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developed in consultation with staff from the office of financial 1 management and the appropriate committees of the legislature. The 2 reports must include a summary of the results of the evaluation of 3 the interrater reliability in use of the staffing acuity tool and an 4 update from the hospital staffing committees. 5 (iii) Monthly staffing levels and related expenditures at the 6 state hospitals must not exceed official allotments without prior 7 written approval from the director of the office of financial 8 management. In the event the director of the office of financial 9 management approves an increase in monthly staffing levels and 10 expenditures beyond what is budgeted, notice must be provided to the 11 appropriate committees of the legislature within 30 days of such 12 approval. The notice must identify the reason for the authorization 13 to exceed budgeted staffing levels and the time frame for the 14 authorization. Extensions of authorizations under this subsection 15 must also be submitted to the director of the office of financial 16 management for written approval in advance of the expiration of an 17 authorization. The office of financial management must notify the 18 appropriate committees of the legislature of any extensions of 19 authorizations granted under this subsection within 30 days of 20 granting such authorizations and identify the reason and time frame 21 for the extension. 22 (l) $4,681,000 of the general fund—state appropriation for fiscal 23 year 2022 and $10,581,000 of the general fund—state appropriation for 24 fiscal year 2023 are provided solely for the department to implement 25 strategies to improve patient and staff safety at eastern and western 26 state hospitals. These amounts must be used for continuing to 27 implement a new intensive care model program at western state 28 hospital and maintaining prior investments in training and other 29 safety-related staff support at both hospitals. A report must be 30 submitted by December 1, 2021, and December 1, 2022, which includes a 31 description of the violence reduction or safety strategy, a profile 32 of the types of patients being served, the staffing model being used, 33 and outcomes associated with each strategy. The outcomes section 34 should include tracking data on facility-wide metrics related to 35 patient and staff safety as well as individual outcomes related to 36 the patients served. 37 (m) $2,593,000 of the general fund—state appropriation for fiscal 38 year 2022 and $2,593,000 of the general fund—state appropriation for 39 p. 896 ESSB 5187.SL