Northern Virginia Regional Projects Fiscal Year 2018 ... · Older Adult Commitment Results: 54...

Northern Virginia Regional Projects

Fiscal Year 2018 Ending January 31, 2018

Regional Utilization Group Report for the

Regional Management Group

Alan Wooten Executive Director Prince William CSB Carol Layer Executive Director Alexandria CSB Margaret Graham Executive Director Loudoun CSB Jean Post Regional Projects Director

Daryl Washington Acting Executive Director Fairfax-Falls Church CSB Deborah Warren Executive Director Arlington CSB Amy Smiley Facility Director Northern Virginia Mental Health Institute

FY 18 DBHDS Region 2/Northern DS Region:

Utilization Management Review: January 2018

January Data FY 18 YTD Data Notes

64 Authorized Admissions for 521 Bed days 505 Authorized Admissions for 3434 Bed days Page 4, LIPOS Sum

Monthly Average Admission: 72

Dominion had highest number of Authorized LIPOS

Admissions, 11 (17%)

Dominion Hospital had highest number of Authorized LIPOS

Admissions, 142 (28%)

34 Individuals have stayed 12-14 daysPage 5, LIPOS

Monthly Comparison

13 Individuals have stayed 15-18 days Page 6, LIPOS YOY

6 have stayed 18-20 days

17 have stayed 21 or more days

Admissions are predominantly resulting from civil commitment

process: CMA (38.2%) and Involuntary (34.3%)

Average LOS: 7

Adult PHP: 1 2 Admission

Youth Lipos

6 Authorized Admissions 36 Authorized Admissions for 380 bed days

Page 7, Youth LIPOS

Sum

66.7% at Dominion Hospital

Page 8, PHP and

Youth LIPOS YOY

Average LOS: 10.9

Youth PHP: 2 6 Admissions

2. NVMHI


116 Admissions 744 Admissions Page 9, Admissions

98 Discharges 735 Discharges

98 TDO Admissions, 84.5% of Admissions 614 TDO Admissions, 82.5% of Admissions

12 Invol Admissions, 10.3% of Admissions 79 Invol Admissions, 10.6% of AdmissionsPage 10, Year over

Year16 Diversions to NVMHI from other areas YTD (0 over past 3

months)

53% insured admits for January 50% insured admits YTD Page 11, Insured

89% Occupancy Rate 87% Occupancy YTD 12 Admissions had MH/ID Dx.

2 NGRI Admits 7 NGRI Admits These numbers

3 Jail Transfers 32 Jail Transfersare based on NVMHI

Report

1. LIPOS

2

FY 18 DBHDS Region 2/Northern DS Region:

Utilization Management Review: January 2018

3. Other State Facilities

Western State Piedmont Geriatric Hospital CCCA

Average Census of 34 6 Jan Admits, 31 YTD 9 Jan Admits, 75 YTD

14 Region 2 Admissions in January, 117 YTD 6 Jan Discharges, 26 YTD9 Jan Discharges, 74

YTD

6 RFD5 EBL


367 TDOs (all ages) in January 2,439 TDOs (all ages) YTD

345 Commitment Hearings in January 2,267 Commitment Hearings YTD Page 12, Summary

Adult Commitment Results: 93 Invol. & 147 CMA

Adult Commitment Results: 619 Invol., 30.6% & 886 CMA,

43.8%

Older Adults Commitment Results: 8 Inv. Older Adult Commitment Results: 54 Inv., 54.5%

Minor Commitment Results: 10 dismissed Minors Commitment Results: 86 dismissed, 59.7%

Page 13, Year over

Year

35 Committed/CMA non-geriatric adults went to

Fairfax, 14.5%

224 Committed/CMA non-geriatric adults went to Dominion,

14.8%

Page 14, Adults by

Hosp

1 Committed/CMA older adults went to Fairfax,

Loudoun, Mt. Vernon and Prince William, 10%

13 Committed/CMA older adults went to VHC and Loudoun,

17%

Page 15, Older Adults

by Hospital Page 16,

Minors by Hosp

2 Committed/CMA Minors went to Dominion, 28.5%

each17 Committed/CMA Minors went to Dominion, 30.3%

5. Crisis Stabilization Units


93 Admissions 574 Admissions Page 17-18 Summary

82 Discharges 564 Discharges

67% of Admissions were for Diversion 70% of Admissions were for DiversionPage 19, Year over

Year30% of Admissions were for Step-down 27% of Admissions were for Step-down

7 consumers stayed longer than 15 days 75 consumers stayed longer than 15 daysNo consumers stayed longer than 21 days 7 consumers stayed longer than 21 days

79% Occupancy 82% Occupancy

4. TDO/Commitments

94 Jan Bed Days, 927

YTD

3

JANUARY 2018 - FY18 ADULT LIPOS

JULY 1, 2017 - June 30, 2018

PHP Admits

Jul 2017 65 0 Total

Aug 2017 83 1 # of Adm % of Total # of Adm % of Total # of Adm % of Total # of Adm

