Behavioral Health Daily Report

Behavioral Health Daily Report
Please complete this form after midnight for previous 24 hours.

If you have any questions or concerns, please contact Lisa Spivey.

E: Lisa.Spivey@setrac.org O: 281.822.4446 M: 832.849.7304
Date Reporting For*

MonthDayYear
FOR PREVIOUS 24 HOURS
Your Name*

First NameLast Name
Organization*
CHI
Harris Health
HCA
Houston Methodist
Memorial Hermann
St. Joseph
Texas Children's
UTMB
VA
Number of behavioral health patients presenting with EDO from Houston Police Department*
Number of behavioral health patients presenting with EDO from Harris County Sherriff's Department*
Number of behavioral health patients presenting with EDO from other law enforcement agencies*
Number of behavioral health patients presenting to ED by HFD EMS*
Number of behavioral health patients presenting to ED by other EMS agency*
Number of behavioral health patients awaiting medical clearance in the ED*
Number of behavioral health patients cleared, awaiting inpatient BH bed*
Number of behavioral health patients, with protective custody orders and assigned beds, have been waiting for transportation for more than 8 hours*
What Behavioral Health Status is your facility currently at?*

Green - Open and able to take BH patientsYellow - Open but nearing capacity for BH patientsRed - Overcapacity for BH patients
Should be Empty: