Arizona Department of Health Services
Division of Behavioral Health Services
ANNUAL REPORT
FISCAL YEAR 2013
Janice K. Brewer, Governor
Will Humble, Director
Arizona Department of Health Services
Cory Nelson, Deputy Director
Arizona Department of Health Services
Division of Behavioral Health Services
Submitted in Compliance with A.R.S. §36-3405 (A) (B) (C)
Published By:
Arizona Department of Health Services
Division of Behavioral Health Services
150 North 18th Avenue, Suite 200
Phoenix Arizona 85007
(602) 364-4558

Permission to quote from or reproduce materials from this publication is
granted when due acknowledgement is made.

~Health and Wellness for All Arizonans~

ARIZONA DEPARTMENT OF HEALTH SERVICES
DIVISION OF BEHAVIORAL HEALTH

TABLE OF CONTENTS
I. ADHS/DBHS PROGRAMMATIC AND FINANCIAL ANNUAL REPORT
INTRODUCTION.......................................................................................................... 3
REVENUES AND EXPENDITURES ............................................................................ 3
Table 1: Statewide Revenue by Program FY 2013 ................................................... 4
Table 2: Total ADHS/DBHS Services and Administration Expenditures ................... 4
Table 3: Administrative Expenditures ....................................................................... 5
Table 4: Statewide Expenditures by Program ........................................................... 5
Table 5: ADHS/DBHS Clients Enrolled in FY 2013................................................... 6
Table 6: ADHS/DBHS Clients Served in FY 2013 .................................................... 7
II. Arizona State Hospital Annual Report FY 2013 .......................................................... 9

2

ARIZONA DEPARTMENT OF HEALTH SERVICES
DIVISION OF BEHAVIORAL HEALTH

PROGRAMMATIC AND FINANCIAL REPORT
INTRODUCTION
The Arizona Department of Health Services/Division of Behavioral Health Services
(ADHS/DBHS) submits the following programmatic and financial Annual Report for
fiscal year 2013, in compliance with Arizona Revised Statute §36-3405(a)(b) and (c).
The report identifies the number of clients served by Geographic Service Area (GSA),
funding category and program; and includes programmatic financial reports of
revenues, expenditures and administrative costs.
In order for ADHS/DBHS to ensure that all behavioral health services are delivered in
accordance with the ADHS/DBHS system principles, individuals in need of services
need to be enrolled with the behavioral health system and all available funding must be
managed efficiently and appropriately.
ADHS/DBHS received a total of $1,432,162,518 in funding for Fiscal Year (FY) 2013.
ADHS/DBHS’ administrative costs totaled $18,812,521 and statewide service costs
totaled $1,411,395,634. The following information identifies ADHS/DBHS’ revenues and
expenditures including specific identification of administrative costs for each behavioral
health program by the following categories:
1.
2.
3.
4.
5.

The Seriously Mentally Ill
Alcohol and Drug Abuse
Severely Emotionally Handicapped Children
Domestic Violence
The Arizona State Hospital
REVENUES and EXPENDITURES

Tables 1 through 4, provide ADHS/DBHS’ annual revenues and expenditures pertaining
to FY 2013. Revenue tables are compiled and categorized based on legislative
appropriations, federal grant awards, and intergovernmental agreements which in some
cases may not agree with categories as specified in ARS § 36-3405(B).
ADHS/DBHS does not categorize members and services for domestic violence;
therefore, this category is not itemized in the report. Attachment A provides detailed
information on the Arizona State Hospital.

3

ARIZONA DEPARTMENT OF HEALTH SERVICES
DIVISION OF BEHAVIORAL HEALTH

Table 1: Statewide Revenue by Program FY 2013

Funding
Title XIX Children
TXXI Children
TXIX SMI
Non TXIX SMI
TXXI SMI
TXIX GMH/SA
Housing
Federal Grants
ISA/IGA
Administration
Clawback
Total

Statewide Revenue by Program
FY 2013
Amount Received
450,234,325
12,311,686
467,365,034
95,238,000
417,881
265,348,282
7,324,800
45,702,862
53,729,111
20,651,737
13,838,800
1,432,162,518

Percentage
31.44%
0.86%
32.63%
6.65%
0.03%
18.53%
.51%
3.19%
3.75%
1.44%
0.97%
100.00%

Source Data: Accounting Event Data Warehouse

Table 2: Total ADHS/DBHS Services and Administration Expenditures
Total Behavioral Health Services Expenditures
Services & Administration
FY 2013
Funding
Amount Paid
Percentage
Title XIX
866,940,272
60.62%
Title XIX Proposition 204
333,304,217
23.30%
Title XXI
12,484,434
0.87%
Federal Funds
48,567,374
3.40%
Non Title XIX/XXI Funds General Funds
114,951,797
8.04%
County Funds
51,452,068
3.60%
Senate Bill 1616
586,787
0.04%
Other (1)
1,921,206
0.13%
Total
1,430,208,155
100.00%
(1) Other Includes: PASRR, Bridge Subsidy, Indirect Funds, Liquor Fees, Larc Facility &
Coalition Training
Source Data: Accounting Event Data Warehouse

4

ARIZONA DEPARTMENT OF HEALTH SERVICES
DIVISION OF BEHAVIORAL HEALTH

Table 3: Administrative Expenditures
Administrative Expenditures
FY 2013
Funding
Amount Paid
Title XIX
9,609,813
Title XIX Proposition 204
5,580,041
Title XXI
9,052
Federal Funds
2,937,211
Non Title XIX/XXI Funds General Funds
521,569
Other (1)
154,835
Total
18,812,521

Percentage
51.08%
29.66%
.05%
15.61%
2.77%
0.83%
100.00%

(1) Other Includes PASRR, Indirect Funds & Coalition Training

Source Data: Accounting Event Data Warehouse

Table 4: Statewide Expenditures by Program
Statewide Expenditures by Program
FY 2013
Funding
Amount Paid
Title XIX Children
428,481,360
Non TXIX Children
10,197,160
TXXI Children
12,180,168
TXIX SMI
497,683,063
Non TXIX SMI
134,581,723
TXXI SMI
295,214
TXIX GMH/SA
258,890,210
Non TXIX GMH/SA
28,069,818
Crisis
31,106,479
Non TXIX Prevention
9,849,289
Other Programs (1)
61,150
Total
1,411,395,634
(1) Other Includes Liquor Fees
Source Data: Accounting Event Data Warehouse

