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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27

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1-SEP 1-OCT 1-NOV 1-DEC 1-JAN 1-FEB 1-MAR 1-APR 1-MAY 1-JUN 1-JUL 1-AUG 1-SEP 1-OCT 1-NOV

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.

548

441

561

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435

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510

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2-Jan 2-Feb 2-Mar 2-Apr 2-May 2-Jun 2-Jul 2-Aug 2-Sep 2-Oct 2-Nov 2-Dec 2-Jan 2-Feb 2-Mar 2-Apr 2-May 2-Jun 2-Jul 2-Aug 2-Sep 2-Oct 2-Nov 2-Dec

GPPH - Census Management - 2017/2018 Patient Census

In Residence Out + Expected to Return (Occupied Bed) Overflow Limit Linear (In Residence)

548

475

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2-Jan 2-Feb 2-Mar 2-Apr 2-May 2-Jun 2-Jul 2-Aug 2-Sep 2-Oct 2-Nov 2-Dec 2-Jan 2-Feb 2-Mar 2-Apr 2-May 2-Jun 2-Jul 2-Aug 2-Sep

2017-2018 Patient Census

In Residence Out + Expected to Return (Occupied Bed) Overflow Limit Linear (In Residence)

441

435

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455

460

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1-Jan 1-Feb 1-Mar 1-Apr 1-May 1-Jun 1-Jul 1-Aug 1-Sep 1-Oct 1-Nov 1-Dec 1-Jan

GPPH - Census Management - 2018 Patient Census

552 553 552 552550 550 549

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530

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485482

475472

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575

January February March April May June July August September October November December

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!

────

Dance to the

Captains of

Leisure!

Socialize with

your friends!

────

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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JANUARY FEBRUARY MARCH APRIL MAY JUNE JULY AUGUST SEPTEMBER OCTOBER NOVEMBER DECEMBER

GPPH Avg Daily 1:1s 2017 vs 2018

2017 2018

36.6

39.5

35.335.7

37.3

35.736.4 36.7

33.332.8

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July

August

August

Septe

mber

Octo

ber

Novem

ber

Novem

ber

Decem

ber

Decem

ber

January

January

Febru

ary

Febru

ary

Marc

h

Marc

h

Apri

l

May

June

July

August

Septe

mber

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ber

Novem

ber

2017 2017 2017 2017 2017 2017 2017 2017 2017 2018 2018 2018 2018 2018 2018 2018 2018 2018 2018 2018 2018 2018 2018

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

3 5 2 3 4 5 8 4 5 0 1

40

21 1622

3021

27 23 2215

2617

240

6 3 8 11 137 12 14

8 6 5

93

3 1 3 3 2 1 2 2 0 0 3

20

0 0 1 4 2 4 1 2 0 0 014

1 0 0 3 1 0 0 1 0 0 06

0

50

100

150

200

250

300

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

3

5

2

3

4

5

8

4

5

0

1

0

1

2

3

4

5

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7

8

9

JAN FEB MAR APR MAY JUN JULY AUG SEPT OCT NOV

LOS 30 DAYS TO 365 DAYS

21

16

22

30

21

27

2322

15

26

17

0

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15

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35

JAN FEB MAR APR MAY JUN JULY AUG SEPT OCT NOV

LOS 1 TO 3 YEARS

3

8

11

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7

12

14

8

6

5

0

2

4

6

8

10

12

14

16

FEB MAR APR MAY JUN JULY AUG SEPT OCT NOV

ONE TO THREE YEARS JANUARY TO NOVEMBER 2018

LOS 5 TO 10 YEARS

0 0

1

4

2

4

1

2

0 0 00

0.5

1

1.5

2

2.5

3

3.5

4

4.5

JAN FEB MAR APR MAY JUN JULY AUG SEPT OCT NOV

5- 10 YEARS JANUARY-NOVEMBER 2018

LOS 10 YEARS AND ABOVE

1

0 0

3

1

0 0

1

0 0 00

0.5

1

1.5

2

2.5

3

3.5

JAN FEB MAR APR MAY JUN JULY AUG SEPT OCT NOV

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!!