Corrections and Adjustments to ldquoOverview of Provider Survey Analysisrdquo Presentation Prepared for California Department of Developmental Services

Slide(s) Revision 8 Changed the label for service code 980 to 680 The participation rate itself was correct

15 Corrected values that were misreported in the PowerPoint the survey analysis packet was correct

23 Changed the title for the bottom table to ldquo605 ndash Adaptive Skills Trainingrdquo The figures themselves were correct

24 Changed the title for the bottom table to ldquo805 ndash Infant Development Programrdquo The figures themselves were correct

34-36 Revised titles to make clearer that eligibility rates participation rates and benefit levels only include data for vendors that offer a given benefit The figures themselves were correct

36 Corrected labels for Health Insurance and Other Benefits to read as ldquocost per month personrdquo rather than cost per year person

37 Added a note to specify that the weighted average number of annual training hours for service codes without any reported turnover data relied on survey-wide turnover rates for all service codes This is a clarification only no changes were made to the methodology or figures

55 Inserted data for average encounter length (PowerPoint erroneously included the average number of hours of service per week year)

55A Inserted new slide to report average number of hours of service per week The correct data had been reported but was mislabeled as the average encounter length

55B Inserted new slide to report average number of hours of service per year for Respite services The correct data had been reported but was mislabeled as the average encounter length

69 The figures included in both the PowerPoint and the survey analysis packet reflected the number of miles per staff person per participant These figures have been revised to more simply report the number of miles per participant per year

85 Corrected labels center-based hours were reported as community hours and vice versa The figures themselves were correct and are correctly labeled in the survey analysis packet

86 The figures included in both the PowerPoint and the survey analysis packet reflected the number of miles per staff person per participant These figures have been revised to more simply report the number of miles per participant per year

89-92 Corrected the mislabeled lsquoTotalrsquo lines as lsquoOther Activitiesrsquo (the figures were correct) and added a correct lsquoTotalrsquo line summing to 40 hours)

92 Removed duplicate column for service code 515

95A Inserted new slide for staffing pattern data for services codes 950 and 954

96 Deleted row (fourth from the bottom) with duplicated mislabeled data

108-111 Reported data for all professional staff categories and corrected data in PowerPoint figures in survey analysis packet were correct

114 Corrected values (not in part of survey analysis packet)

115 Added a note to clarify that administrative and program support rates are calculated as a percentage of reported revenues

116-117 Changed label to clarify that it includes both payroll and benefit costs the figures did not change

117 Added a slide to show program support without supervision (117A slide 117 now includes supervision costs) and corrected the overall average program support rate in both the PowerPoint and survey analysis packet

118-123 Revised chart titles to specify that the data reflect ldquohellipOrganizations Reporting Less Than 50 Program Operations Rate Without Supervisionrdquo Added additional service detail to account for service variations (eg behavioral and medical variations for day programs etc) Updated survey-wide program ops rate based on correction noted for Slide 117

Only substantive changes are listed Formatting updates changes to chart scales for consistency and other minor updates are not included

BURNS amp ASSOCIATES INC Health Policy Consultants 1 November 30 2018

Department of Developmental Services Vendor Rate Study

Overview of Provider Survey Analysis

ndash presented to ndash

DS Task Forcersquos Rates Workgroup

Updated November 27 2018

BURNS amp ASSOCIATES INC Health Policy Consultants

- 3030 North Third Street Phoenix Arizona -

1

AGENDA

SURVEY PARTICIPATION (945-1000)02

01

WAGES (1000-1130)03

BENEFITS (1130-1200)04

2

TURNOVER AND TRAINING (1200-1230)05

PRODUCTIVITY amp OTHER FACTORS (1230-230)06

CONSULTANTS ndash RESIDENTIAL (230-300)07

ADMIN amp PROGRAM OPERATIONS (300-400)08

BACKGROUND (930-945)

01 BACKGROUND ndash PURPOSE OF TODAYrsquoS MEETING

Review analysis of submitted provider surveys

Numbers will not change

Not lsquoourrsquo figures ndash simply reporting what was reported to us

Provide opportunity for qualitative review

Are figures consistent with the grouprsquos experience and knowledge

Recognizing costs are largely a function of current rates

3

01 BACKGROUND ndash SURVEY ADMINISTRATION

Purpose and organization

Collect data regarding lsquohowrsquo services are delivered and related costs

Sections included staff wages and benefits agency administrative and operating costs service-specific factors (eg lsquoproductivityrsquo ratios)

