Maine.gov



I.Patient Injury RateDescription: Number of patient injury events with a severity level of more than minor first aid that occurred for every 1000 inpatient days. October 2019November 2019December 2019DDPC1.000.000.00National Average0.290.270.21Note: Hospitals aren’t required to submit patient and staff injuries to The Joint Commission or CMS, so the national average is only from hospitals that voluntarily submit their data.II.Staff Injury RateDescription: Number of staff injury events with a severity level of more than minor first aid that occurred for every 1000 inpatient days. October 2019November 2019December 2019DDPC8.985.290.00National Average1.220.870.18Note: Hospitals aren’t required to submit patient and staff injuries to The Joint Commission or CMS, so the national average is only from hospitals that voluntarily submit their data.III.Seclusion HoursDescription: Number of hours patients spent in seclusion for every 1,000 inpatient hours. October 2019November 2019December 2019DDPC0.350.650.00National Average0.480.460.38IV.Percent of Patients SecludedDescription: Percent of unique patients who were secluded at least once.October 2019November 2019December 2019DDPC2.2210.000.00National Average3.062.473.05V.Restraint HoursDescription: Number of hours patients spent in restraint for every 1,000 inpatient hours. October 2019November 2019December 2019DDPC0.040.330.00National Average0.460.440.44VI.Percent of Patients RestrainedDescription: Percent of unique patients who were restrained at least once.October 2019November 2019December 2019DDPC8.8912.502.50National Average7.396.756.52VII.30-Day ReadmissionsDescription: Percent of discharges from the hospital that returned within 30 days of discharge. Patients discharged to a medical hospital and re-admitted are excluded.October 2019November 2019December 2019DDPC0.000.000.00National Average3.723.762.94VIII.Elopement RateDescription: Number of elopements that occurred for every 1000 inpatient days.October 2019November 2019December 2019DDPC0.000.000.00National Average0.050.100.01IX.Medication ErrorsDescription: Number of medication error events that occurred for every 100 episodes of care.October 2019November 2019December 2019DDPC4.3515.0010.00National Average3.092.042.25X.Admission ScreeningDescription: Percent of patients screened within 3 days of admission for: risk of violence to self and others, psychological trauma, substance use, and patient strengths.October 2019November 2019December 2019DDPC100%100%100%National Average94%92%89%XI.Multiple Antipsychotic Medications at Discharge with Appropriate JustificationDescription: Percent of patients with appropriate justification for being discharged on multiple antipsychotic medications.October 2019November 2019December 2019DDPCN/A100%N/ANational Average67%72%73%Note: N/A means no patients were discharged on multiple antipsychotics that month.Patient Discharge SurveyI.Response RateOctober 2019November 2019December 20192Q202042%(5/12)73%(8/11)100%(6/6)66%(19/29)II.Survey ResultsDomainOctober 2019November 2019December 20192Q2020AverageOutcome of Care83%63%67%71%Dignity67%88%83%79%Rights67%75%50%64%Participation in Treatment50%63%33%49%Facility Environment67%88%50%68%Empowerment60%75%67%67%Contract ManagementContractContract AdministratorSummary of PerformanceAffiliated LaboratoryMichelle HarrimanInfection Control NurseMet or Exceeded StandardsComprehensive Pharmacy ServicesDr. Daniel Potenza, MDClinical DirectorMet or Exceeded StandardsDisability Rights MaineSarah TaylorSuperintendentExceeded StandardsLiberty Healthcare Physicians and/or Mid-Levels on CallDr. Daniel Potenza, MDClinical DirectorMet StandardsLiberty Healthcare Psychiatric Nurse PractitionerDr. Daniel Potenza, MDClinical DirectorMet StandardsLocum TenensSarah TaylorSuperintendentMet StandardsPine Tree LegalDr. Daniel Potenza, MDClinical DirectorNot UtilizedProject StaffingCarol CodyBusiness ManagerExceeded StandardsSecuritasMark FaulknerDirector of FacilitiesMet StandardsWorldwide Travel StaffingCarolyn DimekDirector of NursingMet Standards ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download