Sep 2017 64 0 8 25.0% 18 56.3% 6 18.8% 32

Oct 2017 82 0 70 9.0% 19 13.4% 53 37.3% 142

Nov 2017 76 0 28 53.8% 15 28.8% 9 17.3% 52

Dec 2017 71 0 16 37.2% 9 20.9% 18 41.9% 43

Jan 2018 64 1 32 54.2% 9 15.3% 18 30.5% 59

Feb 2018 0 0 20 34.5% 16 27.6% 22 37.9% 58

Mar 2018 0 0 3 5.7% 41 77.4% 9 17.0% 53

Apr 2018 0 0 16 24.2% 46 69.7% 4 6.1% 66

May 2018 0 0 193 38.2% 173 34.3% 139 27.5% 505

Jun 2018 0 0

Total

# of Adm % of Total # of Adm % of Total # of Adm % of Total # of Adm

12 26.1% 20 43.5% 14 30.4% 46

28 37.8% 29 39.2% 17 23.0% 74

88 48.4% 49 26.9% 45 24.7% 182

21 38.2% 12 21.8% 22 40.0% 55

44 29.7% 63 42.6% 41 27.7% 148193 38.2% 173 34.3% 139 27.5% 505

NVMHI Admits by Hospital YTD

HospitalJan

2018YTD Total

% by

Hospital

YTD

Discharged Bed Days YTD

YTD

Average

LOS

Monthly

Trans to

NVMHI

YTD

Trans to

NVMHI

%

NVMHI DC

# of

Admits

Jan 2018

# of

Admits

YTD

Bed Days

Current

Month

Bed Days

YTD

VHC: Arlington 4 32 6.3% 32 244 7.6 1 8 25.0% 0 0 0 0Dominion 11 142 28.1% 141 977 6.9 2 15 10.6% 0 0 0 0Inova Fairfax 9 52 10.3% 50 332 6.6 0 4 8.0% 0 0 0 0

Inova Loudoun 8 43 8.5% 40 204 5.1 2 5 12.5% 1 2 5 10

Inova Mt. Ver 8 59 11.7% 57 320 5.6 0 5 8.8% 0 0 0 0Prince William 7 58 11.5% 55 478 8.7 1 4 7.3% 0 0 0 0Poplar Springs 9 53 10.5% 49 441 9.0 3 12 24.5% 0 0 0 0

Other: 8 66 13.1% 65 438 6.7 1 11 16.9% 0 0 0 0TOTAL 64 505 100.0% 489 3434 7.0 10 64 13.1% 1 2 5 10

CSBJan

2018YTD Total Discharged

Bed Days

YTD

YTD Average

LOS

Adm per

100K

Bed Days

per 100K

Transf to

NVMHI

% Transf

to NVMHI

NVMHI

Bed Days

Average

LOS

# of

Admits

Jan 2018

# of

Admits

YTD

Bed Days

Current

Month

Bed Days

YTD

Alexandria 2 46 45 232 5.2 37 184 12 26.7% 344 28.7 0 0 0 0Arlington 8 74 73 533 7.3 39 282 12 16.4% 191 15.9 0 0 0 0Fairfax FC 29 182 175 1,219 7.0 20 136 20 11.4% 412 20.6 0 0 0 0Loudoun 7 55 53 281 5.3 21 105 4 7.5% 118 29.5 1 2 5 10Prince William 18 148 143 1,169 8.2 40 317 16 11.2% 344 21.5 0 0 0 0