Timing

Emailed May 25 to all vendors of in-scope services with valid emails

Regional Centers followed-up on bad email addresses

Original 6-week deadline extended to 10 weeks

Specialized Therapeutic Service survey ran Sept 10 ndash Oct 23

Technical assistance

Written instructions

Recorded webinar participate in ad hoc training sessions as requested

Dedicated phone number and email for questions

4

01 BACKGROUND ndash SURVEY ANALYSIS

Aggregated data from all responding vendors for all questions Individual survey responses not released (although some individual

questions may have a single respondent) Generally report unweighted and weighted averages with and

without outliers and medians Weighting usually based on revenues for a given service code

Outliers defined as two-plus standard deviations from the mean

Example Respondent Value Revenue lsquoAveragesrsquo Resp 1 100 $50000

Resp 2 100 $75000 Average 1287

Resp 3 102 $100000 Avg wo Outlier 1044

Resp 4 105 $125000 Weighted Average 1706

Resp 5 115 $1000000 Wght Avg wo Outlier 1117

Resp 6 250 $1000000 Median 1035

5

02 SURVEY PARTICIPATION (APPENDIX A)

Table of Contents

Count of Survey Responses by Service Code and Regional Center (A-1)

Vendor Participation Rate by Regional Center (A-2)

Vendor Participation Rate by Service Code (A-3 through A-23)

6

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as Percentage of FY2017 POS Claims by Regional Center

100

90

80

70

0

10

20

30

40

50

60

Regional Centers Surveywide

7

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Personal Support and Training Services

100

90

80

70

60

50

40

30

20

10

0

Services Surveywide

8

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Residential Services

100

90

80

0

10

20

30

40

50

60

70

090 109 113 896 (Clustered 904 905 910 915 920 Res)

Services Surveywide

9

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Day and Employment Services

100

90

0

10

20

30

40

50

60

70

80

028 055 063 091 094 110 505 510 515 525 950 952 954

Services Surveywide

10

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Transportation Services

100

90

80

70

875 880 882

Services Surveywide

0

10

20

30

40

50

60

11

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Behavioral and Professional Support Services

100

90

80

70

60

50

40

30

20

10

0 048 103 106 115 116 117 605 612 613 615 616 620 805

Services Surveywide

12

03 WAGES (APPENDIX B)

Table of Contents

Summary of Direct Care and Supervisory Wages by Service Code and Regional Center (B-1 through B-46)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Employees (B-47 through B-254)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Contractors (B-255 through B-430)

13

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Personal Supports and Training Services

$2500

$2000

$1500

$1000

$500

$000

14

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Residential Services

$2500

$2000

$000

$500

$1000

$1500

090 113 113 (SRF) 896 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

15

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (1 of 3)

$2500

$2000

$1500

$1000

$500

$000

16

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

Department of Developmental Services Vendor Rate Study

Overview of Provider Survey Analysis

ndash presented to ndash

DS Task Forcersquos Rates Workgroup

Updated November 27 2018

BURNS amp ASSOCIATES INC Health Policy Consultants

- 3030 North Third Street Phoenix Arizona -

1

AGENDA

SURVEY PARTICIPATION (945-1000)02

01

WAGES (1000-1130)03

BENEFITS (1130-1200)04

2

TURNOVER AND TRAINING (1200-1230)05

PRODUCTIVITY amp OTHER FACTORS (1230-230)06

CONSULTANTS ndash RESIDENTIAL (230-300)07

ADMIN amp PROGRAM OPERATIONS (300-400)08

BACKGROUND (930-945)

01 BACKGROUND ndash PURPOSE OF TODAYrsquoS MEETING

Review analysis of submitted provider surveys

Numbers will not change

Not lsquoourrsquo figures ndash simply reporting what was reported to us

Provide opportunity for qualitative review

Are figures consistent with the grouprsquos experience and knowledge

Recognizing costs are largely a function of current rates

3

01 BACKGROUND ndash SURVEY ADMINISTRATION

Purpose and organization

Collect data regarding lsquohowrsquo services are delivered and related costs

Sections included staff wages and benefits agency administrative and operating costs service-specific factors (eg lsquoproductivityrsquo ratios)

