For purposes of application for CMS certification, a summary of corrective actions taken to now comply with those Hospital Conditions of Participation and Special Conditions of Participation for Psychiatric Hospitals that were deficient at the time of decertification is documented below. The actions listed are overarching and by no means exhaustive.
Founded in 1866, Osawatomie State Hospital (OSH) is licensed by the State of Kansas to provide care and treatment for adults diagnosed with psychiatric disorders regardless of ability to pay. OSH serves individuals from 36 counties in Kansas in collaboration with 12 Community Mental Health Centers (CMHCs). The centers refer individuals for admission to the hospital through a collaborative screening process. There are currently two hospitals on the Osawatomie campus in Miami county: Osawatomie State Hospital and Adair Acute Care.
We admit the patient - We accept admissions as determined by the Community Mental Health Centers expediently, without barriers and attending to the safety and dignity of the patient.
Once admitted we work with the patient to define the presenting problem and set an initial discharge date - We recognize the need to focus treatment efforts on stabilizing the presenting problem for which the patient was admitted. Even though many of the people we serve have numerous issues that need to be addressed, an acute care hospital is appropriately used when the focus of treatment is the problem for which the patient was admitted. When setting the most appropriate initial discharge date, we ensure that the treatment team, the patient, and the community mental health center are all aware of this important date and goal for discharge.
We identify discharge criteria that relates to the presenting problem - We recognize that in order to stay focused on the presenting problem, we must define discharge criteria as it relates to the problem to be addressed. Setting and community service providers are clear about when and how the discharge will and should occur.
We recognize our limitations as an acute care treatment hospital - The consumers we serve may have a wide range of issues to address. However, the majority of these issues are best addressed in the community where the consumer lives. Our purpose is to treat the presenting problem and discharge tothe community where community based partners can further address the range of issues the consumer needs addressed.
Acute care hospital treatment must be consistent with and complement community based treatment - The treatment model we develop and refine, must coordinate with the treatment the consumer received in the community before admission to the hospital and with the treatment that the consumer will receive on discharge.
We actively involve the patient and family members - Natural supports are important to living in the community. As much as family wants to be involved and the patient is also wanting family and other supports involved, we will involve these key people. This means communicating with and including people who have an interest in the patient's recovery.