5

Percentage
30.36%
0.72%
0.86%
35.26%
9.54%
0.02%
18.34%
1.99%
2.20%
0.70%
0.01%
100.00%

ARIZONA DEPARTMENT OF HEALTH SERVICES
DIVISION OF BEHAVIORAL HEALTH

During FY 2013, behavioral health recipients received behavioral health services as
depicted in the following tables: Table 5 provides information on the number of
ADHS/BHS clients enrolled during SFY13 and Table 6 provides information on the
number of clients who were served under the following assumptions:
1.
2.

3.
4.

5.
6.

7.

Client eligibility is broken out into TXIX/TXXI and Non-TXIX.
Client behavioral health category is to be broken out into Seriously Mentally Ill
(SMI), Substance Abuse (SA), General Mental Health (GMH), Serious
Emotional Disturbed Children (SED) and Children (CHILD).
Children and SED are less than 18 years of age. Adults with behavioral health
category SMI, SA, and GMH are greater than 18 years of age.
"Served" in this report means that the client had at least one encounter in FY
2013. The number of enrolled members differs from the number of members
served because (a) certain services cannot be encountered, such as
prevention services and certain crisis phone services, (b) some enrolled
members did not present for any services during the time period.
Non-Title 19/21 records use all encounter records.
Encounters for T19/T21 consumers were included only if they have been
approved at AHCCCS (Encounter-Status = “AP”) or it was a Non-T19
encounter service code.
One Non-Title XIX child not included because age could not be determined due
to no date of birth.

Table 5: ADHS/DBHS Clients Enrolled in FY 2013
Clients Enrolled in FY 2013
Eligibility

BHC

Count

CHILD

55,401

GMH

63,457

SA

17,947

SED

19,631

TXIX/TXXI

SMI

188,342

CHILD

3,768

GMH

14,746

SA

15,503

SED

1,319

SMI

16,076

NON-TXIX

All Eligibilities

31,906

Total

Total

51,412

CHILD
GMH
SA
SED
SMI

59,169
78,203
33,450
20,950
47,982

Total

239,754

1 All data sources are effective as of month-end October 2013 (unless otherwise noted)

6

ARIZONA DEPARTMENT OF HEALTH SERVICES
DIVISION OF BEHAVIORAL HEALTH

Table 6: ADHS/DBHS Clients Served in FY 2013

Clients Served in FY 2013
Note: The term “served” defined as clients that had at least one encounter in FY 2013

Eligibility

BHC

Count

CHILD

47,400

GMH

51,764

TXIX/TXXI*

SA

13,284

SED

17,563

SMI

30,199

Total

160,210

CHILD

491

NON-TXIX**

GMH

2,525

SA

9,540

SED

196

SMI

11,514

Total

24,266

CHILD

47,891

GMH

54,289

SA

22,824

SED

17,759

SMI

41,713

All Eligibilities

Total

184,476

*Title 19/21 encounters were included only if they have been approved at AHCCCS (Encounter-Status = “AP”) or it was a Non-19
encounter service code.
**Non-Title 19/21 records use all encounter records.
1 All data sources are effective as of month-end October 2013 (unless otherwise noted).
2
BHSD.QM_ENRL_FY_2013
H78DWH.H78_SNAP_DEMOG_TRANS
H78DWH.H78_SNAP_CLIENT_DEMOG
H78DWH.H78_SNAP_BHS_CLIENT
H78DWH.H78_SNAP_AHCCCS_ENROLLMENT
H74CIS.78_SNAP_CLIENTS_COMMON
3

BHSD.QM_ENCOUNTER_2013FY
BHSD.QM_B2_BILL_TYPE
BHSD.QM_B2_DESC_REF
BHSD.QM_B2_MED_MOD_REF
BHSD.QM_B2_PROCEDURE_REF
BHSD.QM_B2_REVENUE_REF
H78DWH.H78_SNAP_ENCOUNTER
H78DWH.H78_SNAP_CLIENTS_COMMON
H78DWH.H78_SNAP_PROV_DEMOGRAPHICS
H78DWH.H78_5010_SNAP_HCFA_ENC
H78DWH.H78_5010_SNAP_UB_ENC
H78DWH.H78_5010_SNAP_NCPDP_ENC

7

ARIZONA DEPARTMENT OF HEALTH SERVICES
DIVISION OF BEHAVIORAL HEALTH

1

The data in this report may not match data from the Enrollment-Penetration Report due to the reconciliation of data over
time and the use of snapshot versions of the production tables.

2

This report/data is the property of the Arizona Department of Health Services. The file contains information that may be
privileged, confidential or otherwise exempt from disclosure by applicable law. It is intended only for the person(s) to
whom it is addressed. If you receive this communication in error, please do not retain or distribute it. Please notify the
Bureau of Business Information Systems at 602-364-4740 and destroy the file immediately.