Timing

Emailed May 25 to all vendors of in-scope services with valid emails

Regional Centers followed-up on bad email addresses

Original 6-week deadline extended to 10 weeks

Specialized Therapeutic Service survey ran Sept 10 ndash Oct 23

Technical assistance

Written instructions

Recorded webinar participate in ad hoc training sessions as requested

Dedicated phone number and email for questions

4

01 BACKGROUND ndash SURVEY ANALYSIS

Aggregated data from all responding vendors for all questions Individual survey responses not released (although some individual

questions may have a single respondent) Generally report unweighted and weighted averages with and

without outliers and medians Weighting usually based on revenues for a given service code

Outliers defined as two-plus standard deviations from the mean

Example Respondent Value Revenue lsquoAveragesrsquo Resp 1 100 $50000

Resp 2 100 $75000 Average 1287

Resp 3 102 $100000 Avg wo Outlier 1044

Resp 4 105 $125000 Weighted Average 1706

Resp 5 115 $1000000 Wght Avg wo Outlier 1117

Resp 6 250 $1000000 Median 1035

5

02 SURVEY PARTICIPATION (APPENDIX A)

Table of Contents

Count of Survey Responses by Service Code and Regional Center (A-1)

Vendor Participation Rate by Regional Center (A-2)

Vendor Participation Rate by Service Code (A-3 through A-23)

6

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as Percentage of FY2017 POS Claims by Regional Center

100

90

80

70

0

10

20

30

40

50

60

Regional Centers Surveywide

7

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Personal Support and Training Services

100

90

80

70

60

50

40

30

20

10

0

Services Surveywide

8

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Residential Services

100

90

80

0

10

20

30

40

50

60

70

090 109 113 896 (Clustered 904 905 910 915 920 Res)

Services Surveywide

9

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Day and Employment Services

100

90

0

10

20

30

40

50

60

70

80

028 055 063 091 094 110 505 510 515 525 950 952 954

Services Surveywide

10

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Transportation Services

100

90

80

70

875 880 882

Services Surveywide

0

10

20

30

40

50

60

11

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Behavioral and Professional Support Services

100

90

80

70

60

50

40

30

20

10

0 048 103 106 115 116 117 605 612 613 615 616 620 805

Services Surveywide

12

03 WAGES (APPENDIX B)

Table of Contents

Summary of Direct Care and Supervisory Wages by Service Code and Regional Center (B-1 through B-46)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Employees (B-47 through B-254)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Contractors (B-255 through B-430)

13

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Personal Supports and Training Services

$2500

$2000

$1500

$1000

$500

$000

14

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Residential Services

$2500

$2000

$000

$500

$1000

$1500

090 113 113 (SRF) 896 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

15

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (1 of 3)

$2500

$2000

$1500

$1000

$500

$000

16

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

AGENDA

SURVEY PARTICIPATION (945-1000)02

01

WAGES (1000-1130)03

BENEFITS (1130-1200)04

2

TURNOVER AND TRAINING (1200-1230)05

PRODUCTIVITY amp OTHER FACTORS (1230-230)06

CONSULTANTS ndash RESIDENTIAL (230-300)07

ADMIN amp PROGRAM OPERATIONS (300-400)08

BACKGROUND (930-945)

01 BACKGROUND ndash PURPOSE OF TODAYrsquoS MEETING

Review analysis of submitted provider surveys

Numbers will not change

Not lsquoourrsquo figures ndash simply reporting what was reported to us

Provide opportunity for qualitative review

Are figures consistent with the grouprsquos experience and knowledge

Recognizing costs are largely a function of current rates

3

01 BACKGROUND ndash SURVEY ADMINISTRATION

Purpose and organization

Collect data regarding lsquohowrsquo services are delivered and related costs

Sections included staff wages and benefits agency administrative and operating costs service-specific factors (eg lsquoproductivityrsquo ratios)

