Service Improvement Agreement (SIA) Signed

(Blog updated and modified 6/4/16)

As you may have heard from print media and TV, Western State Hospital has signed a Service Improvement Agreement (SIA) in order to save close to $65 million in federal funding.  See below stories:

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Click here to see and get a copy of the signed Service Improvement Agreement.

It is important to understand how unusual it is that the federal government (CMS) granted Washington State such an agreement.  SIA’s are VERY rare, and the one that was granted WSH is precedent setting…  I do not believe that it would have occurred unless this happened to be an election year in a state that was undergoing a gubernatorial election in November.  

Learn about the gubernatorial candidate viewpoints on WSH by clicking on each name below:

Should the candidates wish to add a different reference to viewpoints on Western State Hospital, please let me know and I will post that data as an addendum and note it in my most recent blog entry.

In order to enter into a Service Improvement Agreement (SIA) the following must occur:

DSHS has chosen Clinical Services Management (CSM) an its consultant.  This is a company that is based in Midland Park, New Jersey.  It was established in 1997 “to provide a comprehensive range of services to behavioral healthcare, including programs in mental health, substance abuse, developmental/intellectual disabilities, and social services.”

Of particular interest is the following service that CSM can provide:

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Why is this interesting?  It provides for full and complete outsourcing of WSH personnel as required.  See the following advertisement provided by CSM:

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Look at the following “Outsourced Clinical Staffing” advertisement:

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Please take the time to go to the CSM Website and explore the many INTERESTING areas of services they provide.    

Western State Hospital is in a unique and rare situation at this time.  Obtaining external consultations is NOT new.  In the past two years DSHS entered into a $75,000 contract with The Nash Group to provide solutions for staffing issues at WSH.  When Western State Hospital received the final report, DSHS immediately suppressed the recommendations, findings, as well as the report itself.  

The initiation of a Service Improvement Agreement assures that the appropriate corrections WILL be implemented or WSH will lose federal funding.  I believe that CSM is capable of learning the truth and changing the culture of Western State Hospital for the future.  This is the last and best chance for WSH to provide the best patient care possible for the future.  

To all employees of Western State Hospital, please be open and FULLY honest when you are approached by the following CSM Consultants:

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I believe that CSM can deduce what has been taking place and CAN make the appropriate directives for DSHS to follow.  I had the pleasure of meeting two members today and was very impressed.  

This blog was modified as it reflected two years of frustration in an overt manner.  The SIA represents a required change.  When the previous CEO departed, we saw WSH acting in the same manner.  Doctors remain reassigned and are unable to provide patient care for political reasons.  Doctor’s and RN’s continue to resign.  The RN union continues to negotiate away RN rights (comp time earning on holidays) and withdraws grievances that were filed to recover unpaid (callback) wages.  Employee timekeeping continues to be falsified by CIBS, resulting in overpayment of wages to thousands of employees…  Wages that could go towards providing additional direct care staff, yet the RN union does nothing.  The new CEO has not demonstrated an open door policy, just like her predecessor.  With the advent of independent oversight represented by the SIA, systems and structures will change to allow for open communication.  The Legislature will finally get accurate information so that proper resources are provided.  RN’s can choose to address their union this year and initiate true lasting change.

I again state that the opinions that I express in my blogs are my own and do NOT in any way represent the views of DSHS or any other organization.  


© Paul Vilja 2017