Georgia Department of Behavioral Health & Developmental ...

Discussed the feasibility of setting DBHDD wide key performance indicators.Received a QM presentation by the Georgia Association of Community Service Boards(CSBs).Discussed information that should be reported to the EQC.Received updates from the Hospital, CBH and DD PQCs regarding the qualitymanagement-related work that each functional area is prioritizing and reviewedtrends/patterns from their KPIs.Prioritized the transition of quality placements for DD consumers transitioning frominstitutions to the community and received an update regarding the new RQR teamprocess that was being implemented by the DD service system.Prioritized the development of a DBHDD Enterprise Data Warehouse.Prioritized the development of a review committee, whose goal is to review andrecommend changes to the community incident management and investigations process.Prioritized receipt of dental services for DD consumers.Hospital System Program Quality CouncilThe Hospital System PQC meets quarterly, and has held two meetings between December 2012and June 2013. In addition to those quarterly meetings, the Hospital System held monthlyHospital System-wide quality management meetings to monitor and address patient safetyperformance measures. During those meetings this PQC:Reviewed PI initiatives focused on management of aggression, restraint and seclusion,polypharmacy, consumer satisfaction and other performance measures.Reviewed and modified strategies being utilized by hospital-based PI teams to improvepatient safety.Addressed data collection methodologies and data integrity issues that affected reportingtimeliness and quality.Reviewed and discussed the Triggers and Thresholds report data, the hospital systemdashboard measures and specific hospital system KPI trends and patterns and madesuggestions/recommendations for program/service changes.Community Behavioral Health Program Quality CouncilThe Community Behavioral Health PQC meets monthly and has held seven meetings betweenDecember 2012 and June 2013. During those meetings the CBH PQC:Revised the membership of the Community Behavioral Health Program Quality Council.Reviewed community-based data available from the Office of Incident Management andInvestigations, selected five measures to monitor and is continuing to work with thatOffice to analyze and refine standardized community-based incident trend reports.Reviewed and discussed the results, trends and/or patterns of the CBH KPIs and as aresult of those reviews:o modified some of the target thresholdso determined additional KPIs needed to be developed and some of the current KPIsrequired revisiono made suggestions/recommendations for program/service changesDeveloped a CBH Outcomes framework - see Appendix A.4