TOTAL 64 505 489 3,434 7.0 27 186 64 13.1% 1,409 22.0 1 2 5 10

YTD Payment

INOVA Loudoun

0

Arlington

$269,625.00

TOTAL

Poplar Springs

Consumer Admission Status by CSB YTD

72

TOTAL

CMA

Fairfax

Loudoun

2

Monthly

Average

PHP Admissions by CSB YTD

$143,262.30$695,969.00

PHP Admits by Hospital YTD

NVMHI Admissions by CSB YTD

$312,055.00

LIPOS Admits by Hospital

LIPOS Admission by CSB

$329,001.00

$387,532.00

$2,137,444.30

VOLUNTARY

INOVA Mt Vernon

INVOLUNTARY

Other

Alexandria

VOLUNTARY

VHC Arlington

Dominion

Prince William

LIPOS Admits Consumer Admission Status by Hospital YTD

INVOLUNTARY

CMA

Prince William

HOSPITAL

505FY 2018 Total

CSB

INOVA Fairfax

9%

15%

36%11%

29%

% LIPOS - YTD FY18Alexandria

Arlington

Fairfax FC

Loudoun

Prince William

4

FY18 DBHDS Region 2: LIPOS YOY Data

37

72

36 39

62 66

52

74 76

61

83

6671

6876

61

85 87 85 81

98

7166

7565

83

64

8276

7164

0

20

40

60

80

100

120

July August Sept Oct Nov Dec Jan Feb March April May June

FY18 LIPOS Admissions by Month

FY 16 FY 17 FY 18 YTD

3.19

4.673.47

5.544.71 4.32

6.907.65

4.91 4.485.48

4.33

5.86 6.106.7 6.4 6.8 6.4

6.8

6.7 6.6 6.5 6.5 6.6

9.9

6.1 6.6

6.7

6.86.7

7.0

0.00

2.00

4.00

6.00

8.00

10.00

12.00

July August Sept Oct Nov Dec Jan Feb March April May June

FY18 LIPOS Average LOS by Month

FY 16 AVG LOS FY 17 AVG LOS YTD FY 18 YTD AVG LOS

5

FY18, July - January, DBHDS Region 2: LIPOS YOY Data

36 37 39 4147

5951

61

77 72

0

20

40

60

80

100

FY 9 FY 10 FY 11 FY 12 FY 13 FY 14 FY 15 FY 16 FY 17 FY 18YTD

LIPOS Monthly Average Admission Authorizations

5.2

4.3

5.4 5.4 5.2 5.4

4.2

5.4

6.67

0

1

2

3

4

5

6

7

8


LIPOS Average LOS

33%

45%

34%31%

35% 36%

48%

41%

21%

13%

0%

10%

20%

30%

40%

50%

60%


LIPOS Transfers to NVMHI

2880

3723

2524

3857

5988

3434

0

1000

2000

3000

4000

5000

6000

7000

FY 13 FY 14 FY 15 FY 16 FY 17 FY 18 YTD

LIPOS Total Bed Days Authorized

6

JANUARY 2018 - FY18 YOUTH LIPOS

July 1, 2017 - June 30, 2018

PHP Admits

Jul 2017 4 1 TotalAug 2017 6 0 # of Adm % of Total # of Adm % of Total # of Adm % of Total # of AdmSep 2017 3 0 1 4.2% 3 12.5% 20 83.3% 24Oct 2017 5 2 1 11.1% 0 0.0% 8 88.9% 9Nov 2017 4 0 0 0.0% 1 0.0% 1 0.0% 2Dec 2017 8 1 0 0.0% 0 0.0% 0 0.0% 0Jan 2018 6 2 0 0.0% 0 0.0% 0 0.0% 0Feb 2018 0 0 0 0.0% 0 0.0% 1 0.0% 1Mar 2018 0 0 2 5.6% 4 11.1% 30 83.3% 36Apr 2018 0 0May 2018 0 0Jun 2018 0 0 Total

# of Adm % of Total # of Adm % of Total # of Adm % of Total # of Adm0 0.0% 0 0.0% 5 100.0% 50 0.0% 0 0.0% 3 100.0% 32 11.1% 4 22.2% 12 66.7% 180 0.0% 0 0.0% 7 0.0% 70 0.0% 0 0.0% 3 0.0% 32 5.6% 4 11.1% 30 83.3% 36

HospitalJan

2018YTD Total

% by

Hospital

YTD

Discharged

YTDBed Days YTD

YTD

Average

LOS

YTD Payment# of Admits

Jan 2018

# of

Admits

YTD

Bed Days

Jan 18

Bed Days

YTD

Dominion 2 24 66.7% 23 264 11.5 $200,839.60 1 4 4 36

North Springs 3 9 25.0% 9 83 9.2 $23,285 1 2 0 10Poplar Springs 1 2 5.6% 2 28 0.0 $19,044 0 0 0 0

Snowden 0 0 0.0% 0 0 0.0 $0 0 0 0 0VTCC 0 0 0.0% 0 0 0.0 $0 0 0 0 0Other: 0 1 2.8% 1 5 0.0 -$29,925 0 0 0 0

TOTAL 6 36 100.0% 35 380 10.9 $213,243.60 2 6 4 46

CSBJan

2018YTD Total

Discharged

YTD

Bed Days

YTD

YTD Average

LOS

Adm

per100K

Bed Days

per100KYTD Payment

# of

Admits

Jan 2018

# of

Admits

YTD

Bed Days

Jan 18

Bed Days

YTD

Alexandria 1 5 5 57 11.4 18 207 $20,989.80 0 1 0 8

Arlington 0 3 3 18 6.0 7 45 $15,210 0 0 0 0Fairfax FC 2 17 16 205 21.0 6 73 $149,039 1 3 4 28Loudoun 2 8 8 60 0.0 7 55 $36,805 1 2 0 10Prince William 1 3 3 40 0.0 2 28 -$8,800 0 0 0 0

TOTAL 6 36 35 380 10.9 7 76 $213,243.60 2 6 4 46

VOLUNTARY

Snowden

Consumer Admission Status by Hospital YTD

VOLUNTARYHOSPITAL

Poplar Springs

VTCC

Dominion

PHP Admissions by Hospital YTD

PHP Admissions by CSB YTDLIPOS Admission by CSB

LIPOS Admissions by Hospital

OtherTOTAL

Consumer Admission Status by CSB YTDINVOLUNTARY

Loudoun

LIPOS Admits

TOTAL

AlexandriaArlington

POST HEARING VOL INVOLUNTARY

Prince William

North Springs

Monthly Avg

CSBPOST HEARING VOL

Fairfax5.1

FY18 Total 636

1

14%

9%

47%

22%

8%

% LIPOS - YTD FY18

Alexandria

Arlington

Fairfax FC

Loudoun

Prince William

7

FY18, July - January, DBHDS Region 2: Adult PHP and Youth LIPOS YOY Data

2018

16

910

32

0

5

10

15

20

25

FY 12 FY 13 FY 14 FY 15 FY 16 FY 17 FY 18 YTD

Adult PHP Admits

4.5 4.64.9

3.1

6

5

0

1

2

3

4

5

6

7


Adult PHP ALOS

33

6067

41

67

36

0

10

20

30

40

50

60

70

80


Youth LIPOS Admits

7.88.7

6.8

10.6

7.5

10.9

0

2

4

6

8

10

12


Youth LIPOS ALOS

8

CSB Month % YTD % Month % YTD % Month % YTD % Month % YTD %

Alex 9 64.3% 51 62.2% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 2 14.3% 12 14.6%