8

ARIZONA DEPARTMENT OF HEALTH SERVICES
DIVISION OF BEHAVIORAL HEALTH

ANNUAL REPORT
FISCAL YEAR 2013
Arizona State Hospital

~Health and Wellness for all Arizonans~

9

ARIZONA DEPARTMENT OF HEALTH SERVICES
DIVISION OF BEHAVIORAL HEALTH

THE ARIZONA STATE HOSPITAL

VISION AND MISSION STATEMENTS
VISION STATEMENT
Health and Wellness for all Arizonans.
MISSION STATEMENT
To promote, protect, and improve the health and wellness of individuals and communities in
Arizona.
DESCRIPTION OF THE ARIZONA STATE HOSPITAL
The Arizona State Hospital is located on a 93-acre campus at 24th Street and Van Buren, in
Phoenix, Arizona. The Arizona State Hospital provides long-term inpatient psychiatric care to
the most seriously mentally ill Arizonans. The facility operates programs within a 260-funded
bed facility, is accredited by the Joint Commission, and is certified to receive reimbursement
from The Centers for Medicare and Medicaid Services (CMS).
Authorized by A.R.S. § 36-201 through 36-207, the Arizona State Hospital is required to provide
inpatient care and treatment to patients with mental disorders, personality disorders or emotional
conditions. While providing evaluation and active treatment, the Hospital strives to protect the
rights and privileges of each patient, particularly the patients’ right to confidentiality and
privacy.
Treatment at the Hospital is considered “the highest and most restrictive” level of care in the
state, and patients are admitted as a result of an inability to be maintained in a community
facility, or because of their legal status. Hospital personnel endeavor to provide state-of-the-art
inpatient psychiatric and forensic care. The Hospital is committed to treating all patients and
personnel with dignity and respect. Interdisciplinary care is delivered in collaboration with the
patient, family or legal representatives, and community providers with a focus on recovery and
community reintegration.
Overall governance for the Hospital is provided by the Arizona State Hospital Governing
Body. The Deputy Director of the Arizona Department of Health Services/Division of
Behavioral Health Services (DBHS) chairs this committee. The Governing Body consists of the
DBHS Deputy Director, the Division of Behavioral Health Medical Director, a representative
from the ADHS Central Budget Office, a Hospital Physician, Community Representativesincluding family and consumers, the Arizona State Hospital Chief Executive Officer
(Superintendent), and the Hospital Chief Medical Officer.
The Hospital receives overall direction from the Chief Executive Officer (CEO) who reports to
the Deputy Director of the Arizona Department of Health Services / Division of Behavioral
10

ARIZONA DEPARTMENT OF HEALTH SERVICES
DIVISION OF BEHAVIORAL HEALTH

Health Services. The CEO directs the various leaders of the Hospital who comprise the
Executive Management Team. These leaders include the Chief Medical Officer, the Chief
Nursing Officer, the Chief Operating Officer, the Chief Quality Officer, the Campus Support and
Safety Manager, the Director of the Arizona Community Protection and Treatment Center and
the Human Resource Manager.
These Executive Management Team members oversee Hospital operations, establish
administrative policies and procedures, and direct Hospital planning activities (see attachment 1
for organizational chart)

Hospital Program Overview
The mission of the clinical members of the Hospital staff is to provide safe and effective
psychiatric and medical care to those who suffer from serious psychiatric, neurological, and
medical illnesses.
Civil adult patients are involuntarily court ordered to the State Hospital if they have not
responded well to a minimum of 25 days in a community hospital setting. Forensic patients are
court-ordered for pre- or post-trial treatment as a result of involvement with the criminal justice
system. The Hospital has two Population-Based Programs. Patients are housed separately in
accordance with legal, treatment and/or security issues as follows:
Civil Adult Rehabilitation Program (116 BEDS) consists of six treatment units specializing in
providing services to adults who are civilly committed as a danger to self, danger to others,
gravely disabled and/or persistently and acutely disabled, who have completed a mandatory 25
days of treatment in a community inpatient setting prior to admission.
Forensic Adult Program (143 BEDS TOTAL) consists of court-ordered commitments through a
criminal process for either:
•

Pre-Trial Restoration to Competence Program (“RTC”).
These patients are currently housed on one unit providing pre-trial evaluation, treatment,
and restoration to competency to stand trial.

•

Post-Trial Forensic Program
These patients are adjudicated as Guilty Except Insane (“GEI”) serving determinate
sentences under the jurisdiction of the Psychiatric Security Review Board (PSRB), or for
those adjudicated prior to 1994 as Not Guilty by Reason of Insanity (“NGRI”). These
patients are currently housed on four (4) separate units.

•

Community Reintegration Program
These patients are adjudicated as either GEI or NGRI with Conditional Release Plan
approved by the Psychiatric Services Review Board for transition into the community and
for those working toward application for Conditional Release.

11

ARIZONA DEPARTMENT OF HEALTH SERVICES
DIVISION OF BEHAVIORAL HEALTH

Admission, Discharge and Census Data for Treatment Programs
The Hospital collects census data by population to meet the maximum funded capacity. For
fiscal year 2013, the funded capacity and allocation of the Hospital’s beds was as follows:
Forensic Adult (58% of beds):
• Restoration to Competency
• Guilty Except Insane – 75 day evaluation
• Guilty Except Insane
• Not Guilty By Reason of Insanity

143

Beds

Civil Adult (41% of beds):
Medical Bed (reserved for infection control):

116
1

Beds
Bed

TOTAL BEDS FY 2013

260

Beds

Average Daily Census and Distribution (See attachment 1 and 2 for detailed information)
The average daily census for FY 2013 was as follows:
Adult Civil
RTC
GEI
GEI-75
NGRI

116.15
3.60
100.01
0.69
16.02

Average number of patients in 2013 was 237.25. (See attachment 1 for detailed information)
Admissions and Discharges (See attachment 1 for detailed information)
In FY 2013 the Hospital encountered 64 admissions and 55 discharges as follows:
Type
Civil
GEI
GEI-75
NGRI
RTC
Other

Admissions
24
25
5
0
8
2

Discharges
26
15
4
1
7
2

12

ARIZONA DEPARTMENT OF HEALTH SERVICES
DIVISION OF BEHAVIORAL HEALTH

ARIZONA COMMUNITY PROTECTION AND TREATMENT CENTER (ACPTC)
On the grounds of the Arizona State Hospital is the Arizona Community Protection and
Treatment Center (ACPTC). The ACPTC is statutorily mandated (ARS §36-3701, §13-4601 §13-4618). It is a separately licensed facility on the grounds of the Arizona State Hospital.
The Chief Executive Officer of the Arizona State Hospital is responsible for the oversight and
management of the facility. The Arizona Community Protection and Treatment Center
(ACPTC) provides care, supervision and treatment for those persons court ordered into the
program while protecting the community from sexually violent offenders.
ACPTC Program Overview
Arizona’s involuntary civil commitment law for Sexually Violent Persons
provides for the civil commitment of individuals convicted of, or found guilty except insane of, a
sexually violent offense and who have a mental disorder that makes the individual likely to
engage in acts of sexual violence. If a mental health expert determines that the individual may
be a Sexually Violent Person, the mental health expert refers the case to the County Attorney.
The County Attorney reviews all of the documentation and determines whether to file a petition
for commitment of the individual as a Sexually Violent Person.

