1003_Alaska Psychiatric Institute/Alaska Recovery Center (API)__2Ad1Ca1Fr+
Name: Paul Ortner, QI Director Paul.Ortner@alaska.gov Name/Title (2° Rep): Sarah Skeel , Hospital Administrator Sarah.Skeel@alaska.gov Name/Title (3° Rep): Dr. Jenny Love / Medical Director jenny.love@alaska.gov Hospital CEO: Ronald Adler 1526
Hosp Website: http://www.hss.state.ak.us/dbh/API/default.htm # Beds - Adult: 60 # Beds - Geriatric: 0 # Beds - Total: 80 # Staff - Total: 280 Survey Dates -TJC: 3/11-12/10 , 3/6-7/07 Survey Dates -CMS: 9/07 Special Programs/Projects:
Electronic Medical Record
Person Centered Treatment
Role Recovery and Treatment Mall
+SHCC Contributions:
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0901_Arkansas State Hospital (ArSH)_!2Ad2Ca2Fr1Mr1Sx Name Margie Wofford, PI Director linda.wofford@arkansas.gov Name/Title (2° Rep) Doug Strock, Compliance Officer douglas.strock@arkansas.gov Karen Finch, Risk Management Director Email (3° Rep) karen.finch@arkansas.gov Tel/Fax (3° Rep) 501.686.9165/501.686.9483 Hospital Name (AAAA) Arkansas State Hospital (ASH)Hospital CEO Charles Smith 1536 !BHC Hosp Website # Beds - CMS Distinct # Staff - Total 495 Survey Dates -TJC 1/30/09 HAP ( 1/30/09 BHC), 2/2/06 HAP (12/19/07 BHC) Survey Dates -CMS Special Programs/Projects
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GEOCare Inc.
GEO Care, Inc.
One Park Place, Suite 700
Agency Phone (Main): 561-999-7327
www.thegeogroupinc.com/geocare.asp
George Gintoli
Vice President Secure Care Treatment Facilities
561-999-7327ggintoli@geocareinc.com Valerie Devereaux vdevereaux@geocareinc.com
Dr. Cassandra Newkirk cnewkir@geocareinc.com
Dr. Karen Galin kgalin@geocareinc.com
GEO/South Florida Evaluation & Treatment Center (SFETC)_5Fr
Name Diana Acosta , Compliance Officer dacosta@geocareinc.com Tel/Fax Numbers 786-349-6012/ fax 561-443-1877 Name/Title (2° Rep) Dr. Jaqueline Estrella - Assistant Hospital Administratorjestrella@geocareinc.com Name/Title (3° Rep) Dr. Daniel Mandri - Medical Executive Director Email (3° Rep) dmandri@geocareinc.com Tel/Fax (3° Rep) Hospital Name (AAAA) Geo Care, Inc/South Florida Evaluation & Treatment Center (SFETC)Hospital CEO Lee Packer 1807 Hospital Address 18680 SW 376th Street, Florida City, Florida 33034 Hosp Website # Beds - Adult (Civil only) # Beds - Forensic 238 # Beds - CMS Distinct # Staff - Total 327 Survey Dates -TJC 4/23/09 Survey Dates -CMS NA Special Programs/Projects: 2010 Quality Week
updated: 110512
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GEO/South Florida State Hospital (SFSH)
Name Barbara Salazar, Performance Improvement Coordinator bsalazar@geocareinc.com Tel/Fax Numbers ??????? / fax ???????Name/Title (2° Rep) Tel/Fax (2° Rep) Name/Title (3° Rep) Email (3° Rep) Tel/Fax (3° Rep) Hospital Name (AAAA) Geo Care, Inc/South Florida State Hospital (SFSH)Hospital CEO Dianne Funston 258585 Hospital Address 800 East Cypress Drive, Pembroke Pines FL 33025 Hosp Website Hosp Website # Beds - Adult (Civil only) ????# Staff - Total ??? Survey Dates -TJC 12/12/08 Survey Dates -CMS NA Special Programs/Projects:
