Our Record for Quality

/Our Record for Quality
Our Record for Quality2017-07-24T17:09:21+00:00

First opened in 1980, Shadow Mountain Behavioral Health has proudly delivered critically needed and high quality psychiatric and behavioral health services to hundreds of thousands of patients (especially children). Our patients often are diagnosed with the most complex and challenging needs and come to us seeking treatment and tools to improve the quality of their lives. Over the past 36 years, we have developed a strong reputation as the provider of choice for the treatment and positive clinical outcomes for children and adolescents who have often been deemed untreatable by other providers. Many of our patients arrive in highly distressed conditions sometimes after 30 or more failed placements in foster care and other treatment settings. Many have been turned away from other facilities that are unwilling or unable to provide appropriate care. On a regular basis, Shadow Mountain receives calls from state agencies requesting admission for patients who have been refused admission to other treatment facilities.

Currently in Oklahoma there is a serious shortage of treatment services for adolescents who exhibit psychiatric diagnoses coupled with oppositional defiance and other co-existing disorders. These patients have typically experienced extensive trauma and based on their histories often exhibit aggressive, violent behaviors and engage in self harm. Shadow Mountain is one of very few facilities in the region that routinely admits and provides treatment to such patients. In the absence of Shadow Mountain’s services, many patients with these conditions would likely face the unfortunate prospect of transfer to out-of-state facilities located hundreds of miles away from their families and support structures.

Shadow Mountain is accredited by The Joint Commission, a respected, independent organization with a 60-year record of undertaking robust evaluations of hospitals on behalf of the federal government. The Joint Commission designated Shadow Mountain as a Top Performer in Key Quality Measures® during each year of the program’s existence between 2012 and 2015. To be a Top Performer, facilities had to achieve performance of 95% or above on multiple evidence-based clinical accountability metrics during the preceding calendar year. Only a small number of behavioral health facilities were eligible given the extensive reporting obligations and high bar to achieve 95% on all measured criteria. During the Top Performer program, only about 30% of eligible hospitals nationwide ultimately attained this level of recognition. Shadow Mountain is also licensed by the Oklahoma Health Care Authority.

The overwhelming majority of Shadow Mountain’s survey inspections over the past decade confirm that the facility follows relevant regulations, statutes and accreditation requirements, which is our consistent goal. In the minority of situations where surveys allege or reveal areas of non-compliance, we devote the necessary resources to collaboratively and quickly remediate all concerns.

Contrary to the isolated and misleading accounts in BuzzFeed’s coverage, Shadow Mountain experiences a very low rate of serious incidents. In 2016, the rate was .007%. This further demonstrates the quality of care provided at Shadow Mountain notwithstanding that we treat many patients with highly complex conditions that other facilities are unwilling or unable to treat.

Similarly, Shadow Mountain experiences significantly lower rates of restraint and seclusion hours than the national average as tracked by both CMS (a federal government agency) Inpatient Psychiatric Facility Quality Reporting System (IPFQR) in 2015 (the latest year available) and The Joint Commission:

2015 Shadow Mountain HBIPS Rates 2 and 3 with CMS Comparison
2015 Shadow Mountain HBIPS Rates 2 and 3

Shadow Mountain also exceeded the CMS national and Oklahoma state averages in 4 out of the 5 additional CMS-measured evidence-based clinical metrics linked to positive patient outcomes:

2015 Shadow Mountain HBIPS Rates 2 and 3

Shadow Mountain Patient Satisfaction

Patient Satisfaction Surveys are also an important measure of the quality of treatment provided. Shadow Mountain patients report high levels of satisfaction with the care they receive based on the results of anonymous surveys provided to every patient. Between 2013 and 2016, the aggregate patient satisfaction score was 4.4 out of a maximum of 5 and so far in 2017 the aggregate score is 4.5¹.

Shadow Mountain 2016 Patient Satisfaction Survey results

Over the past two years, Shadow Mountain has also experienced significant increases in the percentage of patients reporting that they felt better after care and would recommend Shadow Mountain to someone needing treatment:

2016 Patient Satisfaction Survey Results

  • 89% of Inpatients and 92% of RTC patients report that they feel better at discharge than when admitted
  • 88% of Inpatients and 93% of RTC patients report that they were satisfied with their treatment
  • 82% of Inpatients and 87% of RTC patients report that they would recommend the facility to someone needing treatment

According to the Q1 2017 Patient Satisfaction Survey Results

  • 94% of Inpatients and 93% of RTC patients report that they feel better at discharge than when admitted
  • 95% of Inpatients and 92% of RTC patients report that they were satisfied with their treatment
  • 88% of Inpatients and 87% of RTC patients report that they would recommend the facility to someone needing treatment