Civil Commitment Process:

A trial is then conducted to determine if the individual is a Sexually Violent Person (SVP). A
judge or jury must find beyond a reasonable doubt that the person meets the statutory
requirements as a Sexually Violent Person. When this occurs, the person is committed to the
custody of the Arizona Department of Health Services for placement at the Arizona State
Hospital (or another licensed Behavioral Health or Mental Health inpatient treatment facility).
Legal Status
Pre-Trial Detainee Residents:

Pre-trial residents are awaiting a court decision to determine their SVP
status. Upon release from prison or release from the state hospital, a person may be evaluated
and referred to the ACPTC if the judge determines that probable cause exists to believe they may
be a sexually violent person. To be determined to be an SVP, both of the following must be met:
a. The person must have been convicted of or found guilty except insane of a sexually violent
offense, or have been charged with a sexually violent offense and was determined
incompetent to stand trial; and
b. Have a mental disorder that makes the person likely to engage in acts of sexual violence. A
"mental disorder" means a paraphilia, personality disorder or conduct disorder or any
combination of paraphilia, personality disorder and conduct disorder that predisposes a
person to commit sexual acts to such a degree as to render the person a danger to the health
and safety of others.
Treatment Resident (Full Confinement): Residents in this program have been adjudicated as
SVP pursuant to A.R.S. §36-3701-3717 and have been committed to treatment. Full
13

ARIZONA DEPARTMENT OF HEALTH SERVICES
DIVISION OF BEHAVIORAL HEALTH

confinement residents can only leave the grounds for court-ordered legal proceedings and
medical appointments during this phase of treatment.
Less Restrictive Alternative (LRA): "Less restrictive alternative" means court ordered
treatment in a setting that is less restrictive than total confinement and that is conducted in a
setting approved by the CEO of the state hospital. LRA residents are conditionally released to
begin community reintegration activities. The Treatment Team makes recommendations to the
Director and the CEO who must give his/her approval, prior to any community activities
commencing.
Residents in LRA are monitored via Global Position System (GPS) satellite 24-hours, 7 days a
week and engage in community reintegration programming, including comprehensive case
management, environmental site valuations and continuous monitoring for residents placed in
work, school and other activities.
LRA Level 6 Resident: LRA Level 6 residents are ready for community living placement.
Only the court can order a resident to Level 6 status. Once the court orders a resident into
Community Based Living (LRA Level 6), the resident is expected to find suitable housing and
employment and begin community reintegration under strict supervision by ACPTC. If a resident
violates the court ordered terms and conditions of LRA, ACPTC will seek revocation of the LRA
Level 6 status in order to protect the community, as necessary.
Admissions and Discharges for ACPTC
Type
Pre-trial detainee
Treatment

Admissions
13
7

Discharges
6
6

FY 2013 – Continuing the Culture of Change
During FY 2012, the Hospital began a journey of transformation to position the campus for the
future needs of patients/residents and the State. This transformation began to enhance patient
care, provide high quality care, recruit and retain talented staff, increase productivity and
improve communication, collaboration and creativity.
Leading the Transformation
Leadership is the key to developing and maintaining a culture of change. New ideas and
perspectives are important in creating an environment for change. The leaders responsible for
the culture of care are:
•
•

Donna Noriega, LCSW, Chief Executive Officer
Lauren Bonner, MD, Chief Medical Officer
14

ARIZONA DEPARTMENT OF HEALTH SERVICES
DIVISION OF BEHAVIORAL HEALTH
•
•
•
•
•
•
•
•

Noreen Vanca, Chief Nursing Officer
Jeff Bloomberg, Chief Quality Officer
Bruce McMorran, ACPTC Director
Laura Kandel, Director of Social Work
Jacqueline Tisler, Director or Rehabilitation Services
Desiree “Sky” Mills, Human Resources Manager
Ryan Hoffmeyer, Assistant Chief Operating Officer
Larry Diffie, Campus Support and Safety Manager

Revised Roles and Responsibilities
During FY 2013 the change in the role of the Campus Support and Safety Department was
completed. Campus Support Staff are no longer the first responders during patient behavioral
episodes. Instead, direct care staff manage all behavioral episodes with Campus Support
assisting when appropriate. Campus Support Staff focus on ensuring that the campus property
remains a safe environment for staff, patients and visitors alike. This is accomplished by
assisting with key control, entry/exit access to the campus and buildings; providing on-going
safety inspections of the grounds and patient units, participating and supporting in codes and
drills; enhancing the customer experience by providing resolution and/or solutions; participating
in various hospital committee teams; and by supporting other hospital disciplines.
Improving the Patient and Family Experience
The Hospital began an effort with other behavioral health agencies and hospitals throughout the
United States to become a trauma informed care community. A trauma informed care
organization is one that has a safe, calm and secure environment with supportive care. It is one
that trains and assists staff in understanding trauma prevalence among patients and how it
impacts their overall behavioral health. An important piece of a trauma informed community is
encouraging patient voice, choice and self-advocacy, and in promoting, healing, and trusting
relationships.
Family members now have an opportunity for education and added input. The Social Work
department has developed and implemented Family Support Groups to obtain feedback on
services and to provide education on specific topics related to mental health.
An important tool for clinical teams is being able to assess a patient’s risk for violence or
AWOL. In order to improve this process, the Hospital contracted with the Western Interstate
Commission for Higher Education (WICHE) to review the current Hospital level system, and to
research and recommend risk assessment tools the treatment teams could utilize when
determining level increases or in treatment plan development. WICHE recommended
implementation of a risk assessment tool called START (Short-Term Assessment of Risk and
Treatability). The tool is being piloted on several units with full implementation in FY 2014.
During 2012, the Hospital implemented a new response for patients experiencing a behavioral
crisis called Non Violent Crisis Intervention (NVCI) developed by the Crisis Prevention
15

