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Highlights of Findings by Hospital

Dorothea Dix Hospital
All the facilities at Dix are outdated.
  • The facilities are inefficient and not therapeutic.
Space, not patient acuity, drives staffing at Dix.
  • Poor configuration requires much higher patient-to-staff ratio than would be needed with a proper configuration.
  • On all units, staff in the glass-enclosed nursing stations cannot hear what is going on in the ward or communicate verbally with patients.
Ward configurations at Dix prohibit patients having normal patterns of living in at least two areas—going outside on a regular basis and visiting with family and friend
  • Most units are multi-story, requiring use of elevators and stairs to reach the ground floor.
  • Few outdoor areas designated for patient use.
  • Visitors’ access to patients is complicated and inconvenient.
Some units at Dix provide a high level of therapeutic activity; others provide little.
  • The Clinical Research Unit provides cutting-edge, state-of-the-art intensive therapeutic activity.
  • Other units appear to provide very little or no intensive therapeutic activities.
Dix staff is not always deployed in a manner that provides intensive therapeutic activity during the entire week.
  • Rehabilitation services staff members work on weekday evenings, but not on weekends.
During the last year, family members and citizens donated more than 80,000 hours of volunteer service to Dix.
  • Projects included cemetery restoration, health career fair, pet therapy circus and performing arts series.
Dix lacks adequate technology.
  • Only 38 percent of the hospital’s computers are connected to its local area network (LAN).
  • The LAN does not include computers in most direct care areas.
  • Many computers have outdated 386 processors and are not suited to current software.
  • Many staff members who need voice mail do not have it because the state system the hospital is required to use charges $7 per month per telephone.
At Dix, the responsibility for staff development is split between nursing and educational support services.
  • Nursing is responsible for health care technicians, while educational support services maintains all other areas. Dividing staff development opportunities between two organizational units may hinder training staff to provide intensive therapeutic activity.

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