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Mayview Regional Service Area Plan Quality Improvement/Outcomes (QIO) Committee

Mayview Regional Service Area Plan Quality Improvement/Outcomes (QIO) Committee. QIO Data Report. August 11, 2010. April 2010 Report. Psychiatric hospitalizations and other intensive services. Admission rates and frequency of admissions

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Mayview Regional Service Area Plan Quality Improvement/Outcomes (QIO) Committee

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  1. Mayview Regional Service Area PlanQuality Improvement/Outcomes (QIO) Committee QIO Data Report August 11, 2010 Allegheny HealthChoices, Inc.

  2. April 2010 Report • Psychiatric hospitalizations and other intensive services. • Admission rates and frequency of admissions • Discharges, average length of stay, readmission rates, and commitment status • Follow-up services after hospitalizations • Use of RTF-A services • Use of EAC services • Early warning signs and critical incidents • Early warning signs and critical incidents for MRSAP consumers with psychiatric hospitalizations • Update on people transferred to Torrance State Hospital Allegheny HealthChoices, Inc.

  3. Community IP Admissions: MRSAP • Trend of IP admissions not increasing since closure Allegheny HealthChoices, Inc.

  4. Community IP Admission Rate: non-MRSAP • Non-MRSAP admission rates are not increasing Allegheny HealthChoices, Inc.

  5. Frequency of IP Admissions: MRSAP Allegheny HealthChoices, Inc.

  6. Frequency of IP Admissions: non-MRSAP Allegheny HealthChoices, Inc.

  7. Discharges, ALOS, and Readmissions: MRSAP Allegheny HealthChoices, Inc.

  8. Discharges, ALOS, and Readmissions: non-MRSAP Allegheny HealthChoices, Inc.

  9. Commitment Status: MRSAP vs. non-MRSAP Allegheny HealthChoices, Inc.

  10. First Service Received within 7 days of Inpatient Discharge for MRSAP Consumers (HealthChoices services only*), January 2006 – May 2010

  11. Services Received 30 Days after HealthChoices Inpatient Discharge for MRSAP Consumers, January 2006 - May 2010

  12. RTFA Utilization • Allegheny RTFA: • At capacity • 10-20 people on waiting list • Avg. time on waiting list is 22 days • 88% get admitted • Regional RTFA: • Operating since 8/2009 • Capacity of 12 people • Census of 10 as of 7/26/10

  13. EAC Utilization • Transitional Recovery Unit (TRU) • Hospital-based (WPIC) • Operational since 2006 • 31 beds • ALOS on waiting list is 78 days • 54% get admitted • MBH EAC: • Community-based • Operational since 7/2009 • 16 beds • ALOS on waiting list is 33 days • 96% get admitted

  14. Critical Incidents and Early Warning Signs Reported for People Discharged from Mayview, June 2009 - May 2010 Allegheny HealthChoices, Inc.

  15. Critical Incidents & Early Warning Signs by County for MRSAP Consumers, June 2009 – May 2010 Allegheny HealthChoices, Inc.

  16. Number of HealthChoices Psychiatric Admissions with an Early Warning Sign 7 Days Prior to Admission, by County, for MRSAP Consumers (June 2009 – May 2010)

  17. Update on those transferred to TSH • 21 people were transferred to Torrance State Hospital • 19 from Allegheny County • 2 from Lawrence County • As of 7/14/2010, 9 of these individuals have been discharged (47%) • 7 from Allegheny, 2 from Lawrence • Of those remaining, 3 are in the CSP process • CSP process is reactivated when preparing for discharge Allegheny HealthChoices, Inc.

  18. Take-Aways Allegheny HealthChoices, Inc.

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