ARIZONA DEPARTMENT OF HEALTH SERVICES
DIVISION OF BEHAVIORAL HEALTH

Institute. All direct care staff were trained. The goal is to intervene early before a situation
becomes critical. It also addresses how staff can deal with their own stress, anxieties, and
emotions when confronted with challenging situations. In 2013, the annual refresher for NVCI
was conducted on effective limit setting.
Another significant patient related change was to replace all leather restraints with neoprene
posey restraints. These are easier to use and more comfortable for the patient.
Enhancing the Environment
The hospital made several changes to the environment of care including the interior of the units
and grounds to enhance the security and to provide a safer environment for the staff and patients.
Civil nursing stations were enclosed with a glass barrier that was designed to allow ease of
communication and visibility, yet provide a secure work environment for staff.
The project was designed with multi-discipline input to ensure a therapeutic and aesthetically
pleasing design to compliment the trauma informed care initiative while blending into the
existing design of the unit. Several extra security features were added to the civil hospital
including a state of the art, reinforced window film treatment that prevents glass on the windows
and doors from being broken out of the frame. 170 windows and 20 glass doors were treated
with the protective material. Also added was a 12’ tall fence on the west side of the civil campus
to provide additional security to the civil hospital’s perimeter.
Two new 1,400 ton cooling towers were installed to replace ones that were aged and inefficient.
The towers were constructed at the hospital’s power plant to provide the buildings with adequate
cooling potential during Arizona’s summer months. The power plant also had numerous
upgrades including: two new water softeners that provide 80,000 gallons of treated water an hour
to protect the equipment; a new plate frame heat exchanger with a new circulating heat pump; an
overhaul of a chiller and numerous pumps and miscellaneous piping were replaced throughout
the plant.
Several modifications were made to the newly opened Forensic Hospital to promote a more
comfortable and safe environment. These improvements included additional shading in the
forensic mall area with the construction of two large “shade sails” with seating and additional
fencing, enclosures on the east side of the building, re-wiring of the patient night lights and relocation of shower and restroom sensors to eliminate tampering. In addition, acoustic panels
were installed in the unit dayrooms and gymnasium to reduce the amount of echo in those areas.
Improving Program Delivery
In 2013, a nursing staffing acuity and effectiveness plan was implemented. This plan included
the development and implementation of a new acuity tool. The acuity tool assists nursing staff to
adjust staffing based upon the behavior of individual patients. A nursing “huddle” is done four
times a day for all three shifts using the acuity tool. At the huddle, the unit nursing leaders meet
and adjust staffing based on the immediate needs of the unit as well as the upcoming shifts.
Staffing effectiveness is evaluated as part of the Nursing Executive team who has the decision
16

ARIZONA DEPARTMENT OF HEALTH SERVICES
DIVISION OF BEHAVIORAL HEALTH

making authority to act on recommendations. This team looks at measurable data (such as
restraints usage, employee injuries, quality measures and other matrixes) and compares it to the
staffing plan.
Clinical Programming is paramount for patients to progress and stabilize in an inpatient
environment. A major accomplishment this year was the expansion of programming for patients.
An interdisciplinary team reviewed current programming and developed a new schedule with
added programming on nights and weekends. In addition, the team recommended that an
activity/drop center be developed for patients. The activity center will open in FY 2014.
A goal during FY 2013 was to increase the input from direct care staff. A Direct Care Meeting
committee was started between Direct Care Staff and the CEO. The committee’s purpose is to
improve the treatment environment for patients/residents and to improve the work environment
for all employees. The committee consists of RN’s, Mental Health Program Specialists,
Rehabilitation Staff, Social Workers, Psychology staff, campus support and housekeeping. The
committee has made numerous recommendations for improving the patient experience and
environment, which have been implemented.
Commitment to Quality Care
Quality care must be sustained on an ongoing basis. Quality requires analyzing what works and
what could be done better. It also requires identifying areas for improvement. The Quality
management department presents data to committees and leadership for discussion of findings
and program improvement. During FY 2013 the Quality Management Department concentrated
its efforts on the collection of seclusion and restraint data to identify risk avoidance opportunities
with the ultimate goal of eliminating the use of seclusion and restraint. The data findings include
the following:
Seclusion
• The hospital is far below the national mean in the duration of seclusion events and the
percentage of patients secluded.
• The overall seclusion rate per 1000 patients (1.6) is the third lowest of all the 21 Western
Psychiatric State Hospitals.
• 84.2% of all seclusions are accounted for by 5% of patients.
• A total of 33 civil patients and 11 forensic patients were secluded in FY 13.
Mechanical Restraints and Physical Holds
• Civil units accounted for most of the mechanical restraint events (96%).
• The average duration of a mechanical restraint event was 1.35 hours.
• Patients age 21-40 account for 88% of all restraints.
• 5% of patients accounted for 72.9% of all restraint hours.
• 30 civil and 5 forensic patients were involved in a mechanical restraint event.
• 80 civil and 20 forensic patients were involved in a physical hold.

17

ARIZONA DEPARTMENT OF HEALTH SERVICES
DIVISION OF BEHAVIORAL HEALTH

Focus on Recruitment and Retention
Staff recruitment and retention was a continued priority during this fiscal year. In an effort to
improve retention of staff, a series of supervisory development classes were scheduled to assist
hospital leaders in developing strategic leadership skills. In addition to these trainings, the
State’s new performance management system, Managing Accountability and Performance
(MAP) was implemented. The goals are to establish clear performance expectations, provide a
method for identifying top performers, establish employee development and group goals and
provide opportunities for performance evaluation.
In an effort to improve recruitment, the Human Resources Department participated in a
Continuous Quality Improvement (CQI) process to improve the hiring timeline for unit staff.
The process reduced duplication, unnecessary paperwork and steps with the goal of reducing the
hire date to two weeks from the point of the interview. This process has increased the number of
direct care staff during this fiscal year.
Advancing Technology
Technology plays a significant role in the lives of the staff at the hospital. The hospital has
continued to implement automation initiatives to improve patient care and regulatory
compliance.
•

Wireless Network: In FY 2013, the hospital also initiated plans to upgrade the existing
wireless network and expand wireless capabilities throughout the hospital’s campus.
Wireless capabilities will allow clinicians to update and share critical documentation in a
more timely and efficient manner, which will enhance patient care and compliance with
the timeliness requirements of governing authorities.