Timing

Emailed May 25 to all vendors of in-scope services with valid emails

Regional Centers followed-up on bad email addresses

Original 6-week deadline extended to 10 weeks

Specialized Therapeutic Service survey ran Sept 10 ndash Oct 23

Technical assistance

Written instructions

Recorded webinar participate in ad hoc training sessions as requested

Dedicated phone number and email for questions

4

01 BACKGROUND ndash SURVEY ANALYSIS

Aggregated data from all responding vendors for all questions Individual survey responses not released (although some individual

questions may have a single respondent) Generally report unweighted and weighted averages with and

without outliers and medians Weighting usually based on revenues for a given service code

Outliers defined as two-plus standard deviations from the mean

Example Respondent Value Revenue lsquoAveragesrsquo Resp 1 100 $50000

Resp 2 100 $75000 Average 1287

Resp 3 102 $100000 Avg wo Outlier 1044

Resp 4 105 $125000 Weighted Average 1706

Resp 5 115 $1000000 Wght Avg wo Outlier 1117

Resp 6 250 $1000000 Median 1035

5

02 SURVEY PARTICIPATION (APPENDIX A)

Table of Contents

Count of Survey Responses by Service Code and Regional Center (A-1)

Vendor Participation Rate by Regional Center (A-2)

Vendor Participation Rate by Service Code (A-3 through A-23)

6

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as Percentage of FY2017 POS Claims by Regional Center

100

90

80

70

0

10

20

30

40

50

60

Regional Centers Surveywide

7

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Personal Support and Training Services

100

90

80

70

60

50

40

30

20

10

0

Services Surveywide

8

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Residential Services

100

90

80

0

10

20

30

40

50

60

70

090 109 113 896 (Clustered 904 905 910 915 920 Res)

Services Surveywide

9

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Day and Employment Services

100

90

0

10

20

30

40

50

60

70

80

028 055 063 091 094 110 505 510 515 525 950 952 954

Services Surveywide

10

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Transportation Services

100

90

80

70

875 880 882

Services Surveywide

0

10

20

30

40

50

60

11

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Behavioral and Professional Support Services

100

90

80

70

60

50

40

30

20

10

0 048 103 106 115 116 117 605 612 613 615 616 620 805

Services Surveywide

12

03 WAGES (APPENDIX B)

Table of Contents

Summary of Direct Care and Supervisory Wages by Service Code and Regional Center (B-1 through B-46)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Employees (B-47 through B-254)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Contractors (B-255 through B-430)

13

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Personal Supports and Training Services

$2500

$2000

$1500

$1000

$500

$000

14

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Residential Services

$2500

$2000

$000

$500

$1000

$1500

090 113 113 (SRF) 896 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

15

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (1 of 3)

$2500

$2000

$1500

$1000

$500

$000

16

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

01 BACKGROUND ndash PURPOSE OF TODAYrsquoS MEETING

Review analysis of submitted provider surveys

Numbers will not change

Not lsquoourrsquo figures ndash simply reporting what was reported to us

Provide opportunity for qualitative review

Are figures consistent with the grouprsquos experience and knowledge

Recognizing costs are largely a function of current rates

3

01 BACKGROUND ndash SURVEY ADMINISTRATION

Purpose and organization

Collect data regarding lsquohowrsquo services are delivered and related costs

Sections included staff wages and benefits agency administrative and operating costs service-specific factors (eg lsquoproductivityrsquo ratios)

Timing

Emailed May 25 to all vendors of in-scope services with valid emails

Regional Centers followed-up on bad email addresses

Original 6-week deadline extended to 10 weeks

Specialized Therapeutic Service survey ran Sept 10 ndash Oct 23

Technical assistance

Written instructions

Recorded webinar participate in ad hoc training sessions as requested

Dedicated phone number and email for questions

4

01 BACKGROUND ndash SURVEY ANALYSIS

Aggregated data from all responding vendors for all questions Individual survey responses not released (although some individual

questions may have a single respondent) Generally report unweighted and weighted averages with and

without outliers and medians Weighting usually based on revenues for a given service code

Outliers defined as two-plus standard deviations from the mean

Example Respondent Value Revenue lsquoAveragesrsquo Resp 1 100 $50000

Resp 2 100 $75000 Average 1287

Resp 3 102 $100000 Avg wo Outlier 1044

Resp 4 105 $125000 Weighted Average 1706

Resp 5 115 $1000000 Wght Avg wo Outlier 1117

Resp 6 250 $1000000 Median 1035

5

02 SURVEY PARTICIPATION (APPENDIX A)

Table of Contents

Count of Survey Responses by Service Code and Regional Center (A-1)

