basis and basis and expenditures expenditures measured against YTD measured against YTD allocations.allocations.

Overtime UtilizationOvertime Utilization

• All time low the first pay period in December (12/7/05). All time low the first pay period in December (12/7/05).

• Expected increase at the end of December due to the Expected increase at the end of December due to the holiday season.holiday season.

Overtime hours FY2006

0.00

500.00

1,000.00

1,500.00

2,000.00

2,500.00

By pay period

Nu

mb

er

of

ho

urs

 

Mandated Shift WorkMandated Shift WorkMandates FY2006

10 9

20

13

4 46 6

3 3

0 1 00

5

10

15

20

25

By pay period

Nu

mb

er o

f M

an

da

tes

• Reduced from the beginning of the fiscal year (July 05 - Reduced from the beginning of the fiscal year (July 05 - Sept 05) from an average of 9 per pay period for last 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). 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 Two (2) of the last 3 pay periods in this quarter have no mandates.mandates.

• An outstanding achievement for Unit staff, An outstanding achievement for Unit staff, Unions, and Hospital Administration!Unions, and Hospital Administration!

Staff InjuriesStaff Injuries

• This three-month review This three-month review highlights a decrease in highlights a decrease in direct care staff injuries direct care staff injuries from an overall of 2% for from an overall of 2% for last quarter to 1.33% for last quarter to 1.33% for this quarter.this quarter.

• Comparison to last year Comparison to last year during these same months during these same months (Oct 04 - Dec 04) we had (Oct 04 - Dec 04) we had an average of 2.66% of an average of 2.66% of direct care injuries per direct care injuries per 1000 client days.1000 client days.

• A 50 % decrease in 1 year.A 50 % decrease in 1 year.

Reportable (Lost Time & Medical) Direct Care Staff Injuries

1.46%

2.89%

1.84%

2.14%

0.75%

1.11%

0.00%

0.50%

1.00%

1.50%

2.00%

2.50%

3.00%

3.50%

Month

Per 1

000 Pa

tient

Days

Client InjuriesClient Injuries

• SimultaneouSimultaneous to s to reductions in reductions in staff injuries, staff injuries, client client injuries have injuries have also been also been reduced. reduced.

Client Injury Rate w ith National Weighted MeanAverage N=123

0.53

0.77

0.000.00

0.20

0.40

0.60

0.80

1.00

1.20

1.40

Sep-05 Oct-05 Nov-05

Month

Inju

ries P

er 10

00 P

t. da

ys

Client Injury

National Weighted Mean

Restraint UseRestraint Use

There were no There were no mechanical mechanical restraint events restraint events in the entire in the entire facility for the facility for the last six weeks of last six weeks of the quarter.the quarter.

Hours of restraint Hours of restraint dramatically below dramatically below national mean.national mean.

Accomplished Accomplished simultaneously to simultaneously to reducing staff reducing staff injuries!injuries!

Total Res traint Eve nts

2628

8

0

5

10

15

20

25

30

35

40

Oct-05 Nov-05 Dec-05

Month

Numb

er of

Clien

ts Re

strain

ed

Restraint Hours with National Weighted MeanAverage N=162

0.060.10 0.07

0.00

0.20

0.40

0.60

0.80

1.00

Sep-05 Oct-05 Nov-05

Month

Hour

s Of

Res

train

t per

100

0 In

patie

nt H

ours

Restraint Hours

National Weighted Mean

Use of SeclusionUse of Seclusion

Total Seclusions

10

26

17

5

12

19

26

33

40

Oct-05 Nov-05 Dec-05

Month

Even

ts

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

Discharge Successes Discharge Successes

• Hospital has demonstrated improvements in discharge Hospital has demonstrated improvements in discharge

process resulting in reduced rapid readmissions.process resulting in reduced rapid readmissions.

30 Day Readm it (Dis charge Cohort) With National We ighted Mean

Ave rage N=165

8.00

0.00

4.76

0.00

1.00

2.00

3.00

4.00

5.00

6.00

7.00

8.00

9.00

10.00

Sep-05 Oct-05 Nov-05

Month

% R

ead

mis

sio

n

% Readmitted

National Weighted Mean

Challenges in Average Length of Challenges in Average Length of HospitalizationHospitalization

FY 2005/2006 ALOS For Discharges

55.78

66.9775.75

103.49

55.34

36.15

21.73

83.67

0

20

40

60

80

100

120

Q3 2005 Civ il=69Forens ic=28

Q4 2005 Civ il=56Forens ic=35

Q1 2006 Civ il=48Forens ic=18

Q2 2006 Civ il=45Forens ic=18

Quarter

Aver

age D

ays Civ il A LOS

Forens ic A LOS

Improvements in D/C Improvements in D/C planning have planning have occurred, overall occurred, overall transitions into the transitions into the community have community have become more become more challenging. challenging.

Significant increases in Significant increases in ALS are being ALS are being experienced.experienced.

Re-engineering of Re-engineering of “Case Resolution “Case Resolution Conferences” with Conferences” with AMHS Regional Staff AMHS Regional Staff now occurring and now occurring and show promise. show promise.

Leadership ContactsLeadership Contacts

• If you have questions concerning Riverview If you have questions concerning Riverview Psychiatric Center, please consider the below Psychiatric Center, please consider the below contacts;contacts;

David S. Proffitt, Superintendent 624-4656David S. Proffitt, Superintendent 624-4656William Nelson, MD, Medical Director 624-4658William Nelson, MD, Medical Director 624-4658Jamie Morrill, Deputy Superintendent 624-Jamie Morrill, Deputy Superintendent 624-46754675Brian Daskinvich, Deputy Superintendent 624-Brian Daskinvich, Deputy Superintendent 624-46134613Lucia Nadeau, Human Resources 624-4660Lucia Nadeau, Human Resources 624-4660Visit RPC on the Web atVisit RPC on the Web at http://www.maine.gov/dhhs/riverview/index.shtmlhttp://www.maine.gov/dhhs/riverview/index.shtml