•

Electronic Medical Records (EMR): In FY 2013, the hospital requested and received
funding to update its existing Electronic Medical Records (EMR) system with newer
technology and more robust functionality that would meet the current and future business
needs of ASH. Planning for this major automation project was initiated with the goal of
implementing the new automated system in fiscal years 2014 - 2015. A fully functional
EMR will:
• Improve patient care and safety by providing a comprehensive record of care.
• Increase staff efficiencies, job satisfaction, and retention rates.
• Ensure compliance with regulatory standards as established by the Health
Insurance Portability and Accountability Act (HIPAA) of 1996, the Joint
Commission, and the Centers for Medicare and Medicaid Services.

Hospital Budget
The hospital budget total funding for FY ’13 was (See attachment 3 for detailed information)

18

Arizona State Hospital
Utilization Management Report
July 2011 - June 2013

Printed 7/5/2013 12:28:47 AM

ARIZONA STATE HOSPITAL
FY13 - 4th. Quarter
Utilization Management Report

HOSPITAL
July 2011 - June 2013
Hospital Admissions
12
10
8

Hospital Admission Details

4.00

6

Year

4

7/11 - 6/12

75

7/12 - 6/13

64

2

Admissions

% Change
-14.67%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Hospital Discharges
14
12
10

Hospital Discharge Details

6.00

8

Year

6
4
2

Discharges

7/11 - 6/12

76

7/12 - 6/13

55

% Change
-27.63%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Hospital Average Daily Census

246.00

300
250
200

Hospital Average Daily Census Details

150

Year

100

7/11 - 6/12

236.12

50

7/12 - 6/13

237.25

ADC

% Change
0.48%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Printed 7/5/2013 12:28:48 AM

Page 2 of 12

ARIZONA STATE HOSPITAL
FY13 - 4th. Quarter
Utilization Management Report

ADULT ADMISSIONS
July 2011 - June 2013
Adult Admissions
12

Admission Details

10

Hospital

8

4

Year

6
4

Admissions

7/11 - 6/12

75

7/12 - 6/13

64

% Change
-14.67%

2

Maricopa County

0

Year

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Admissions

7/11 - 6/12

19

7/12 - 6/13

23

% Change
21.05%

Pima County
Year

Adult Admissions By County

Admissions

YUM A

7/11 - 6/12

18

YA VAP A I

7/12 - 6/13

9

% Change
-50.00%

SA NTA CRUZ

COCONI NO

Adult Admissions By County
2%

P INA L

GI LA

P IM A

0%

NA VAJO

GRA HA M

Y UM A

0%

3%

M OHA VE

YA V A P A I

A P A CHE

7%

1%

M ARICOPA

GRE E NLE E
COCHI SE

1%

6%

SA NT A CRUZ

LA P A Z

1%

0%

LA P A Z
GREENLEE
P I NA L

GRA HA M

21%

GILA
M A RI COP A

COCONINO

32%

COCHISE
A P ACHE
M OHA V E

0

5

10

15

20

25

PIMA

1%

20%
NA V A J O

Number of Adm issions

7/11-6/12

Printed 7/5/2013 12:28:48 AM

5%

7/12-6/13

Page 3 of 12

ARIZONA STATE HOSPITAL
FY13 - 4th. Quarter
Utilization Management Report

ADULT DISCHARGES
July 2011 - June 2013
Adult Discharges
14

Discharge Details

12
10

Hospital

6

8

Year

6

7/11 - 6/12

76

4

7/12 - 6/13

55

Discharges

% Change
-27.63%

2

Maricopa County

0

Year

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Discharges

7/11 - 6/12

27

7/12 - 6/13

22

% Change
-18.52%

Pima County
Year

Adult Discharges By County

Discharges

YUM A

7/11 - 6/12

5

YA VAP A I

7/12 - 6/13

6

% Change
20.00%

SA NTA CRUZ

Adult Discharges By County

P INA L

COCONI NO

P IM A

3%

NA VAJO

GI LA

Y UM A

1%

2%

M OHA VE

GRA HA M

YAVAPAI
7%

M ARICOPA

A P A CHE
2%

SA NT A CRUZ

LA P A Z

1%
COCHI SE
8%

GRE E NLE E
1%

1%

LA P A Z

GREENLEE

0%

P I NA L
19%

GRA HA M
GILA
COCONINO
COCHISE
A P ACHE

PIMA
M A RI COP A

9%

0

5

10

15

20

25

30

39%
NA V A JO
5%

Num ber of Discharges

M OHA V E
2%

7/11-6/12

Printed 7/5/2013 12:28:48 AM

7/12-6/13

Page 4 of 12

ARIZONA STATE HOSPITAL
FY13 - 4th. Quarter
Utilization Management Report

ADULT CIVIL PATIENTS
July 2011 - June 2013
Adult Civil Admissions
8
7
6
5

Adult Civil Admission Details
2.00

4

Year

Admissions

3

7/11 - 6/12

28

2
1

7/12 - 6/13

24

% Change
-14.29%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Adult Civil Discharges
6
5
3.00

4

Adult Civil Discharge Details

3

Year

2

7/11 - 6/12

26

1

7/12 - 6/13

26

Discharges

% Change
0.00%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Adult Civil Average Daily Census

116.07

140
120
100

Adult Civil Average Daily Census Details

80

Year

60
40
20

ADC

7/11 - 6/12

114.38

7/12 - 6/13

116.15

% Change
1.55%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Printed 7/5/2013 12:28:48 AM