Vendor Participation Rate by Regional Center (A-2)

Vendor Participation Rate by Service Code (A-3 through A-23)

6

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as Percentage of FY2017 POS Claims by Regional Center

100

90

80

70

0

10

20

30

40

50

60

Regional Centers Surveywide

7

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Personal Support and Training Services

100

90

80

70

60

50

40

30

20

10

0

Services Surveywide

8

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Residential Services

100

90

80

0

10

20

30

40

50

60

70

090 109 113 896 (Clustered 904 905 910 915 920 Res)

Services Surveywide

9

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Day and Employment Services

100

90

0

10

20

30

40

50

60

70

80

028 055 063 091 094 110 505 510 515 525 950 952 954

Services Surveywide

10

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Transportation Services

100

90

80

70

875 880 882

Services Surveywide

0

10

20

30

40

50

60

11

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Behavioral and Professional Support Services

100

90

80

70

60

50

40

30

20

10

0 048 103 106 115 116 117 605 612 613 615 616 620 805

Services Surveywide

12

03 WAGES (APPENDIX B)

Table of Contents

Summary of Direct Care and Supervisory Wages by Service Code and Regional Center (B-1 through B-46)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Employees (B-47 through B-254)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Contractors (B-255 through B-430)

13

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Personal Supports and Training Services

$2500

$2000

$1500

$1000

$500

$000

14

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Residential Services

$2500

$2000

$000

$500

$1000

$1500

090 113 113 (SRF) 896 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

15

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (1 of 3)

$2500

$2000

$1500

$1000

$500

$000

16

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

01 BACKGROUND ndash SURVEY ADMINISTRATION

Purpose and organization

Collect data regarding lsquohowrsquo services are delivered and related costs

Sections included staff wages and benefits agency administrative and operating costs service-specific factors (eg lsquoproductivityrsquo ratios)

Timing

Emailed May 25 to all vendors of in-scope services with valid emails

Regional Centers followed-up on bad email addresses

Original 6-week deadline extended to 10 weeks

Specialized Therapeutic Service survey ran Sept 10 ndash Oct 23

Technical assistance

Written instructions

Recorded webinar participate in ad hoc training sessions as requested

Dedicated phone number and email for questions

4

01 BACKGROUND ndash SURVEY ANALYSIS

Aggregated data from all responding vendors for all questions Individual survey responses not released (although some individual

questions may have a single respondent) Generally report unweighted and weighted averages with and

without outliers and medians Weighting usually based on revenues for a given service code

Outliers defined as two-plus standard deviations from the mean

Example Respondent Value Revenue lsquoAveragesrsquo Resp 1 100 $50000

Resp 2 100 $75000 Average 1287

Resp 3 102 $100000 Avg wo Outlier 1044

Resp 4 105 $125000 Weighted Average 1706

Resp 5 115 $1000000 Wght Avg wo Outlier 1117

Resp 6 250 $1000000 Median 1035

5

02 SURVEY PARTICIPATION (APPENDIX A)

Table of Contents

Count of Survey Responses by Service Code and Regional Center (A-1)

Vendor Participation Rate by Regional Center (A-2)

Vendor Participation Rate by Service Code (A-3 through A-23)

6

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as Percentage of FY2017 POS Claims by Regional Center

100

90

80

70

0

10

20

30

40

50

60

Regional Centers Surveywide

7

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Personal Support and Training Services

100

90

80

70

60

50

40

30

20

10

0

Services Surveywide

8

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Residential Services

100

90

80

0

10

20

30

40

50

60

70

090 109 113 896 (Clustered 904 905 910 915 920 Res)

Services Surveywide

9

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Day and Employment Services

100

90

0

10

20

30

40

50

60

70

80

028 055 063 091 094 110 505 510 515 525 950 952 954

Services Surveywide

10

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Transportation Services

100

90

80

70

875 880 882

Services Surveywide

0

10

20

30

40

50

60

11

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Behavioral and Professional Support Services