Arl 13 92.9% 101 84.2% 0 0.0% 0 0.0% 0 0.0% 2 1.0% 1 7.1% 15 12.5%

Fairfax 29 82.9% 187 84.6% 0 0.0% 0 0.0% 1 2.9% 6 2.7% 5 14.3% 25 11.3%

Loudn 8 80.0% 46 76.7% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 1 10.0% 5 8.3%

PW 38 90.5% 216 90.4% 0 0.0% 1 0.4% 0 0.0% 1 0.4% 3 7.1% 19 7.9%

Other 1 0.0% 13 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 3 0.0%

Total 98 84.5% 614 82.5% 0 0.0% 1 0.1% 1 0.9% 9 1.2% 12 10.3% 79 10.6%

CSB Month % YTD % Month Monthly % YTD YTD % Month Monthly % YTD YTD % Month YTD 100K

Alex 0 0.0% 0 0.0% 3 21.4% 18 22.0% 0 0.0% 1 1.2% 14 82 51

Arl 0 0.0% 1 0.8% 0 0.0% 0 0.0% 0 0.0% 1 0.8% 14 120 51

Fairfax 0 0.0% 3 1.4% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 35 221 19

Loudn 1 10.0% 1 1.7% 0 0.0% 8 13.3% 0 0.0% 0 0.0% 10 60 16

PW 1 2.4% 2 0.8% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 42 239 48

Other 0 0.0% 0 0.0% 0 0.0% 6 0.0% 0 0.0% 0 0.0% 1 22 0

Total 2 1.7% 7 0.9% 3 2.6% 32 4.3% 0 0.0% 2 0.3% 116 744 31

CSB Month YTD

Monthly

Bed

Days Bed Days YTD

Bed

Days

YTD

100K

Monthly

Mean LOS

YTD

Mean

LOS

Monthly

Median

LOS

YTD

Median

LOS

Alex 10 81 122 2001 1817.7 12 25 7 14

Arl 12 117 155 4141 2472.8 13 35 7 8

Fairfax-FC 30 214 535 7663 1011.2 18 36 8 9

Loudoun 10 59 152 1358 577.0 15 23 6 7

PW 36 230 812 6425 1981.6 23 28 6 8

Other 0 34 0 3743 0.0 0 110 0 31

Total 98 735 1776 25331 1588.2 18 34 6 8

Jail Transfers

NVMHI Discharges

NVMHI Admissions - January 2018

FY-18

TDO Voluntary CMA Involuntary

Forensics/DOC Other Total

5

2

8

1

0 0 00

1

2

3

4

5

6

7

8

9

Jul-17 Aug-17 Sep-17 Oct-17 Nov-17 Dec-17 Jan-18

NUMBER OF DIVERSION ADMISSIONS

9

FY18, July - January, DBHDS Region 2: NVMHI YOY Data

26% 25% 22% 23% 22%17%

31%

42%

50%

0%

10%

20%

30%

40%

50%

60%

FY 10 FY 11 FY 12 FY 13 FY 14 FY 15 FY 16 FY 17 FY 18YTD

NVMHI Insured Admissions by %

85 8273

53 5846

69

88 90

106

0

20

40

60

80

100

120


NVMHI Average Monthly Admissions

33%22% 23%

11%17%

45%

66%

83%

0%

20%

40%

60%

80%

100%

FY 11 FY 12 FY 13 FY 14 FY 15 FY 16 FY 17 FY 18YTD

NVMHI TDO Admissions by %

2024 25 24 22 22

28.2

22

0

10

20

30


NVMHI Average LOS of LIPOS Transfers in Days

10

FY 12 FY 13 FY 14 FY 15 FY 16FY 17

Qtr 1

FY 17

Qtr 2

FY 17

Jan

FY 17

Feb

FY 17

Mar

FY 17

Qtr 3

FY 17

Apr

FY 17

May

FY 17

June

FY 17

Qtr 4

FY 17

YTD

FY 18

July

FY 18

Aug

FY 18

Sept

FY 18

Qtr 1

FY 18

Oct

FY 18

Nov

FY 18

Dec

FY 18

Qtr 1

FY 18

Jan

Total insured

admissions170 135 121 143 329 79 98 50 33 34 117 41 43 70 154 448 52 54 58 164 59 48 43 150 62

Medicare 119 80 75 66 135 32 38 18 11 16 45 14 11 28 53 168 17 29 24 70 16 23 11 50 20

Medicaid 0 10 18 20 49 9 4 8 7 7 22 6 11 11 28 63 14 8 12 34 13 9 15 37 14

Commercial 51 45 28 57 145 38 56 24 15 11 50 21 21 31 73 217 21 17 22 60 30 16 17 63 28

Total NVMHI

admissions763 555 546 822 1060 241 249 113 85 85 283 87 95 124 306 1079 100 109 109 318 116 96 98 310 116

% insured 22% 24% 22% 17% 31% 33% 39% 44% 39% 40% 41% 47% 45% 56% 50% 42% 52% 50% 53% 52% 51% 50% 44% 48% 53%