Page 5 of 12

ARIZONA STATE HOSPITAL
FY13 - 4th. Quarter
Utilization Management Report

ADULT GEI PATIENTS
July 2011 - June 2013
Adult GEI Admissions
6
5
4

Adult GEI Admission Details

2

3

Year

2

7/11 - 6/12

25

7/12 - 6/13

25

1

Admissions

% Change
0.00%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Adult GEI Discharges
6
5
4

Adult GEI Discharge Details

3

Year
1

2
1

Discharges

7/11 - 6/12

29

7/12 - 6/13

15

% Change
-48.28%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Adult GEI Average Daily Census

106.30

120
100
80

Adult GEI Average Daily Census Details

60

Year

ADC

40

7/11 - 6/12

99.53

20

7/12 - 6/13

100.01

% Change
0.48%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Printed 7/5/2013 12:28:48 AM

Page 6 of 12

ARIZONA STATE HOSPITAL
FY13 - 4th. Quarter
Utilization Management Report

ADULT GEI-75 PATIENTS
July 2011 - June 2013
Adult GEI-75 Admissions
2.5
2

Adult GEI-75 Admission Details

1.5

Year
1

Admissions

7/11 - 6/12

8

7/12 - 6/13

5

0

0.5

% Change
-37.50%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Adult GEI-75 Discharges
3.5
3
2.5

Adult GEI-75 Discharge Details

2

1

1.5
1
0.5

Year

Discharges

7/11 - 6/12

9

7/12 - 6/13

4

% Change
-55.56%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Adult GEI-75 Average Daily Census
4
3.5
3
2.5

1.83

2

Adult GEI-75 Average Daily Census Details
Year

ADC

1.5

7/11 - 6/12

1.45

1
0.5

7/12 - 6/13

0.69

% Change
-52.41%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Printed 7/5/2013 12:28:48 AM

Page 7 of 12

ARIZONA STATE HOSPITAL
FY13 - 4th. Quarter
Utilization Management Report

ADULT NGRI PATIENTS
July 2011 - June 2013
Adult NGRI Admissions
1.2
1

Adult NGRI Admission Details

0.8

Year

0.6
0.4

Admissions

7/11 - 6/12

2

7/12 - 6/13

0

0

0.2

% Change
-100.00%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Adult NGRI Discharges
1.2
1
0.8

Adult NGRI Discharge Details

0.6

Year

0.4
0

0.2

Discharges

7/11 - 6/12

1

7/12 - 6/13

1

% Change
0.00%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Adult NGRI Average Daily Census
15.40

20
18
16
14
12
10
8
6
4
2
0

Adult NGRI Average Daily Census Details
Year

ADC

7/11 - 6/12

16.97

7/12 - 6/13

16.02

% Change
-5.60%

Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Printed 7/5/2013 12:28:48 AM

Page 8 of 12

ARIZONA STATE HOSPITAL
FY13 - 4th. Quarter
Utilization Management Report

ADULT RTC PATIENTS
July 2011 - June 2013
Adult RTC Admissions
2.5
2

Adult RTC Admission Details

1.5

Year
1

Admissions

7/11 - 6/12

12

7/12 - 6/13

8

0

0.5

% Change
-33.33%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Adult RTC Discharges
2.5
2

Adult RTC Discharge Details

1.5

Year
1
0

0.5

Discharges

7/11 - 6/12

11

7/12 - 6/13

7

% Change
-36.36%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Adult RTC Average Daily Census

5.00

6
5
4

Adult RTC Average Daily Census Details

3

Year

ADC

2

7/11 - 6/12

3.76

1

7/12 - 6/13

3.60

% Change
-4.26%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Printed 7/5/2013 12:28:48 AM

Page 9 of 12

ARIZONA STATE HOSPITAL
FY13 - 4th. Quarter
Utilization Management Report

ADULT OTHER PATIENTS
July 2011 - June 2013
Adult Other Admissions
1.2
1

Adult Other Admission Details

0.8

Year

0.6
0.4

Admissions

7/11 - 6/12

0

7/12 - 6/13

2

0

0.2

% Change
#Div/0!

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Adult Other Discharges
1.2

1

1
0.8

Adult Other Discharge Details

0.6

Year

0.4

7/11 - 6/12

0

0.2

7/12 - 6/13

2

Discharges

% Change
#Div/0!

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Adult Other Average Daily Census

1.40

1.6
1.4
1.2
1

Adult Other Average Daily Census Details

0.8

Year

ADC

0.6

7/11 - 6/12

0.04

0.4
0.2

7/12 - 6/13

0.79

% Change
1875.00%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Printed 7/5/2013 12:28:49 AM

Page 10 of 12

ARIZONA STATE HOSPITAL
FY13 - 4th. Quarter
Utilization Management Report

AVERAGE DAILY CENSUS and LENGTH OF STAY
July 2011 - June 2013
Adult Average Daily Census

246.00

300
250
200

Adult Average Daily Census

150

Year

Hospital
ADC

7/11 - 6/12

236.12

7/12 - 6/13

237.25

100
50

% Change
0.48%

0
Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun
'11 '11 '11 '11 '11 '11 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '12 '13 '13 '13 '13 '13 '13

Adult Civil Census
RBHA

Peak
Census

CAP

# Times Total Number of Days
Over Cap
Over Cap

Highest Consecutive
Number of Days Over Cap

ALTCS

6

4

0

0

0

Cenpatico
CPSA
Magellan
NARBHA
TRBHA / Other

9
29
55
13
4

12
27
58
14
13

2
0
9
2
2

729
0
214
127
729

717
0
62
126
717

Length Of Stay
Adult Civil
Year
7/11 - 6/12
7/12 - 6/13

Adult GEI

Adult GEI-75

Adult NGRI

Adult RTC

Average

Median

Average

Median

Average

Median

Average

Median

Average

Median

817.00
2096.40

405
1184

1695.31
1767.60

1279
1574

60.44
48.50

55
36

103.00
503.00

103
503

81.36
104.43

70
105

Printed 7/5/2013 12:28:49 AM

Page 11 of 12

ARIZONA STATE HOSPITAL
FY13 - 4th. Quarter
Utilization Management Report

IN RESIDENCE
July 2011 - June 2013

Length of Stay Details for Patients Discharged Between 7/1/2011 and 6/30/2013

Length
of
Stay
0-6 Mos
6 Mos - 1 Year
1-2 Years
2-3 Years
3-5 Years
5-7 Years
7-10 Years
10-15 Years
15-20 Years
20+ Years
Total

