MINUTES
HOSPITAL MANAGEMENT AND OPERATIONS WORKGROUP
ATTENDANCE:
Dr. David Rubinow, Mike Pedneau, Dr. Stephen Oxley, Cliff Hood, Peter Mumma, Iris Rubin, Rickye Collie, Mike Hennike, Laura White, Dr. Jack St. Clair, Deby Dihoff, Dr. John Esse, David Womble, Laura Thomas, Carmen Vincent, Dr. Donald Baucom, Pamela Graham, Dr. Michael Zarzar, Dr. Patsy Christian, Barbara Whitaker, Kathryn Davis, Walker Wilson,
Patti Henke
ITEM | RECOMMENDATIONS/ CONCLUSIONS/ACTION | FOLLOW-UP |
Welcome and Introductions | Mike Pedneau welcomed the group and requested everyone introduce themselves. He asked that any revisions to the minutes from the last meeting be given to him outside the meeting. | N/A |
| Dr. Patsy Christian and Dr. Steve Oxley provided information on the CRH Staffing Model in a power point presentation. This same program had been shared previously with Secretary Hooker Odom and Central Region Hospital Steering Committee. Copies of the presentation will be provided with the minutes. The presentation included information on benchmarks from other state hospitals nationally and in Specifics of the staffing plan include: formula for HCTs based on current staffing for DDH & JUH as bench mark and does not include positions for 1 to 1 coverage. Nursing staffing including RN, LPN and HCTs do not have enough positions to allow for time in training without the use of overtime. Dr. Oxley indicated that the number of psychiatrists for CRH is based on the number of admissions rather than census. Dr. Christian was asked if there were areas that CRH will be short staffed and she indicated that there is not staff dedicated to the treatment mall, which may make coverage of the 120 daily groups difficult. Dr. Rubinow asked if CRH staffing model is adequate to meet regulatory requirements. Dr. Oxley answered that, in his opinion, it is not. Several members of the group concurred that the staffing presented was inadequate and had potential risk and liability implications. Discussion followed that staffing at the hospitals has not increased commensurate with the increased volume and high acuity of patients. Dr. Christian discussed recruiting activities for CRH including job fairs and billboards (first time this has been done by state operated facilities). Recruitment of nurses is expected to be the biggest challenge. Attracting enough male HCTs is also problematic. CRH is currently expecting to have 5 – 6 vacancies for psychiatrists. The staffing model for CRH is intended to be replicated at Cherry and Dr. St. Clair and Dr. Esse both indicated that Cherry and | Staff to the Workgroup to provide requested data (also see next section) |
Metrics | Several members of the workgroup requested data related to staffing and hospital operations. The following was requested:
| Staff to the Workgroup to provide requested data |
Centralized and Standardized Policies | Laura White handed out a list of Corporate Policies that are in place, being developed or to be reviewed. In addition to the policies, Governing Body Reports will be standardized across the hospitals. An example of a draft Corporate Policy, State and Federal Death Reporting, was also handed out. Each hospital has participated in the development of the Corporate Policies or will have the ability to provide input prior to finalization. Corporate Policies are based on philosophical underpinnings, regulatory requirements and existing DMH/DD/SAS policy. Each hospital then develops an operation procedure detailing how the Corporate Policy is carried out. Some policies apply to all state operated facilities, not just hospitals. Mike Pedneau asked for volunteers to review the draft Corporate Policies. | M. Peadneau and other interested workgroup members will review policies and provide feedback. |
Accreditation Issues | Iris Rubin handed out and discussed the report North Carolina State Hospitals Regulatory Report Summary. The report lists deficiencies identified by DHSR/CMS, JC and USDOJ. The report does not contain information about Plans of Correction and steps that have already been implemented to address the deficiencies. | |
Next Meeting | | |
There being no further business, the meeting was adjourned at
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