Alexandria 13 11 10 8 27 9 8 2 6 4 12 8 7 7 22 51 5 4 5 14 3 6 3 12 7

Arlington 53 35 35 33 50 15 13 6 2 10 18 9 6 10 25 71 8 7 8 23 12 7 7 26 8

Fairfax 44 36 43 43 99 25 31 18 6 9 33 8 12 18 38 127 12 17 14 43 17 16 11 44 20

Loudoun 6 5 7 12 30 4 10 5 2 0 7 3 6 7 16 37 7 6 5 18 4 2 6 12 7

Prince William 54 47 24 47 118 22 27 12 13 10 35 8 9 22 39 123 17 17 20 54 22 16 16 54 20

Other 0 1 1 0 5 4 9 7 4 1 12 5 3 6 14 39 3 3 6 12 1 1 0 2 0

Total 170 135 120 143 329 79 98 50 33 34 117 41 43 70 154 448 52 54 58 164 59 48 43 150 62

By CSB:

January 2018 Insured Admits to NVMHI

11

CSB Month YTD % Month YTD % Month YTD % Month YTD % Month YTD 100K

Alex 15 98 50.8% 5 47 24.4% 0 2 1.0% 0 46 23.8% 20 193 175.3

Arl 10 104 34.9% 15 115 38.6% 0 4 1.3% 10 75 25.2% 35 298 178.0

Fairfax 26 153 19.9% 84 443 57.6% 2 11 1.4% 30 162 21.1% 142 769 101.5

Loudn 9 56 29.3% 10 60 31.4% 1 5 2.6% 13 70 36.6% 33 191 81.2

PW 33 208 36.3% 33 221 38.6% 4 33 5.8% 16 111 19.4% 86 573 176.7

Total 93 619 30.6% 147 886 43.8% 7 55 2.7% 69 464 22.9% 316 2024 126.9


Alex 0 8 88.9% 0 0 0.0% 0 0 0.0% 0 1 11.1% 0 9 56.7

Arl 0 8 38.1% 1 7 33.3% 0 0 0.0% 1 6 28.6% 2 21 96.8

Fairfax 0 4 26.7% 1 8 53.3% 0 0 0.0% 0 3 20.0% 1 15 10.6

Loudn 3 17 70.8% 0 2 8.3% 0 0 0.0% 0 5 20.8% 3 24 77.3

PW 5 17 56.7% 0 6 20.0% 0 2 6.7% 1 5 16.7% 6 30 68.0

Total 8 54 54.5% 2 23 23.2% 0 2 2.0% 2 20 20.2% 12 99 38.9


Alex 0 4 80.0% 0 0 0.0% 0 0 0.0% 0 1 20.0% 0 5 18.1

Arl 0 4 44.4% 0 1 11.1% 0 0 0.0% 0 4 0.0% 0 9 41.5

Fairfax 2 6 8.7% 0 1 1.4% 0 2 2.9% 9 60 87.0% 11 69 24.6

Loudn 1 4 40.0% 0 0 0.0% 0 1 10.0% 0 5 0.0% 1 10 9.2

PW 1 8 15.7% 3 27 52.9% 0 0 0.0% 1 16 31.4% 5 51 36.2

Total 4 26 18.1% 3 29 20.1% 0 3 2.1% 10 86 59.7% 17 144 24.1


Alex 15 110 53.1% 5 47 22.7% 0 2 1.0% 0 48 23.2% 20 207 134.8

Arl 10 116 35.4% 16 123 37.5% 0 4 1.2% 11 85 25.9% 37 328 143.1

Fairfax 28 163 19.1% 85 452 53.0% 2 13 1.5% 39 225 26.4% 154 853 72.3

Loudn 13 77 34.2% 10 62 27.6% 1 6 2.7% 13 80 35.6% 37 225 59.9

PW 39 233 35.6% 36 254 38.8% 4 35 5.4% 18 132 20.2% 97 654 128.4

Total 105 699 30.8% 152 938 41.4% 7 60 2.6% 81 570 25.1% 345 2267 92.6

% = Committed (or other category) YTD / Total YTD for each CSB

MOT #s supplied by ES

Commitment Hearing Results - January 2018

FY-18

Consumers Ages 18 to 64

Involuntary CMA MOT Dismissed Total

Consumers Ages 65 and Over

Involuntary CMA MOT Dismissed Total

Minors

Involuntary Voluntary MOT Dismissed Total

Total

Committed CMA MOT Dismissed Total

12

FY18, July - January, DBHDS Region 2: Average Commitment Hearings Per Month YOY

199 199 192 192201

211

250262

314323

0

50

100

150

200

250

300

350

FY 09 FY 10 FY 11 FY 12 FY 13 FY 14 FY 15 FY 16 FY 17FY 18 YTD

Average Commitment Hearings Per Month

199 198212

222

277

310

333348

0

50

100

150

200

250

300

350

400

FY 11 FY 12 FY 13 FY 14 FY 15 FY 16 FY 17 FY 18 YTD

Average TDOs Per Month

13

CSB

Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD 100K

Alex 5 34 2 11 2 59 0 0 0 10 0 1 12 65 0 0 3 10 4 25 28 215 195.3

Arl 3 48 0 0 0 0 0 4 1 1 19 136 14 105 0 0 1 6 4 25 42 325 194.1

Fairfax 31 158 33 185 11 98 2 3 4 33 1 4 36 218 0 0 4 19 5 37 127 755 99.6

Loudoun 3 35 2 7 0 4 0 0 17 106 1 3 8 43 0 0 2 5 6 37 39 240 102.0

PW 16 86 1 1 0 2 11 131 0 1 1 4 36 218 0 0 7 41 14 93 86 577 178.0

Total 58 361 38 204 13 163 13 138 22 151 22 148 106 649 0 0 17 81 33 217 322 2112 86.3