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GEO/Treasure Coast Forensic Treatment Facility (TCFTC)-5Fr Name Scott Reiter, Contract Compliance sreiter@geocareinc.com Tel/Fax Numbers 772.597.9448/772.597.9498Name/Title (2° Rep) Enza Abate, COO eabbate@geogroup.com 772.597.9400/772.597.9498 Name/Title (3° Rep) Email (3° Rep) Tel/Fax (3° Rep) Hospital Name (AAAA) Geo Care, Inc/Treasure Coast Forensic Treatment Facility (TCFTC)Hospital CEO Bob Quam 459224 !BHC Hosp Website # Beds - Adult (Civil only) # Beds - Forensic 223 # Beds - CMS Distinct # Staff - Total 300 Survey Dates -TJC 2/22/08BHC Survey Dates -CMS NA Special Programs/Projects
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Dept of Human Services, Division of MH Central Office (ILCO)
Illinois Department of Human Services, Division of Mental Health 100 South Grand Avenue East
(217) 557-1601 http://www.dhs.state.il.us/page.aspx
Elaine Novak, Acting Associate Director of Hospital Operations elaine.novak@illinois.gov Lynn Goldman, Quality Coordinator Office: (773) 794-4024 lynn.goldman@illinois.gov David L. Harmon, Quality Coordinator Office: (217) 786-6070david.harmon@illinois.gov Dennis Beedle, MD Associate Clinical Director dennis.beedle@illinois.gov
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Alton Mental Health Center (AMHC)__1Ad3Fr*S&R Name: Sandra D. Ross, Quality Manager sandra.ross@illinois.gov Name/Title (2° Rep): Susan Shobe/Hospital Administrator susan.shobe@illinois.gov Name/Title (3° Rep): David Baker / Director of Nursing David.J.Baker@illinois.gov Hospital CEO: Susan Shobe 1628 # Beds - Adult: 15 (civil) # Beds - Child & Adol: # Beds - Forensic: 110 (incl some sex offender) # Beds - Geriatric: # Beds - Total: 125 # Beds - CMS Distinct: 15 # Units - Total: 6 # Staff - Total: 258 Survey Dates -TJC: 9/10-12/2007 , 8/18 - 8/20/04 Survey Dates -CMS: 12/30/03; 3/11 & 3/16/04 Special Programs/Projects: NTAC Seclusion Reduction Initiative;
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1003_Chester Mental Health Center (CMHC)__6Fr*STAR Name/Title (1° Rep): Rhonda Wilson/Quality Manager rhonda.wilson@illinois.gov Name/Title (2° Rep): Melissa Gross/ Acting Assistant Hospital Administrator melissa.gross@illinois.gov Name/Title (3° Rep) : Patricia Kelley, CEO pat.kelley@illinois.gov Hospital CEO: Patricia Kelley 1505 http://intranet.dhs/onenet/page.aspx?item=10548 # Beds - Adult: # Beds - Forensic: 280 # Beds - Geriatric: # Beds - Total: 280 # Units - Total: 5 # Staff - Total: 533 Survey Dates -TJC: 3/22-24/10 , 3/27-29/07 Survey Dates -CMS: N/A Special Programs/Projects: STAR, Security, Therapy and Recovery, alternatives to the use of seclusion/restraint.