100

90

80

70

60

50

40

30

20

10

0 048 103 106 115 116 117 605 612 613 615 616 620 805

Services Surveywide

12

03 WAGES (APPENDIX B)

Table of Contents

Summary of Direct Care and Supervisory Wages by Service Code and Regional Center (B-1 through B-46)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Employees (B-47 through B-254)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Contractors (B-255 through B-430)

13

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Personal Supports and Training Services

$2500

$2000

$1500

$1000

$500

$000

14

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Residential Services

$2500

$2000

$000

$500

$1000

$1500

090 113 113 (SRF) 896 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

15

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (1 of 3)

$2500

$2000

$1500

$1000

$500

$000

16

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

01 BACKGROUND ndash SURVEY ANALYSIS

Aggregated data from all responding vendors for all questions Individual survey responses not released (although some individual

questions may have a single respondent) Generally report unweighted and weighted averages with and

without outliers and medians Weighting usually based on revenues for a given service code

Outliers defined as two-plus standard deviations from the mean

Example Respondent Value Revenue lsquoAveragesrsquo Resp 1 100 $50000

Resp 2 100 $75000 Average 1287

Resp 3 102 $100000 Avg wo Outlier 1044

Resp 4 105 $125000 Weighted Average 1706

Resp 5 115 $1000000 Wght Avg wo Outlier 1117

Resp 6 250 $1000000 Median 1035

5

02 SURVEY PARTICIPATION (APPENDIX A)

Table of Contents

Count of Survey Responses by Service Code and Regional Center (A-1)

Vendor Participation Rate by Regional Center (A-2)

Vendor Participation Rate by Service Code (A-3 through A-23)

6

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as Percentage of FY2017 POS Claims by Regional Center

100

90

80

70

0

10

20

30

40

50

60

Regional Centers Surveywide

7

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Personal Support and Training Services

100

90

80

70

60

50

40

30

20

10

0

Services Surveywide

8

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Residential Services

100

90

80

0

10

20

30

40

50

60

70

090 109 113 896 (Clustered 904 905 910 915 920 Res)

Services Surveywide

9

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Day and Employment Services

100

90

0

10

20

30

40

50

60

70

80

028 055 063 091 094 110 505 510 515 525 950 952 954

Services Surveywide

10

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Transportation Services

100

90

80

70

875 880 882

Services Surveywide

0

10

20

30

40

50

60

11

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Behavioral and Professional Support Services

100

90

80

70

60

50

40

30

20

10

0 048 103 106 115 116 117 605 612 613 615 616 620 805

Services Surveywide

12

03 WAGES (APPENDIX B)

Table of Contents

Summary of Direct Care and Supervisory Wages by Service Code and Regional Center (B-1 through B-46)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Employees (B-47 through B-254)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Contractors (B-255 through B-430)

13

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Personal Supports and Training Services

$2500

$2000

$1500

$1000

$500

$000

14

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Residential Services

$2500

$2000

$000

$500

$1000

$1500

090 113 113 (SRF) 896 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

15

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (1 of 3)

$2500

$2000

$1500

$1000

$500

$000

16

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

02 SURVEY PARTICIPATION (APPENDIX A)

Table of Contents

Count of Survey Responses by Service Code and Regional Center (A-1)

Vendor Participation Rate by Regional Center (A-2)

Vendor Participation Rate by Service Code (A-3 through A-23)

6

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as Percentage of FY2017 POS Claims by Regional Center

100

90

80

70

0

10

20

30

40

50

60

Regional Centers Surveywide

7

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Personal Support and Training Services

100

90

80

70

60

50

40

30

20

10

0

Services Surveywide

8

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Residential Services

100

90

80

0

10

20

30

40

50

60

70

090 109 113 896 (Clustered 904 905 910 915 920 Res)

Services Surveywide

9

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Day and Employment Services

100

90

0

10

20

30

40

50

60

70

80

028 055 063 091 094 110 505 510 515 525 950 952 954

Services Surveywide

10

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Transportation Services

100

90

80

70

875 880 882

Services Surveywide

0

10

20

30

40

50

60

11

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Behavioral and Professional Support Services