CSB

Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD 100K

Alex 1 23 2 8 3 38 0 0 0 0 0 0 6 46 0 0 2 9 6 23 20 147 133.5

Arl 1 33 0 0 0 0 0 2 0 0 13 98 7 63 0 0 1 6 3 17 25 219 130.8

Fairfax 22 120 33 164 11 88 2 3 5 22 3 7 34 191 0 0 0 0 0 1 110 596 78.6

Loudoun 0 0 0 0 0 0 0 0 14 81 1 1 0 0 0 0 1 4 3 31 19 117 49.7

PW 10 48 0 0 0 2 8 93 0 0 1 3 21 149 0 0 10 50 16 84 66 429 132.3

Total 34 224 35 172 14 128 10 98 19 103 18 109 68 449 0 0 14 69 28 156 240 1508 61.6

CSB

Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD

Alex 11 62 1 35 0 0 3 28 5 22 20 147

Arl 15 122 3 34 0 0 0 0 7 63 25 219

Fairfax 55 278 21 127 0 0 15 106 19 85 110 596

Loudoun 14 81 5 35 0 0 0 1 0 0 19 117

PW 26 167 19 113 0 0 14 69 7 80 66 429

Total 121 710 49 344 0 0 32 204 38 250 240 1508

Total

Hospital TDOs vs. Commitments / Insurance Status

January 2018 (FY-18)

Adults (Age 18-64)

TDO Hospitals

Total

Commitment/CMA Hospitals

Dominion Fairfax Other

State Insured

Poplar Springs OtherLoudoun

Total

CSU

VHC NVMHI CSU

Insured Uninsured/LIPOS CSU

State

Uninsured

Poplar Springs

NVMHIVHC

LoudounMt. Vernon Prince William

Dominion Fairfax Mt. Vernon Prince William

Insurance Status for Commitment/CMA Consumers

Current Month

14

CSB

Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD 100K

Alex 0 2 0 0 0 1 0 0 0 1 0 1 0 3 0 0 0 3 0 11 69.3

Arl 0 1 1 1 0 0 0 0 0 0 0 15 0 1 0 0 0 5 1 23 106.0

Fairfax 0 3 0 5 1 6 0 0 0 1 0 0 2 6 0 0 0 3 3 24 16.9

Loudoun 0 0 0 0 0 0 0 0 1 16 0 0 1 4 0 0 1 4 3 24 77.3

PW 1 2 0 0 0 0 1 5 0 0 0 0 2 7 0 0 2 12 6 26 58.9

Total 1 8 1 6 1 7 1 5 1 18 0 16 5 21 0 0 3 27 13 108 42.4

CSB

Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD 100K

Alex 0 1 0 0 0 1 0 0 0 0 0 0 0 3 0 0 0 3 0 8 50.4

Arl 0 0 1 1 0 0 0 0 0 0 0 12 0 1 0 0 0 1 1 15 69.1

Fairfax 0 2 0 5 1 4 0 0 0 0 0 1 0 0 0 0 0 0 1 12 8.5

Loudoun 0 0 0 0 0 0 0 0 1 13 0 0 1 2 0 0 1 4 3 19 61.2

PW 0 1 0 0 0 0 1 5 0 0 0 0 2 6 0 0 2 11 5 23 52.1

Total 0 4 1 6 1 5 1 5 1 13 0 13 3 12 0 0 3 19 10 77 30.3

CSB


Alex 0 4 0 0 0 0 0 0 0 4 0 8

Arl 1 14 0 0 0 0 0 0 0 1 1 15

Fairfax 1 12 0 0 0 0 0 0 0 0 1 12

Loudoun 2 17 0 0 0 0 0 0 1 2 3 19

PW 2 15 1 1 0 0 0 0 2 7 5 23

Total 6 62 1 1 0 0 0 0 3 14 10 77

Older Adults

TDO Hospitals

Total


Total


Dominion Fairfax Mt. Vernon


January 2018 (FY18)