+SHCC Contributions:
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Chicago-Read Mental Health Center (CRMHC)__3Ad*Deaf Name: Ellen Otomo, Quality Manager Ellen.Otomo@illinois.gov Name/Title (2° Rep) Hospital CEO Elaine Novak 1594 @Hospital-Data.com , Adult 130 # Beds - Child & Adol # Beds - CMS Distinct 24 # Units - Total 6 Survey Dates -TJC 5/15-17/07 Survey Dates -CMS April, 2007 Special Programs/Projects Statewide Unit for Deaf/HOH patients
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0912_Choate Mental Health Center (CMHDC)__2Ad1Ca Name/Title (1° Rep) Donna Murray, Quality Manager donna.murray@illinois.gov Name/Title (2° Rep) Paula Wettig/Assistant Director of Nursing (acting)paula.wettig@illinois.gov Tel/Fax (2° Rep) 618/833-5161 x2243Hospital CEO Elaine Ray, Facility Director 622 # Beds - Adult - 70 # Beds - Forensic # Beds - # Beds - Total 79 # Units - Total 3 # Staff - Total 167 Survey Dates -TJC 12/13-12/15/06 Survey Dates -CMS 2/5-2/7/07 Special Programs/Projects -
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Elgin Mental Health Center (EMHC)__2Ad7Fr Name: Ann Boisclair, Quality Director ann.boisclair@illinois.gov Name/Title (2° Rep): Starr Kaplan starr.kaplan@illinois.gov Name/Title (3° Rep): Donna Leveque donna.leveque @illinois.govHospital CEO: Tajudeen Ibrahim 1395 # Beds - Adult: 75 # Beds - Forensic: 315 # Beds - Geriatric: # Beds - Total: 390 # Units - Total: 10 # Staff - Total: 720 Survey Dates -TJC: 8/19-22/08 , 9/23/05 Survey Dates -CMS: 1/25/06
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H. Douglass Singer Mental Health (SMHC)__2Ad*FAIR
Name: Richard Apple, Director of PI richard.apple@illinois.gov Name/Title (2° Rep): Adrienne Langley/Training Coordinator adrienne.langley@illinois.gov Name/Title (3° Rep): Mohammad Yunus/Hospital Administrator mohammad.yunus@illinois.gov Hospital CEO: Mohammad Yunus 2995 Hosp Website: # Beds - Adult: 76 # Beds - Child & Adol: 0 # Beds - Total: 76 # Units - Total: 3 # Staff - Total: 170 Survey Dates -TJC: 1/11/11, 1/11/08 , 4/5-7/05, 1/2-4/08 Survey Dates -CMS: 4/5-4/7/2006 Special Programs/Projects: FAIR (Finding Alternatives In Recovery) Treatment project combines the statewide Violence Prevention and SAMHSA Cohercion Free Environment initiatives. We are in the process of transforming our long term community reintegration unit into a Chester (maximum security) step down unit. Although Singer does not have specific forensic, geriatric, MR/DD or substance abuse beds, individuals with these diagnoses are served.
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John J. Madden Mental Health Center (MMHC)__3Ad*S&R
Name Diana Meyers, Director of Quality Strategies diana.meyers@illinois.gov Name/Title (2° Rep) Fred Nirde, Hospital Administrator fred.nirde@illinois.gov Name/Title (3° Rep) Robert Sharpe, Medical Director Email (3° Rep) robert.sharpe@illinois.gov Hospital CEO Fred Nirde 578 Hosp Website: Refer to IDHS website # Beds - Adult 150 # Beds - Child & Adol 0 # Beds - Total 150 CMS Distinct 25 # Units - Total 5 # Staff - Total 330 Survey Dates -TJC 09/15 - 09/17/2010, 8/27-29/07 , 4/2004 Survey Dates -CMS 2/2006 Special Programs/Projects: Major successes with SAMHSA Restraint & Seclusion Reduction Grant
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McFarland Mental Health Center (AMcF)__2Ad1Fr*ProjSAFE,*Adol Fr
Name: Natalie Katauski, Quality Improvement Dir natalie.katauski@illinois.gov Name/Title (2° Rep): Sandra Szpyrka, Dir of Nursing Sandra.Szpyrka@illinois.gov Name/Title (3° Rep): Hospital CEO: Karen Schweighart 1502 # Beds - Geriatric: # Beds - Total: 122 # Beds - CMS Distinct: # Units - Total: 5 # Staff - Total: 220 Survey Dates -TJC: 12/16-18/08, 11/23/05 Survey Dates -CMS: Special Programs/Projects: Project SAFE (Safe Alternatives Fostering Empowerment), Adult Forensic Unit, Adolescent Forensic Unit
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1002_Tinley Park Mental Health Center (TPMHC)__2Ad
Name: Laura Godinez , Director of QualityLaura.Godinez@illinois.gov Name/Title (2° Rep): Ruby Powell, Training Coordinator Ruby.E.Powell2@illinois.gov Name/Title (3° Rep): Hospital CEO: Marva Arnold, hospital administrator 1577 # Beds - Adult: 100 # Beds - Child & Adol: 0 # Beds - MR/DD: 100 # Beds - Sex Offender: Survey Dates -TJC: 2/8-9/10 , 3/19-21/07 , 10/27/04Survey Dates -CMS: 1/22-1/24/07 Special Programs/Projects:
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1011_Evansville State Hospital (ESH)_2Ad1Ge1Mr*SmokeFree
Name Patti English/Director of Patient Services E-mail patti.english@fssa.in.gov Name/Title (2° Rep) Steve Cruse/Assistant Superintendent steven.cruse@fssa.in.gov Name/Title (3° Rep) Buff Wallace-Fallen/Continuum of Care Director tamara.wallace-fallen@fssa.in.gov Hospital CEO Cathe Fulcher, Superintendent 1263 !BHC ESH @ FSSA /2009 Fact Sheet , Sample Newsletter , (102) # Beds - Child & Adol 0 # Beds - Forensic 0 (34) # Beds - MR/DD 0 (32) # Beds - Sex Offender 0 # Beds - CMS Distinct - None yet - planning for whole hospital # Units - Total 5 Survey Dates -TJC 11/30-12/3/10 , 10/30-11/2/2007 Survey Dates -CMS 10/1993
4/18/11
0901_Logansport State Hospital (LoSH)_!5Ad2Fr1Mr1Sx
Name Gayle Edgerly, Quality Management Director E-mail gayle.edgerly@fssa.in.gov Name/Title (2° Rep) Cindy Bruce, Infection Control & Quality Nurse cynthia.bruce@fssa.in.gov Name/Title (3° Rep) Name/Title (3° Rep) Hospital CEO Rob Clover, Superintendent 1264 !BHC LSH @ FSSA /2009 Fact Sheet ,Sample Newsletter , # Beds - Child & Adol # Beds - CMS Distinct # Units - Total 8 Survey Dates -TJC 6/24/10, 1/10/09, 7/12/07 Survey Dates -CMS 5/13/07
1008 Richmond State Hospital (RSH)_!5Ad1CA1MR2SA
Name Kay Stephan/Director of Quality anita.stephan@fssa.in.gov Name/Title (2° Rep) Jeff Butler, CEO jeffrey.butler@fssa.in.gov Name/Title (3° Rep) Dr. Judy Cole/Clinical Director judy.cole@fssa.in.gov Tel/Fax (3° Rep) 765-935-9215 Hospital Name (AAAA) Richmond State Hospital (RSH) Hospital CEO Jeffrey Butler 1265 !BHC www.richmondstatehospital.org , RSH @ FSSA /2009 Fact Sheet ,Sample Newsletter , # Beds - Adult (Civil only) 143 # Beds - Forensic 0 # Beds - MR/DD - 23 Beds (Specialty Unit with Fluid Mgt and MR/DD) # Beds - Sex Offender 0 # Beds - Sub Abuse (MICA) - 60 # Beds - CMS Distinct 30 # Units - Total 10 (7 Units/3 houses) Survey Dates -TJC: 8/16-20/10, 6/25-29/07 Survey Dates -CMS: 1/26/09, July 14-16, 2004 Special Programs/Projects: SAMHSA Reduction of Restraint & Seclusion
0902_Larned State Hospital (LaSH)__2Ad1Ca4Fr1Ge4Sx*LPN/Violence
Name Clifford Voelker/QR/QM Director Clifford.voelker@lsh.ks.gov Tel/Fax Numbers 620-285-4546/ 620-285-????Name/Title (2° Rep) Trudy Racette/Corporate Compliance Officer ter0628@lsh.ks.gov Tel/Fax (2° Rep) 620-285-4572/ 620-285-4509Name/Title (3° Rep) Tabi Murray/ Director of QM tsm0712@lsh.ks.gov Tel/Fax (3° Rep) 620-285-4398/ 620-285-4770Hospital CEO Christopher Burke, PhD 3186 Hospital Address 1301 KS HWY 264 www.srskansas.org/LSH/default.html # Beds - Adult 79 # Beds - Forensic 260 # Beds - Geriatric # Beds - Sex Offender 216 (includes 17 Geriatric) # Beds - Sub Abuse 03 # Beds - Total 580 # Beds - CMS Distinct 104 # Units - Total 17 # Staff - Total 970 Survey Dates -TJC: 2009/02/13-tjc-LSH 8/28-31/06 , 9-21-07 (on site), 5/9/03 Survey Dates -CMS 10/30-11/2/06, 11/13-11/16/06, 4/5/07, 7/18/07 Special Programs/Projects - LPN development program on campus.
