Systems Improvement Agreement

Western State Hospital and the Department of Social and Health Services have entered into a Systems Improvement Agreement with the Centers for Medicare and Medicaid Services to improve patient treatment and overall safety.  This page is devoted to providing information and updates on the activities and progress to address the issues that require correction and improvement.  Please check periodically as information is updated. 

Updates and Information

8/30/2016 - Systems Improvement Agreement Update to the Select Committee on Quality Improvement in State Hospitals (6/30/2016).

6/8/2016 -

Greetings Western State Hospital Staff,

Please join me in welcoming Sean Murphy to the position of Chief of Safety and Security for Western State Hospital. 

As our newest member of the hospital’s Executive Leadership Team, Sean brings more than 19 years of executive management and supervisory experience to our work here. He is proficient in change management and culture shaping.

Sean has many years of expertise with the Department of Corrections and as the Captain of security operations with Energy Northwest at the Pacific Northwest’s premiere nuclear security plant, Columbia Generating System in Richland.  Sean managed a multimillion-dollar security projects,  implemented the plant’s physical security plan and implemented a department of defense in-depth security strategy.

At DOC, Sean served as the agency’s Chief of Security, where he provided oversight for security policies and practices, managed high-risk populations, operational security, and control of contraband introduction for adult correctional facilities. He also conducted comprehensive vulnerability analyses, security and operational audits and emergency management assessments.

Sean was a Correctional Unit Supervisor of the Intensive Management Unit at the Washington State Penitentiary in Walla Walla, was an Associate Superintendent of Operations at McNeil Island Corrections Center and Coyote Ridge Corrections Center in Connell.

He has a Bachelor’s degree in Business and Public Administration and earned a Master’s Degree in Public Administration from the University of Washington.

As you all are aware, I believe strongly that  safety and security must be the foundation to providing quality care.  These efforts must go hand in hand before we can effectively operate a well-managed care system. And it’s not only about keys and locks. It’s about ensuring that our staff have the necessary tools and training and can readily manage a vulnerable and sometimes volatile environment. Most importantly, we must come together, as a team.  Safety is about knowing that we have each other’s backs so we can put a clearer focus on patient treatment and recovery. Sean is here to help us reach that goal.

Thank you all for your service to our patients.



6/1/2016 -

Greetings Team Western State Hospital,

Please join me in welcoming Jocelyn “J” Hofe as the hospital’s new Director of Emergency Management. J has more than 33 years of leadership experience in public safety, emergency management and incident response.

J comes to us most recently from the Department of Licensing where she served as Emergency Management and Security Administrator for the past six years. She also worked for the state Department of Corrections for 26 years in emergency management.

J has planned for and participated in many unique incidents, including escapee recovery, Presidential security during the World Trade riots, prison disturbances, mass inmate airlifts, Year 2000 and pandemic planning, and other events that required detailed planning and coordinating. 

Personal and customer safety has been a focal point in her career. J is well versed with crisis communication tactics and training and has extensive experience with hostage negotiation and critical incident management teams.

J has considerable experience in designing and conducting emergency exercises, including multiple-agency, full-scale exercises and has earned accolades for the Active Shooter Program she developed for DOL. 

She is a Continuity of Operations Trainer and recently received her Master Certification in Critical Infrastructure Security and Resilience.

Safety, security and violence reduction are at the core of our “change of culture” focus at the hospital and the addition of J further solidifies our responsive leadership. Being safe at work allows staff to apply their sharpest focus on patient treatment and recovery.

Please join me in welcoming J Hofe to the Western State Hospital Team


6/3/2016 - News Release: CMS agreement supports Western State Hospital’s journey to provide safer, higher-quality care