Loudoun VHC

VHC PiedmontPrince William Loudoun CSU Other

Piedmont CSU Other

Current Month

Dominion Fairfax Mt. Vernon Prince William

Insured Uninsured/LIPOS CSU

State

Uninsured State Insured Total

15

CSB

Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD 100K

Alex 1 3 0 0 1 5 1 5 0 0 0 1 0 3 3 17 61.7

Arl 0 7 0 0 0 2 0 7 0 0 0 1 0 0 0 17 42.5

Fairfax 8 45 0 0 3 8 3 27 0 0 0 3 4 9 18 92 32.8

Loudoun 3 13 0 0 1 3 1 10 0 0 0 9 1 8 6 43 39.4

PW 1 17 0 1 0 4 3 22 0 0 0 1 1 5 5 50 35.5

Total 13 85 0 1 5 22 8 71 0 0 0 15 6 25 32 219 36.6

CSB

Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD Month YTD 100K

Alex 0 1 0 0 0 3 0 0 0 0 0 0 0 0 0 4 14.5

Arl 0 1 0 0 0 2 0 1 0 0 0 1 0 0 0 5 12.5

Fairfax 2 7 0 0 0 0 0 0 0 0 0 0 0 0 2 7 2.5

Loudoun 0 0 0 0 0 0 0 0 0 0 0 2 1 3 1 5 4.6

PW 0 8 0 0 0 5 3 16 0 0 0 1 1 5 4 35 24.8

Total 2 17 0 0 0 10 3 17 0 0 0 4 2 8 7 56 9.4

CSB


Alex 0 4 0 0 0 0 0 0 0 0 0 4

Arl 0 4 0 0 0 0 0 0 0 1 0 5

Fairfax 2 6 0 0 0 1 0 0 0 0 2 7

Loudoun 1 5 0 0 0 0 0 0 0 0 1 5

PW 1 17 0 0 0 2 0 5 3 11 4 35

Total 4 36 0 0 0 3 0 5 3 12 7 56

Current Month

Snowden North Springs Total

Insured CSU Uninsured

State

Uninsured State Insured

CSU


Total

Dominion Other

Dominion Snowden Poplar Springs CSU

CCCAPoplar Springs

North Springs



January 2018 (FY-18)

Minors

TDO Hospitals

CCCA TotalOther

16

Indicator Current Mo Monthly % YTD YTD % Current Mo Monthly % YTD YTD% Current Mo Monthly % YTD YTD% Current Mo Monthly % YTD YTD% Current Mo Monthly % YTD YTD%

Avg Daily Census 15.0 93.8% 14.7 92.1% 3.5 58.3% 4.5 74.9% 3.2 53.2% 3.7 61.0% 5.0 83.3% 5.1 84.5% 26.7 78.5% 28.0 82.2%

Average Length of Stay 9.3 6.0 6.60 17 6.0

Bed Days 465 3175 0 108 966 99 785 137 1042 809 5968

Referral List (mean clients per day) 0.19 0 0 1.6

Indicator Current Mo Monthly % YTD YTD % Current Mo Monthly % YTD YTD% Current Mo Monthly % YTD YTD% Current Mo Monthly % YTD YTD% Current Mo Monthly % YTD YTD%

Admissions

TDOs 0 0 0 0 0 0 0 0 0 0.0% 0 0.0%

CMA 0 0 0 0 0 0 0 0 0 0.0% 0 0.0%

CMI 0 0 0 0 0 0 0 0 0 0.0% 0 0.0%

Diversion 36 252 7 39 4 29 15 80 62 66.7% 400 69.7%

Step Down 7 44 6 40 9 43 6 28 28 30.1% 155 27.0%

NGRI 3 19 0 0 0 0 0 0 3 3.2% 19 3.3%

Respite 0 0 0 0 0 0 0 0 0 0.0% 0 0.0%

Total = 46 315 0 13 79 13 72 21 108 93 574

Homeless at Admission 12 26.1% 77 24.4% 5 38.5% 33 41.8% 6 46.2% 35 48.6% 2 9.5% 18 16.7% 25 26.9% 163 28.4%

First Admission to Crisis Care 23 50.0% 162 51.4% 9 69.2% 47 59.5% 9 69.2% 45 62.5% 20 95.2% 89 82.4% 61 65.6% 343 59.8%

No Case Manager 14 30.4% 107 34.0% 7 53.8% 45 57.0% 4 30.8% 20 27.8% 13 61.9% 57 52.8% 38 40.9% 229 39.9%

ID Diagnosis 0 0.0% 6 1.9% 1 7.7% 5 6.3% 0 0.0% 1 1.4% 0 0.0% 1 0.9% 1 1.1% 13 2.3%

REACH Involved 0 0.0% 0 0.0% 1 7.7% 5 6.3% 0 0.0% 1 1.4% 0 0.0% 0 0.0% 1 1.1% 6 1.0%

SA Diagnosis 23 50.0% 140 44.4% 6 46.2% 28 35.4% 4 30.8% 8 11.1% 10 47.6% 39 36.1% 43 46.2% 215 37.5%

Detox Services 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 3 14.3% 3 2.8% 3 3.2% 3 0.5%

Referral Sources (CSB)

