GREYSTONE PARK PSYCHIATRIC HOSPITAL (GPPH)
Transcript of GREYSTONE PARK PSYCHIATRIC HOSPITAL (GPPH)
GREYSTONE PARK PSYCHIATRIC HOSPITAL
(GPPH)
GPPH was able to fill three significant leadership vacancies in the latter
part of 2017 and one significant vacancy in 2018:
▪ September 2017- Deputy Chief Executive Officer.
▪ September 2017- Director of Quality Management.
▪ November 2017- Medical Director.
▪ August 2018 – Chief Executive Officer.
The new leadership has enabled an increase in supervision, monitoring,
accountability, support and coaching for the clinical disciplines in the
hospital.
Stacey Provenzano
Chief Operating Officer
David Hutchinson
Director of Nursing
Dorothea Josephs-Spaulding
Quality Management Director
Tomika Carter
Chief Executive
Officer
Tim Dimitrios
Executive Assistant
Eric Madurki
Acting Deputy Chief
Executive OfficerDr. Evaristo Akerele
Medical Director
James Frey, Jr.
Acting Human
Resources Manager
Greystone Park Psychiatric
Hospital
Executive StaffDecember 2018
Dr. Laura Romano
Chief Nursing Officer
Maria Jazenback
Secretary to the
Chief Executive
Officer
Lois Sieklik
Director of Nursing
Jim DiGiulio
Chairman
Louis A. Modugno
Greystone Park
Psychiatric Hospital
Board of TrusteesDecember 2018
Bruce Sisler Michele Brown
Sheriff
James
Gannon
Vice
Chairman
Wayne HasenbalgPeter Simon
The focus of recent improvement efforts have included:
Census Reduction.
Clinical Governance and Quality of Care.
Violence Reduction.
Workforce Development.
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GPPH - Admission and Discharge Totals - since 9/2017 through 11/2018
Discharges Admissions
In August 2017 the census was 548.
January 2018 the census decreased to 510.
In July 2018 the census further decreased to 476.
Currently our census has decreased to 441 as of 12/6/18.
This represents a substantial decrease in census since the
beginning of the Murphy administration and a 20% decrease
since the census reached a peak last summer.
Census is down to 441 (in house as of 12/6/18).
For the year, we have had 360 Admissions.
Discharges hospital wide this year were 441.
The average length of stay on admissions for patients who were discharged in 2018 was 42days on A1 and 38 days on B1. The average is40 days.
For those transferred to other units it was 30days on A1 and 29 days on B1. The average is 29.5 days.
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GPPH - Census Management - 2017/2018 Patient Census
In Residence Out + Expected to Return (Occupied Bed) Overflow Limit Linear (In Residence)
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2017-2018 Patient Census
In Residence Out + Expected to Return (Occupied Bed) Overflow Limit Linear (In Residence)
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GPPH - Census Management - 2018 Patient Census
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2017 2018
The Program Oversight Committee (POC) meeting is held bi-weekly to ensure the quality and quantity of programming is meeting the needs of our patients and the standards of practice set by the hospital.
A programming catalog (J-Wing Catalog) allows a true conversation/engagement with the clinical team and the patient regarding their treatment and scheduled programming.
This allows the patient to have true participation in the selection of groups in which they are required to attend.
Our patients are given the opportunity to choose from the following group categories:
Academic Education
Addiction Services
Cognitive Interventions
Community Reentry
Coping and Stress Management Skills
Creative Arts
Evidence Based Psychotherapy
Healing Trauma
Health Education
Music Therapy
Physical Activities
Recreation and Leisure Skills
Socialization Skills
Spirituality
Symptom Management
Vocational Training
Art
Therapy in
Recovery
Summer
Movie
National Parks
Presentation
GPPH 10 Year Anniversary!
Patient
Programmin
g Fair
Digital
Recording
Studio - GPTV Volleyball
Games
Physical Activities
Summer
Solstice
Service
Music Shows
Karaoke
Glenn
Taylor
Band
Presentations
WELLNESS
WEDNESDAY’S
2018
FRIDAY
JULY 20TH, 2018
1:30PM
ICE CREAM IN
THE GYM
COURTYARD In celebration of 10 years in our new facility, GPA is generously
honoring all patients and staff with an Ice Cream Social. Join us as
we welcome The Captains of Leisure in the Gym Courtyard. Come on
out, dance, socialize and enjoy a nice cool treat on a Summer
afternoon!
Celebrate
10 years in our
new facility!
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Dance to the
Captains of
Leisure!
Socialize with
your friends!
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Enjoy a nice cold
treat!
Live Recovery,
Foster Hope,
Practice
Wellness!
In Case of Rain, The
Captains of Leisure will
entertain us in the
Auditorium, followed by
Ice Cream for patients on
their units and Ice Cream
for Staff in Park Place.
WELLNESS WEDNESDAYS 2018
The Medical Director assumed responsibility of the Violence Prevention Committee.
Under his leadership and in collaboration with the Director of Quality Management, each unit has incorporated violence prevention (reduction of assaults) as a performance improvement initiative.
GPPH’s clinical staff has been educated on the use of the Broset Violence Checklist (a tool used to assess patient’s aggression).
GPPH currently provides “Psychiatric Emergency Drills” facilitated by our Training Department.
