DPC Advisory Committee Meeting Minutes January 20, 2010

Attendees: Husam Abdallah, Jack Akester (via telephone), K.C., Bill McNabb, Kathy Murphy, Kevin Murphy, Douglas Schultz (escort for consumer) and Gary Wirt.

TOPIC DISCUSSION ACTION Approval of Minutes The September 16, 2009 minutes were approved as written. Informational.

New Business New Committee Member Mr. Wirt shared information on a possible new committee member, Reverend Dr. William Rev. Dr. Rhimes will be invited Rhines. He feels that he will be an asset to the committee. to attend a meeting.

Admissions/Discharge Data Mr. Abdallah reviewed the admission and discharge data from July – November 2009. Informational.

Admissions Discharges July 27 22 August 37 29 September 29 32 October 42 36 November 27 27

The Average Daily Census remains below 200.

Seclusion and Restraint Data Mr. Abdallah reviewed the Seclusion and Restraint data from July – November 2009. Informational.

Manual Mechanical Seclusion July 17 1 3 August 20 0 1 September 21 3 6 October 32 1 5 November 13 0 7

The amount of incidents are definitely trending down. All incidents of seclusion and restraint are considered Sentinel Events and a Root Cause Analysis is conducted.

Cleanliness of Units K.C. mentioned that the bathrooms are not always cleaned thoroughly on the unit. Mr. Abdallah Informational. stated that he would pass the information to Housekeeping /DMS.

Overall Improvement K.C. stated that she has seen much improvement over the years that she has been a consumer at Informational. DPC. Staff are nicer and more compassionate to the clients. The units are safer and issues get addressed and resolved quicker than in the past. DPC Advisory Committee January 20, 2010 Page 2

Training Beth Caldwell will be providing additional training on Patient Centered Planning in February. Informational.

Federal CMS In November, we were surveyed by Federal CMS. The outcome of the survey was that we were Informational. out of compliance. The POC is being completed and will be submitted soon.

Budget Mr. Abdallah mentioned that as part of the Strategic Plan, the staff to patient ratios will be re- Informational. evaluated to see if they are on target.

NAMI It was mentioned that the NAMI report is getting lengthy and needs to be addressed. Mr. Work flow should return to Abdallah mentioned that the employee that was responsible for that function recently resigned. normal once the employee is That position will not be filled and that particular NAMI function has been assigned to another trained and caught up on the employee. report.

K3 Display Case It was reported that the Patient Right’s information is not visible on K3’s display case. Staff Mr. Abdallah will following up reported that they cannot locate the key. on locating the key.

Next Meeting The next DPC Advisory Committee Meeting is scheduled for March 17, 2010 at 2:30pm. Informational.

Prepared by Beth Hurley