P006: Office of Facilities Management

P006: Turquoise Lodge Hospital Detox Occupancy Rate

Current Value

86.0 %

FY 2018

Definition

Line Bar

Story Behind the Curve

The NMDOH mission is to promote health and wellness, improve health outcomes, and assure safety net services for all people in New Mexico. Safety net services are services, facilities, and programs that help provide access to health care for uninsured or under insured individuals.
As of 2016, New Mexico has the twelfth highest drug overdose death rate in the nation. The consequences of substance use are not limited to death, but include many medical and social consequences, including poverty and lack of adequate insurance.
Turquoise Lodge Hospital (TLH) is a Specialty Hospital that provides safety net services for New Mexican adults with substance use disorders. Occupancy rate, or the percentage of staffed beds that are occupied, measures access to these safety net services. TLH does not make admission decisions based on an individual's insurance, the lack of insurance or the ability to pay.
According to the U.S. Centers for Disease Control and Prevention (CDC), for the year 2013, the average Specialty Hospital occupancy rate in the United States was 63.0%, and in New Mexico the average rate was 56.0%. TLH has improved their hospital detox unit occupancy rate from 48.3% in 2015 to 85.0% in 2017. In FY18, the occupancy rate was 86%.
To provide optimal access to inpatient substance use services for New Mexicans in FY19, TLH will continue to analyze the workflow of the Access Department, hospital staffing, and scheduling patterns to sustain an inpatient occupancy rate of 85.0% or higher.

Partners

Human Services Department, Behavioral Health Services Division
Children, Youth & Families Department
University of New Mexico Addiction and Substance Abuse (ASAP) Program
Bernalillo County
Endorphin Power Company (EPC)
Medicaid
Managed care organizations
Adult probation officers

What Works

Maintaining safe staff-to-patient ratios
Maintaining safe practices within the facility
Staff training
Consistent use of screenings and assessments
Call management and scheduling tools

Strategy

Maintain call management and assessment system for receiving inflow of Requests for Treatment within the Access Department.
Maintain detox unit staffing patterns to manage 16 available beds on the Adult Detox Unit.
Consistently schedule three to five admissions per day five days a week.
Continuously monitor processes and occupancy rate and implement changes as necessary.

Action Plan

Q1: Analyze Detox Occupancy Rate against workflow of Access Department, staffing patterns, and scheduling patterns. Completed.
Q2: Analyze Detox Occupancy Rate against workflow of Access Department, staffing patterns and scheduling patterns. Completed
Q3: Analyze Detox Occupancy Rate against workflow of Access Department, staffing patterns and scheduling patterns. Completed
Q4: Analyze Detox Occupancy Rate against workflow of Access Department, staffing patterns and scheduling patterns. Completed

FY18 Annual Progress Summary

In FY17, the occupancy rate of 85% met the target of 85%. This was a marked difference over the previous year by 13%.
In FY18, the occupancy rate of 86% exceeded the target of 85%. This occupancy rate is much higher than the national and regional average.
The NMDOH facilities expect the occupancy rate to slightly increase in FY19 based on the strategies and actions that are currently showing results.

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