COMMUNITY STRATEGIES:New Hampshire

Comprehensive Program ReviewApril 25, 2014

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• Eric (individual at ACTIVELife) is walking for the first time since he broke both legs due

to a seizure (2½ years). This is from the DSP’s hard work and dedication.

• Brian (individual at ACTIVELife ) is now living with a family and is socializing

(he was anti-social in the past) at both ACTIVELife and the community.

Additionally, he was given 4 weeks to live due to his diabetes and not taking

his meds accurately. He now has excellent sugar levels and his glucose testing

has gone from 2 times per day to 2 times per week.

• Tina (individual in Middleton) has lost over 100 pounds and is now off her insulin. She

is still working on losing another 50 to 75 pounds.

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• ACTIVELife received the following email from the Region 5 Director of Case Management:

Hi Leslie, I just wanted to let you know at our department meeting yesterday it was mentioned that CSNH has been doing a really fantastic job at making sure individuals are involved in their community and socializing. Service Coordinators think it is fantastic that your staff are taking pictures of what individuals are doing for teams, guardians and individuals themselves! Some individuals that have not been as involved socially have really made improvements by the activities and positive outlook of your staff.

Bravo! Keep up the great work! Alison, Director of Case Management

• Sandy Tarlow, Clinician, is covering clinical services two times per week in NH.

Best Practices• The Creative Ideation Team!

ACTIVELife ACTIVELife

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• New revisions to He-M 507 (Community Participation Services): The new expectation for

"unspecified community activities" not to exceed 20% of an individual's total CPS hours per

week. This is stating that if our clients are within our center for more than an hour at a time it

will not be billable.

• Job placement: The area agency in our region supports close to 900 individuals. Roughly 700 of

900 individuals are currently looking for part-time employment in this area. Last week, looking

at jobs posted online and in the newspapers for part-time (not requiring a degree or any

previous formal training) only 9 jobs were posted. This does not include those looking for

employment that do not have a disability. • Limited external resources such as an Administrative Assistant in Keene, janitorial services,

storage facility, etc.

• Handicap parking in Keene especially for individuals with physical disabilities and those utilizing

wheelchairs.

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STAFFING

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Staff Turnover RatesStaff Retention Rates

Overdue Performance EvaluationsStaff Training Hours

STAFF TURNOVER RATES

Data obtained from HR Turnover and Retention Reports

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STAFF RETENTION RATES

Data obtained from HR Turnover and Retention Reports

April 2013: Data = N/A; data not available for CSNH; CSCT; CSMA and CRJ- Overall February 2014 : Unity Data = N/A (program closed on 1/31/14)

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OVERDUE PERFORMANCE EVALUATIONS

Last CPR, a total of 10 FT and 4 PT overdue performance evaluations Data obtained from HR Department & HR Personnel Summary

November 2012 – April 2013

Overdue EvaluationsAs of April 30, 2013

FT PT

Keene 4 3

Manchester 2 0

Unity 2 0

Individual Sites 2 1

Totals 10 4

September 2013 – February 2014

Overdue EvaluationsAs of February 28, 2014

FT PT

Keene 5 1

Manchester 1 1

Unity 0 0

Individual Sites 4 2

Totals 10 4

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A total of 328.75 training hours; an average of 8.4 hours per staff/over six months (13.5% increase from previous CPR) Last CPR, a total of 331 training hours completed; an average of 7.4 training hours per staff/over six months.

September 2013 – February 2014

E Training Hours

MMR Training Hours

Total

Keene 99 60.75 159.75

Unity House 0 64 64

Manchester 42 63 105

Totals 141 187.75 328.75

Data obtained from MMRs and HR Reports

November 2012 – April 2013

E Training Hours

MMR Training Hours

Total

Keene 104.75 -- 104.75

Unity House 13.75 -- 13.75

Manchester 67.5 -- 67.5

Totals 186 145 331

MMR Training Hours = combined and not sorted by individual programs

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CLIENT RELATED• Clinical Hours• Elopements• Restraints • New Clients• Medication

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A total of 94.75 clinical individual and groups hours offered; an average of .40 clinical hours per client/ per month or 2.4 clinical hours over six months. (This is a 35% decrease from previous CPR)

Last CPR, total clinical hours = 180; an average of .62 clinical hours per client/month or 3.7 clinical hours over six months

Data obtained from MMRs 12

Client Restraints

Nov. 2012 – April 2013

Sept. 2013 – Feb. 2014

CSNH 8 0

Data obtained from MMRs

New Clients - CSNH

Client Elopements

Nov. 2012 – April 2013

Sept. 2013 – Feb. 2014

CSNH 0 0

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No Medication Incidents and Occurrences; this is a 400% decrease from previous CPR Last CPR, a total of 4 medication incidents and occurrences

Data obtained from MMRs 14

• “0” client incidents involving contraband

• 12 site visits from outside funders; last CPR = 6

• Keene and Manchester: 39 clients at end of February 2014– 12 out of 39 (31%) competitively employed– 27 out of 39 (69%) in day programs

• Department success with individual's community involvement average of 94.2% over six months; last CPR = 92% – Keene = 90%; Manchester = 94.2%; Unity = 98.8%

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ISSUE: Decrease the Overdue Performance Evaluations COMMENTS: Last CPR, a total of 10 FT and 4 PT evaluations were overdueIMPROVEMENTS MADE: Currently, a total of 10 FT and 4 PT evaluations were overdue – no change from last CPR

ISSUE: Decrease Medication Incidents/OccurrencesCOMMENTS: Last CPR, a total of 4 medication incidents/occurrencesIMPROVEMENTS MADE: Currently, no medication incidents/occurrences – a decrease of 400% ISSUE: Track training hours of staffCOMMENTS: Last CPR, a total of 331 staff training hours recorded via E Learning and MMR -- did not track all the behavioral/clinical training of staff IMPROVEMENTS MADE: Currently, a total of 328.75 staff training hours, included all behavioral/clinical training hours

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