The Special Instructors Services Unit (SISU) has began August 1, 2018 which is a group of staff members who specialize in using therapeutic communication and engagement to build relationships with the staff and patients.
The Medical Director implemented daily 1:1
meetings attended by the DCEO, Nursing
Leadership along with GPPH psychiatrists
(effective January 2018).
Psychiatrists are responsible for presenting
their patients who are on 1:1 status, while
also addressing which patient(s) are able to
be removed from 1:1.
If they are ineligible for removal from this
status, the psychiatrist is required to provide
clinical rationale for continued 1:1 status.
Recommendations are provided by the Medical Director and Deputy CEO to decrease the number
of hours ordered on 1:1, while concurrently ensuring safe periods for our patients i.e. while
patients are asleep.
With this practice in place, GPPH has seen a 32% reduction in the number of 1:1 orders from
January to June 2018.
This has liberated critical resources needed to meet the needs of higher acuity patients.
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GPPH Avg Daily 1:1s 2017 vs 2018
2017 2018
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GPPH Avg Daily 1:1s since July 2017
Greystone Park Psychiatric Hospital (GPPH)Length of Stay (LOS) January-November 2018
GREYSTONE PARK
PSYCHIATRIC HOSPITALJAN FEB MAR APR MAY JUN JULY AUG SEPT OCT NOV TOTAL
Less than 30 days 3 5 2 3 4 5 8 4 5 0 1 40
30 days to 365 days 21 16 22 30 21 27 23 22 15 26 17 240
365 days to 1095 days 6 3 8 11 13 7 12 14 8 6 5 93
1095 to 1825 days 3 1 3 3 2 1 2 2 0 0 3 20
1825 days to 3650 days 0 0 1 4 2 4 1 2 0 0 0 14
10 years and over 1 0 0 3 1 0 0 1 0 0 0 6
JANUARY-NOVEMBER 2018
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JAN FEB MAR APR MAY JUN JULY AUG SEPT OCT NOV TOTAL
LOS January - November 2018
Less than 30 days 30 days to 365 days 365 days to 1095 days 1095 to 1825 days 1825 days to 3650 days 10 years and over
LOS LESS THAN 30 DAYS
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FEB MAR APR MAY JUN JULY AUG SEPT OCT NOV
ONE TO THREE YEARS JANUARY TO NOVEMBER 2018
LOS 5 TO 10 YEARS
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5- 10 YEARS JANUARY-NOVEMBER 2018
LOS 10 YEARS AND ABOVE
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10 YEARS AND OVER JANUARY-NOVEMBER 2018
STAFF DEVELOPMENT TRAININGS # CLASSES # STAFF
TRAINEDOCTOBERFEST FULL WEEK 1376NURSING ANNUAL COMPETENCIES FULL WEEK 571PSYCHIATRIC DIRECTIVES 12 296BASIC LIFE SUPPORT 29 246CROSSING THE LINE 15 200DEFENSIVE DRIVING 8 63DEP--UNIVERSAL WASTE MANAGEMNT 4 87FAIRLEIGH DICKINSON LEADERSHIP 8 145HAZ-COM 5 88HIPAA 12 217NEW EMPLOYEE ORIENTATION 36 6063 STEPS TO SAFETY 4 54EVACUATION CHAIR 13 231THERAPUTIC OPTIONS--DAY 1 VERBAL 30 477THERAPUTIC OPTIONS--DAY 2 HANDS ON 30 414PSYCH EMERGENCY SKILLS REFRESHER 8 77SISU ORIENTATION 9 63ACTIVE SHOOTER TRAINING 8 267TRANSPORT SPECIAL NEEDS PATIENTS 10 60SUPERVISION SERIES CLASSES 7 107
2018 STAFF
DEVELOPMENT
CLASS OFFERINGS
TOTAL = 277 CLASSES
&SERVING OVER 5645
STAFF
2018 NURSING TRAINING
CLASS OFFERINGS
TOTAL = 39 CLASSES
&
429 STAFF SERVED
NURSING TRAININGS # CLASSES # STAFF
TRAINED
APNA TRANSITIONS IN PRACTICE 5 50
NURSING NEW EMPLOYEE
ORIENTATION (RN)
12 46
NURSING NEW EMPLOYEE
ORIENTATION (HSA/HST)
12 100
NURSING NEW EMPLOYEE
ORIENTATION (CNO)
1 1
APN ROLE ORIENTATION 2 3
SUPERVISOR SERIES 1 5
BROSET TRAINING 1 99
PERSERIS MED ADMIN DEMO 1 76
NURSE DIRECTED CARE MODEL 3 40
DIALECTICAL BEHAVIORAL
TRAINING UNIT E3
1 9
Month Balance
January 1st $466,806.27
February 1st $495,863.39
March 1st $499,203.78
April 1st $499,147.39
May 1st $501,014.26
June 1st $504,589.71
July 1st $491,241.51
August 1st $496,231.73
September 1st $497,232.40
October 1st $497,993.63
November 1st $508,622.30
December 1st $512,525.28
The Welfare Fund is utilized for the following patient
activities:
❑ Holiday Celebration
❑ Concert
❑ Monthly Birthday Parties and Gifts
❑ Community Trips
❑ Luncheon
❑ Social Activities
❑ Program
❑ Shows
❑ Art Workshops
❑ Bingo Prizes
❑ Movies Trip
❑ Picnics
❑ Christmas Gifts
THANK YOU!!