SHCC Contributions:
0912_Central Louisiana State Hospital (CLSH)__2Ad1Ca2Fr*S&R scrawfo1@dhh.la.gov Name/Title (2° Rep): Ginger Lienhop/ P.I. Nurse glienhop@dhh.la.gov Name/Title (3° Rep): Hospital CEO: Patrick Kelly 603 http://www.dhh.state.la.us/offices/locations.asp?ID=62&Detail=124 # Beds - Adult: 60 # Beds - Geriatric: 0 # Beds - Total: 132 # Units - Total: 5 # Staff - Total: 362 Survey Dates -TJC: 12/3/09 , 8/31/06 , 4/25/03 Survey Dates -CMS: 9/3/04 RCA Exec Update (8/25/10) , SAMHSA Reduction of Restraint and Seclusion,
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Eastern Louisiana Mental Health System (ELMHS)__!7Ad1Ca5Fr*HBIPS
Name: Deborah L. Brandom, TQM Dir. Debe.Brandom@la.gov Name/Title (2° Rep): Gary Higgs, RN P.I. Dir. Gary.Higgs@la.gov Name/Title (3° Rep): Paul Fontenot, I.M. Dir. Paul.fonten@la.gov Hospital CEO: Kandy Collins Jt Com Org ID#: 1966 !BHC www.dhh.state.la.us/offices/locations.asp?ID=62&Detail=126 # Beds - Adult: 318 # Beds - Forensic: 235 # Beds - Geriatric: # Beds - MR/DD: 16 (Residential) # Beds - Sex Offender: # Beds - Total: 553 # Beds - CMS Distinct: 43 # Staff - Total: 1182 plus contract Survey Dates -TJC: 5/20/11, 6/2-6/08/ PSQ , 3/7-3/11/2005 Survey Dates -CMS: Special Programs/Projects: Hospital- Based, Inpatient Psychiatric Services (HBIPS) Candidate Core Measure Set
0909_Southeast Louisiana Hospital (SELH)_3AD1Ca*S&R*AdolNeuro¥ Name Joy Callahan, Administrative Assistant jcallaha@dhh.la.gov Tel/Fax Numbers 985 626 6573 985 626 6698Name/Title (2° Rep) Rhonda Zuvich, Administrative Assistant rzuvich@dhh.la.gov Tel/Fax (2° Rep) 985 626 6560, 985 626 6559 Name/Title (3° Rep) Name/Title (3° Rep) Hospital CEO Patricia Gonzales 1511 http://www.dhh.louisiana.gov/offices/?ID=335 # Beds - Adult (Civil only) 118 # Beds - Child & Adol (Civil only) 30 # Beds - Forensic 0 # Beds - Total (all Civil & For) 148 # Beds - CMS Distinct 118 # Staff - Total 540 Survey Dates -TJC 9/25/09-PSQ , 07/12-14/2006 Survey Dates -CMS 04/01-04/2008 Special Programs/Projects :
Dorothea Dix Psychiatric Center (DDPC)_2Ad Name Jeannie French-Downing, PI Director jeannie.french-downing@maine.gov Name/Title (2° Rep) Bill Dunwoody, Director of Integrated Quality Management Programs william.dunwoody@maine.gov Name/Title (3° Rep) Name/Title (3° Rep) Chief Executive Officer (CEO) Linda Abernethy Hospital Name (AAAA) Dorothea Dix Psychiatric Center (DDPC) 3013 maine.gov/dhhs/DDPC/index.shtml300 # Beds - Adult (Civil only) 100 # Beds - Child & Adol (Civil only) # Beds - CMS Distinct 100 # Units - Total 4 # Staff - Total 300 Date Last Full Survey -TJC 4/5-7/07 Date Last Full Survey -CMS 7/5-7/07 Special Programs/Projects:
Wilson Treatment Mall Outpatient Med Management Joint Commission Core Measures test site until Jan 1, '09; organization seclusion reduction initiative x2 years resulted in successful reduction of use to at or below the national average since April, 2008; major 2009
organization initiative is med error reduction
Riverview Psychiatric Center (RPC)_!1Ad1Fr