Number
of
Patients
6
8
17
6
9
1
2
3
0
0
52

Forensic

%

Number
of
Patients

12%
15%
33%
12%
17%
2%
4%
6%
0%
0%
100%

38
2
6
6
10
4
8
5
0
0
79

Total

Length of Stay Details for Patients Discharged

%

Number
of
Patients

%

48%
3%
8%
8%
13%
5%
10%
6%
0%
0%
100%

44
10
23
12
19
5
10
8
0
0
131

34%
8%
18%
9%
15%
4%
8%
6%
0%
0%
100%

40
35
Number of

Civil

30
25
20
15
10
5
0
0-6 M os

6 M os - 1
Year

1-2 Years

2-3 Years

3-5 Years

Civil

5-7 Years

7-10 Years 10-15 Years

Forensic

Length of Stay Details for Patients In Residence on 6/30/2013

Length
of
Stay
0-6 Mos
6 Mos - 1 Year
1-2 Years
2-3 Years
3-5 Years
5-7 Years
7-10 Years
10-15 Years
15-20 Years
20+ Years
Total

Forensic

Total

Number
of
Patients

%

Number
of
Patients

%

Number
of
Patients

%

16
6
18
20
27
7
12
5
3
1
115

14%
5%
16%
17%
23%
6%
10%
4%
3%
1%
100%

21
8
20
12
32
11
11
7
3
3
128

16%
6%
16%
9%
25%
9%
9%
5%
2%
2%
100%

37
14
38
32
59
18
23
12
6
4
243

15%
6%
16%
13%
24%
7%
9%
5%
2%
2%
100%

Printed 7/5/2013 12:28:49 AM

Length of Stay Details for Patients In Residence
35

Number of

Civil

30
25
20
15
10
5
0
0-6 M os 6 M os 1 Year

1-2
Years

CIVIL

2-3
Years

3-5
Years

5-7
Years

7-10
Years

10-15
Years

15-20
Years

20+
Years

FORENSIC

Page 12 of 12

Arizona State Hospital
Average Daily Census
July 2012 - June 2013

Adult Civil Average Daily Census

Funded Beds = 116

140
116.07

120
100
80
60
40
20
0
Jul '12

Aug '12

Sep '12

Oct '12

Nov '12

Dec '12

Jan '13

Feb '13

Mar '13

Apr '13

May '13

Jun '13

RTC Average Daily Census

Funded Beds = 20

50

40

30

20

10

5.00

0
Jul '12

Aug '12

Sep '12

Oct '12

Nov '12

Dec '12

Jan '13

Feb '13

Mar '13

Apr '13

May '13

Jun '13

GEI Average Daily Census

Funded Beds = 115

120

106.30

100
80
60
40
20
0
Jul '12

Aug '12

Sep '12

Oct '12

Nov '12

Dec '12

Jan '13

Feb '13

Mar '13

Apr '13

May '13

Jun '13

Page 1 of 2

Arizona State Hospital
Average Daily Census
July 2012 - June 2013

GEI-75 Average Daily Census

Funded Beds = 4

8
7
6
5
4
3
1.83

2
1
0
Jul '12

Aug '12

Sep '12

Oct '12

Nov '12

Dec '12

Jan '13

Feb '13

Mar '13

Apr '13

May '13

Jun '13

NGRI Average Daily Census

Funded Beds = 20

30
25
20
15.40

15
10
5
0
Jul '12

Aug '12

Sep '12

Oct '12

Nov '12

Dec '12

Jan '13

Feb '13

Mar '13

Apr '13

May '13

Jun '13

Page 2 of 2

ARIZONA STATE HOSPITAL
FINANCIAL SUMMARY
FISCAL YEAR 2013

Funding Sources (General Operations Based on Budget Allocations): *
Personal Services and Related Benefits - General Fund
All Other Operating - General Fund/Az State Hosp Fund
Rental Income
Endowment Earnings
Patient Benefit Fund
Acptc Patient Benefit Fund
Donations
Emergency Preparedness
AzSH Forensic Unit Debt Service
ACPTC (Arizona Community Protection Treatment Center)
Community Placement - Az State Hosp Fund
Total Funding

$37,972,610
$16,590,023
$527,248
$650,000
$225,000
$20,000
$30,000
$136,030
$3,111,700
$9,669,752
$1,130,700
$70,063,063

Expenditures: *
Personal Services and Related Benefits
Professional and Outside Services **
Travel (In-State)
Travel (Out-of-State)
Other Operating
Capital Equipment
Total Cost of Operations

$44,051,337
$10,625,609
$103,020
$866
$10,424,899
$128,411
$65,334,142

Collections :
Patient Care Collections to General Fund
Patient Care Collections to Az State Hosp Fund - RTC
Patient Care Collections to Az State Hosp Fund - Title XIX
Patient Care Collections to Az State Hosp Fund - ACPTC
Non-Patient Care Collection to General Fund
Total Collections

*
**

$1,259,820
$791,780
$2,395,005
$5,532,160
$2,136
$9,980,901

Through FYE 13th Month
Contract Physicians, Outside Hospitalization Costs, Outside Medical Services, and privitization of support services.

Daily Costs by Treatment Program:
AzSH
Specialty Rehabilitation
Psychosocial Rehabilitation
Forensic - Restoration to Competency
Forensic Rehabilitation
Average

$814
$750
$671
$613
$688

Rates became effective 1/01/09.
ACPTC

LRA 1-5 (Less Restrictive Alternative)
LRA 6
LRA 6 Community
Pre-Trial
Treatment
LOA (Leave of Absence for Medical Inpatient)
Rates became effective 07/01/12

$407
$525
$152
$417
$408
$563