Alexandria 3 13 0 0 0 0 2 8 18 11 11.8% 33 5.7%

Arlington 0 2 0 0 0 11 49 2 9 13 14.0% 60 10.5%

Fairfax-Falls Church 41 281 0 0 1 0 10 7 48 48 51.6% 340 59.2%

Loudoun 1 7 0 0 5 0 0 1 1 2 2.2% 13 2.3%

Prince William 1 12 0 12 68 2 11 3 30 18 19.4% 121 21.1%

Other 0 0 0 1 5 0 0 0 2 1 1.1% 7 1.2%

Total = 46 315 0 13 79 13 72 21 108 93 574

Fiscal Status

Uninsured 26 160 0 7 49 8 34 11 39 52 55.9% 282 49.1%

Medicaid 14 106 0 6 29 3 25 2 29 25 26.9% 189 32.9%

Medicaid QMB Only 0 0 0 0 0 0 0 0 1 0 0.0% 1 0.2%

Medicare 3 31 0 0 1 0 4 1 11 4 4.3% 47 8.2%

Private Insurance 3 18 0 0 0 0 5 6 24 9 9.7% 47 8.2%

Self-Pay 0 0 0 0 0 0 0 0 0 0 0.0% 0 0.0%

Kaiser admissions 0 0 0 0 2 4 1 4 3 12.0% 8 4.9%

Unknown 0 0 0 0 0 0 0 0 0 0 0.0% 0 0.0%

Total = 46 315 0 13 79 13 72 21 108 93 574

(16 beds) (6 Beds) (6 Beds) (6 Beds) (34 beds)

DBHDS Region II Crisis Care Utilization Report

January 2017 - FY17

Woodburn Place Brandon House Access

Woodburn Place

(16 beds) (6 Beds)

CAREBrandon House Access

(6 Beds) (6 Beds)CARE Grand Total

Grand Total

(34 beds)

17

Indicator Current Mo Monthly % YTD YTD Current Mo Monthly % YTD YTD% Current Mo Monthly % YTD YTD% Current Mo Monthly % YTD YTD% Current Mo Monthly % YTD YTD%

Discharges

Planned = 30 231 0 7 49 3 28 8 81 48 58.5% 389 69.0%

Private Residence 22 157 0 5 32 2 16 6 52 35 72.9% 257 66.1%

MH Program 0 12 0 0 4 0 1 0 14 0 0.0% 31 8.0%

SA Program 1 6 0 0 3 0 0 0 1 1 2.1% 10 2.6%

Other (ACR, NVMHI, etc.) 4 26 0 1 2 0 5 0 1 5 10.4% 34 8.7%

TDO Hearing 0 0 0 0 1 0 0 0 0 0 0.0% 1 0.3%

Shelter/Hotel 3 30 0 1 7 1 6 2 13 7 14.6% 56 14.4%

Unplanned = 14 84 0 5 28 7 40 8 23 34 41.5% 175 31.0%

Involuntary Hospitalization 1 15 0 2 4 1 5 0 0 4 11.8% 24 13.7%

Voluntary Hospitalization 2 10 0 1 7 1 1 1 2 5 14.7% 20 11.4%

Program-initiated 4 19 0 0 1 0 1 0 1 4 11.8% 22 12.6%

Client-initiated 7 40 0 2 16 5 33 7 20 21 61.8% 109 62.3%

Total Discharges = 44 315 0 12 77 10 68 16 104 82 564

Referral List

Total # of persons on Referral list 6 6 0 0 0 0 0 47 47 53 53

persons admitted from Referral list 4 9 0 0 95 0 7 21 148 25 47.2% 259 20.5%

Denied Admission due to:

No Beds Available 0 5 0 2 97 12 19 5 132 19 253

Medical Complexity 1 3 0 1 3 0 0 0 1 2 7

Sexual Offenses or NGRI 0 0 0 1 2 0 0 0 0 1 2

Homeless with no crisis 0 0 0 0 0 0 0 0 4 0 4

SA dx is primary 0 0 0 1 1 0 0 0 7 1 8

Legal Complexity 0 0 0 0 3 0 0 0 9 0 12

No Psychiatric Crisis 0 6 0 0 2 0 0 0 2 0 10

Other 2 12 0 4 4 0 2 4 9 10 27

Extended Stay

persons staying longer than 15 days 6 43 0 0 12 1 6 0 14 7 75

persons staying longer than 21 days 0 6 0 0 0 0 0 0 1 0 7

persons readmitted within 30 days 0 26 0 1 7 1 4 0 7 2 2.4% 44 7.8%

persons readmitted within 12 months 0 47 0 3 15 1 4 0 17 4 4.9% 83 14.7%

(34 beds)(6 Beds)Woodburn Place Brandon House

(16 beds) (6 Beds) (6 Beds)CAREAccess Grand Total

18

FY18, July - January, DBHDS Region 2:

Crisis Care Monthly Admits and Average Occupancy YOY

42

5866 67 64

6973 76 78

82

0

10

20

30

40

50

60

70

80

90


Crisis Stab Average Monthly Admits

87% 88% 89%

76%72%

78% 79.6% 82%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%


Crisis Stab Average Occupancy

19

1

1

3

1

4

13

13

32

9

38

11

13

48

2

18

0 20 40 60 80 100 120

Alexandria

Arlington

F-FC

Loudoun

PW

Number of Admissions

CS

B

Admissions for January 2018 - FY18

LIPOS

LIPOS to NVMHI

NVMHI

CSU

20

4

13

10

8

10

13

10

0

0

0

0

0

96

96

99

108

86

85

106

0

0

0

0

0

87

82

79

87

74

70

93

0

0

0

0

0

July

August

Sept

Oct

Nov

Dec

Jan

Feb

March

April

May

June

Number of Admissions

Mo

nth

Admissions by Month - FY18

LIPOS

LIPOS to NVMHI

NVMHI

CSU

21

Northern Virginia Regional Projects Fiscal Year 2018 ... · Older Adult Commitment Results: 54...

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