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States District Court for the Western District of Washington, Cause 1 No. 14-cv-01178-MJP. These amounts must be used to maintain increases 2 that were implemented between fiscal year 2016 and fiscal year 2021, 3 and further increase the number of forensic beds at western state 4 hospital during the 2021-2023 fiscal biennium. Pursuant to chapter 7, 5 Laws of 2015 1st sp. sess. (timeliness of competency treatment and 6 evaluation services), the department may contract some of these 7 amounts for services at alternative locations if the secretary 8 determines that there is a need. 9 (k) $76,029,000 of the general fund—state appropriation for 10 fiscal year 2022 and $65,875,000 of the general fund—state 11 appropriation for fiscal year 2023 are provided solely for the 12 department to continue to implement an acuity based staffing tool at 13 western state hospital and eastern state hospital in collaboration 14 with the hospital staffing committees. The staffing tool must be used 15 to identify, on a daily basis, the clinical acuity on each patient 16 ward and determine the minimum level of direct care staff by 17 profession to be deployed to meet the needs of the patients on each 18 ward. The department must evaluate interrater reliability of the tool 19 within each hospital and between the two hospitals. The department 20 must also continue to update, in collaboration with the office of 21 financial management's labor relations office, the staffing 22 committees, and state labor unions, an overall state hospital 23 staffing plan that looks at all positions and functions of the 24 facilities. 25 (i) Within the amounts provided in this section, the department 26 must establish, monitor, track, and report monthly staffing and 27 expenditures at the state hospitals, including overtime and use of 28 locums, to the functional categories identified in the recommended 29 staffing plan. The allotments and tracking of staffing and 30 expenditures must include all areas of the state hospitals, must be 31 done at the ward level, and must include contracted facilities 32 providing forensic restoration services as well as the office of 33 forensic mental health services. 34 (ii) By December 1, 2021, and December 1, 2022, the department 35 must submit reports to the office of financial management and the 36 appropriate committees of the legislature that provide a comparison 37 of monthly spending, staffing levels, overtime, and use of locums for 38 the prior year compared to allotments and to the recommended state 39 hospital staffing model. The format for these reports must be 40 p. 895 ESSB 5187.SL