Name Angie Newhouse; Staff Development Director angie.newhouse@maine.gov Tel/Fax Numbers 207-624-3916/207-287-6137Name/Title (2° Rep) Marylouise McEwen, Superintendent marylouise.mcewen@maine.gov Name/Title (3° Rep) Name/Title (3° Rep) Chief Executive Officer (Acting CEO) Marylouise McEwen Hospital Name (AAAA) Riverview Psychiatric Center (RPC) 1555 !BHC http://www.maine.gov/dhhs/riverview/index.shtml # Beds - Adult (Civil only) 46 # Beds - Child & Adol (Civil only) 0 # Beds - Forensic 46 # Beds - Geriatric 0 # Beds - Total (all Civil & For) 92 # Beds - CMS Distinct 0 # Staff - Total 393 Date Last Full Survey -TJC 11/19/10, 11/30/07 Date Last Full Survey -CMS 11/30/07 Special Programs/Projects
Missouri Department of Mental Health (MDMH) Missouri Department of Mental Health 573-751-8017 E-Mail: dmhmail@dmh.mo.gov URL: http://www.dmh.missouri.gov/index.htm
CO Staff #1: Rebecca Carson, Psychiatric Facilities Coordinator rebecca.carson@dmh.mo.gov
CO Staff #2: Clive Woodward, CPS Quality Improvement Director clive.woodward@dmh.mo.gov
CO Staff #3: Felix Vincenz, CPS Chief Operating Officer felix.vincenz@dmh.mo.gov
0908_Center for Behavioral Medicine_!1Ad Name Stephanie Hetherington, Quality Assurance Specialist [ CPN ] stephanie.hetherington@dmh.mo.gov Name/Title (2° Rep) Kaye Green, PI Director kaye.green@dmh.mo.gov 816-512-5722 Name/Title (3° Rep) Name/Title (3° Rep) Chief OPerating Officer (COO) Scott Carter Hospital Name (AAAA) Center for Behavioral Medicine (formerly Western MO Mental 3043 ! 1000 E. 24th Street, Kansas City, MO 64108 Hosp Website http://www.dmh.mo.gov/wmmhc/index.htm # Beds - Adult (Civil only) 50 # Beds - Child & Adol (Civil only) # Beds - CMS Distinct ???? # Units - Total 2 Inpatient and 6 Residential # Staff - Total 339 Date Last Full Survey -TJC 8/11-13/09/PSQ , 5/27/06 Date Last Full Survey -CMS 1/26-28/09 Special Programs/Projects:
Alternative Services - a residential program consisting of 25 Adult MI/DD Waiver Beds and 43 adult residential beds for the chroniclly mentally ill.
0907_Fulton State Hospital (FSH)_8Ad2Fr*HBIPS Name Andy Atkinson, Quality Improvement Officer andrew.atkinson@dmh.mo.gov Name/Title (2° Rep) Name/Title (3° Rep) Name/Title (3° Rep) Chief Executive Officer (CEO) Marty Martin Hospital Name (AAAA) Fulton State Hospital (FSH) 850 600 East Fifth, Fulton, MO 65251-1798 Hosp Website www.dmh.missouri.gov/fulton/index.htm # Beds - Adult (Civil only) 401 # Beds - Child & Adol (Civil only) # Beds - Forensic 67 # Beds - Total (all Civil & For) 468 # Beds - CMS Distinct 24 # Units - Total 21 # Staff - Total 1363 Date Last Full Survey -TJC 6/29/09-7/2/09/PSQ , 4/10-14/06 Date Last Full Survey -CMS 7/13/09-7/15/09
Special Programs/Projects:
2009 NASMHPD Presentation: Trauma-Informed Treatment of Forensic Clientele Fulton State Hospital , Fulton, Missouri Social Learning Program, Competency Restoration Program, Psychiatric Rehabilitation Program, New Outlook Program SMHSA-NTAC Seclusion/Restraint Core Reduction Strategies HBIPS Core Measure Set Seclusion/Restraint Risk Prediction Program: Preliminary phase findings published in "Trajectories of Seclusion and Restraint Use at a State Psychiatric Hospital ," Psychiatric Services, September 2008 Vol. 59, No. 9.
0903_Hawthorn Children's Psychiatric Hospital (HCPH)_1Ad Name Anne Eckert, Ass't PI Director Anne.Eckert@dmh.mo.gov 314-512-7602/314-512-7812 Name/Title (2° Rep) Cary Drennen, PI Director Cary.Drennen@dmh.mo.gov Maria.Furman@dmh.mo.gov Chief Operating Officer (COO) Marcia Perry Hospital Name (AAAA) Hawthorn Children's Psychiatric Hospital (HCPH) 725 ! Hospital Address 1901 Pennsylvania Avenue in St. Louis, MO 63133 Hosp Website http://www.dmh.missouri.gov/hcph/index.htm # Beds - Adult (Civil only) ??? # Beds - Child & Adol (Civil only) # Beds - CMS Distinct 52 # Units - Total 2 # Staff - Total ???? Date Last Full Survey -TJC March 10-13, 2009 / PSQ , 2/3/06 Date Last Full Survey -CMS ????? Special Programs/Projects:
0904_Metropolitan St. Louis Psychiatric Center (MPC)_2Ad Name Cary Drennen, PI Director Cary.Drennen@dmh.mo.gov Name/Title (2° Rep) Leticia Murphy, Research Analyst II Leticia.Murphy@dmh.mo.gov Name/Title (3° Rep) Anne Eckert, Ass't PI Director E-mail (3° Rep) Anne.Eckert@dmh.mo.gov Chief Executive Officer (CEO) Anthony Cuneo Hospital Name (AAAA) Metropolitan St. Louis Psychiatric Center (MPC) 3045 5300 Delmar Blvd., St. Louis, MO 63112 Hosp Website www.dmh.missouri.gov/mpc/index.htm # Beds - Adult (Civil only) 100 # Beds - Child & Adol (Civil only) # Beds - CMS Distinct 100 # Units - Total 5 # Staff - Total 310 Date Last Full Survey -TJC April 20-21, 2009/PSQ , 2/8/06 Date Last Full Survey -CMS ????? Special Programs/Projects:
0903_Northwest Missouri Psychiatric Rehabilitation Center (NMPRC)_3Ad Name Amanda Maretoli, PI Director amanda.maretoli@dmh.mo.gov Name/Title (2° Rep) Kaye Green kaye.green@dmh.mo.gov Name/Title (3° Rep) Name/Title (3° Rep) Chief Executive Officer (CEO) Mary Attebury Hospital Name (AAAA) Northwest Missouri Psychiatric Rehabilitation Center (NMPRC) 1790 www.dmh.mo.gov/nmprc/index.htm # Beds - Adult (Civil only) ??? # Beds - Child & Adol (Civil only) # Beds - CMS Distinct ???? # Units - Total ???? # Staff - Total 300 Date Last Full Survey -TJC 9/23/09/PSQ , 6/23/06 Date Last Full Survey -CMS 10/17/08 Special Programs/Projects:
0907_Southeast Missouri Mental Health Center (SMMHC)_2Ad6Fr3Sx Name David Schmitt, Director of QM [CPN david.schmitt@dmh.mo.gov Name/Title (2° Rep) Terri Emily, ????? terri.emily@dmh.mo.gov 573/218-7020 Name/Title (3° Rep) Name/Title (3° Rep) Chief Operating Officer (COO) Karen Adams Hospital Name (AAAA) Southeast Missouri Mental Health Center (SMMHC) 1815 1010 W. Columbia, Farmington, MO 63640 Hosp Website http://www.dmh.mo.gov/ # Beds - Adult (Civil only) 54 # Beds - Child & Adol (Civil only) # Beds - Sex Offender 128 # Beds - Total (all Civil & For) 298 # Beds - CMS Distinct 76 # Units - Total 18 # Staff - Total 1012 Date Last Full Survey -TJC 7/21-7/24/09 /PSQ , 4/29/06 Date Last Full Survey -CMS ????? Special Programs/Projects:
0905_Southwest Missouri Psychiatric Rehabilitation Center (SMPRC)_1AD Name Terri Villafane, QM Dir. t erri.villafane@dmh.mo.gov Name/Title (2° Rep) Larry Wheatley, Program Director larry.wheatley@dmh.mo.gov Name/Title (3° Rep) Milly Hall, Chief Program Director mill.hall2@dmh.mo.gov Chief Executive Officer (CEO) Ron Chandler Hospital Name (AAAA) Southwest Missouri Psychiatric Rehabilitation Center (SMPRC) NA 1301 Industrial Parkway East , El Dorado Springs, MO 64744 Hosp Website http://www.dmh.missouri.gov/swmmhc/index.htm # Beds - Adult (Civil only) 12 # Beds - Child & Adol (Civil only) # Beds - CMS Distinct 4 # Units - Total 2 # Staff - Total 70 Date Last Full Survey -TJC NA Date Last Full Survey -CMS 5/20/09 Special Programs/Projects: Smoke-free campus
0905_St. Louis Psychiatric Rehabilitation Center (SLPRC)_4Fr Name Cary Drennen , PI Director cary.drennen@dmh.mo.gov Name/Title (2° Rep) Kara Miriani, kara.miriani@dmh.mo.gov 314/877- Name/Title (3° Rep) Anne Eckert, Ass't PI Director anne.eckert@dmh.mo.gov Chief Executive Officer (CEO) H.A. Mannich Hospital Name (AAAA) St. Louis Psychiatric Rehabilitation Center (SLPRC) 895 ! 5300 Arsenal Street, Saint Louis, MO 63139 www.dmh.missouri.gov/slprc/index.htm # Beds - Adult (Civil only) # Beds - Child & Adol (Civil only) # Beds - Forensic 196 # Beds - CMS Distinct 25 # Units - Total 16 # Staff - Total 600 Date Last Full Survey -TJC May 18-21, 2009/PSQ , 3/31/06 Date Last Full Survey -CMS Aug 2009 Special Programs/Projects:
Lincoln Regional Center (LRC)_!3Ad1Ca3FR2Sx Name William Gibson, CEO bill.gibson@nebraska.gov Tel/Fax Numbers 402-479-5388/402-479-5408Name/Title (2° Rep) Stacey Werth-Sweeney, PI Dir stacey.werthsweeney@nebraska.gov Tel/Fax (2° Rep) 402-479-5271/402-479-5408Name/Title (3° Rep) Linda Jiskra, linda.jiskra@nebraska.gov Tel/Fax (3° Rep) 402-479-5388/402-479-5408Hospital CEO William Gibson Jt Com Org ID# 1640 !BHC http://www.dhhs.ne.gov/beh/rc/lrcserv.htm # Beds - Adult (Civil only) 131 # Beds - Forensic 119 # Beds - Geriatric 0 # Beds - Sex Offender 88 # Beds - Sub Abuse 0 # Beds - Total (all Civil & For) 250 # Beds - CMS Distinct 131 # Staff - Total 518 Survey Dates -TJC Jan 18, 2008, 2/28-3/4/05 Survey Dates -CMS October 2007 Special Programs/Projects Contributions:
Ancora State Psychiatric Hospital (ASPH)__15Ad+ Name: Kevin Jones, Director of Quality Improvement Kevin.Jones@dhs.state.nj.us Name/Title (2° Rep): Tel/Fax (2° Rep): Name/Title (3° Rep): Hospital CEO: Greg Roberts (Interim) 1573 Hospital Address: 301 Spring Garden Road, Ancora, NJ 08037 http://www.peoplefirstnurses.nj.gov/ancora.htm # Beds - Adult (Civil only): 709 # Beds - Child & Adol (Civil only): # Beds - Total (all Civil & For): 709 # Beds - CMS Distinct: Survey Dates -TJC: 4/11/08, 12/2/05, Survey Dates -CMS: 4/11/08 Special Programs/Projects:
+SHCC Contributions:
Western State Hospital (WSH)__9Ad6Fr4Gr*ViolenceNTAC
Name/Title (1° Rep)
Name/Title (2° Rep) Name/Title (3° Rep) Barbara Hawkins, Research Investigator hawkibb2@dshs.wa.gov Hospital CEO Andy Phillips 1630 Hosp Website Hosp Website # Beds - Forensic 270 # Beds - MR/DD # Beds - # Beds - Total (all Civil & For) 927 # Units - Total 32 # Staff - Total 2244 Survey Dates -TJC 2/25/11, 2/29/08, Jan 2000 Survey Dates -CMS May 2008 Special Programs/Projects NASMHP - NTAC's Non-violence initative