100

90

80

70

60

50

40

30

20

10

0 048 103 106 115 116 117 605 612 613 615 616 620 805

Services Surveywide

12

03 WAGES (APPENDIX B)

Table of Contents

Summary of Direct Care and Supervisory Wages by Service Code and Regional Center (B-1 through B-46)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Employees (B-47 through B-254)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Contractors (B-255 through B-430)

13

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Personal Supports and Training Services

$2500

$2000

$1500

$1000

$500

$000

14

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Residential Services

$2500

$2000

$000

$500

$1000

$1500

090 113 113 (SRF) 896 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

15

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (1 of 3)

$2500

$2000

$1500

$1000

$500

$000

16

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as Percentage of FY2017 POS Claims by Regional Center

100

90

80

70

0

10

20

30

40

50

60

Regional Centers Surveywide

7

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Personal Support and Training Services

100

90

80

70

60

50

40

30

20

10

0

Services Surveywide

8

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Residential Services

100

90

80

0

10

20

30

40

50

60

70

090 109 113 896 (Clustered 904 905 910 915 920 Res)

Services Surveywide

9

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Day and Employment Services

100

90

0

10

20

30

40

50

60

70

80

028 055 063 091 094 110 505 510 515 525 950 952 954

Services Surveywide

10

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Transportation Services

100

90

80

70

875 880 882

Services Surveywide

0

10

20

30

40

50

60

11

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Behavioral and Professional Support Services

100

90

80

70

60

50

40

30

20

10

0 048 103 106 115 116 117 605 612 613 615 616 620 805

Services Surveywide

12

03 WAGES (APPENDIX B)

Table of Contents

Summary of Direct Care and Supervisory Wages by Service Code and Regional Center (B-1 through B-46)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Employees (B-47 through B-254)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Contractors (B-255 through B-430)

13

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Personal Supports and Training Services

$2500

$2000

$1500

$1000

$500

$000

14

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Residential Services

$2500

$2000

$000

$500

$1000

$1500

090 113 113 (SRF) 896 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

15

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (1 of 3)

$2500

$2000

$1500

$1000

$500

$000

16

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Personal Support and Training Services

100

90

80

70

60

50

40

30

20

10

0

Services Surveywide

8

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Residential Services

100

90

80

0

10

20

30

40

50

60

70

090 109 113 896 (Clustered 904 905 910 915 920 Res)

Services Surveywide

9

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Day and Employment Services

100

90

0

10

20

30

40

50

60

70

80

028 055 063 091 094 110 505 510 515 525 950 952 954

Services Surveywide

10

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Transportation Services

100

90

80

70

875 880 882

Services Surveywide

0

10

20

30

40

50

60

11

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Behavioral and Professional Support Services

100

90

80

70

60

50

40

30

20

10

0 048 103 106 115 116 117 605 612 613 615 616 620 805

Services Surveywide

12

03 WAGES (APPENDIX B)

Table of Contents

Summary of Direct Care and Supervisory Wages by Service Code and Regional Center (B-1 through B-46)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Employees (B-47 through B-254)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Contractors (B-255 through B-430)

13

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Personal Supports and Training Services

$2500

$2000

$1500

$1000

$500

$000

14

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Residential Services

$2500

$2000

$000

$500

$1000

$1500

090 113 113 (SRF) 896 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

15

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (1 of 3)

$2500

$2000

$1500

$1000

$500

$000

16

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Residential Services

100

90

80

0

10

20

30

40

50

60

70

090 109 113 896 (Clustered 904 905 910 915 920 Res)

Services Surveywide

9

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Day and Employment Services

100

90

0

10

20

30

40

50

60

70

80

028 055 063 091 094 110 505 510 515 525 950 952 954

Services Surveywide

10

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Transportation Services

100

90

80

70

875 880 882

Services Surveywide

0

10

20

30

40

50

60

11

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Behavioral and Professional Support Services

100

90

80

70

60

50

40

30

20

10

0 048 103 106 115 116 117 605 612 613 615 616 620 805

Services Surveywide

12

03 WAGES (APPENDIX B)

Table of Contents

Summary of Direct Care and Supervisory Wages by Service Code and Regional Center (B-1 through B-46)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Employees (B-47 through B-254)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Contractors (B-255 through B-430)

13

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Personal Supports and Training Services

$2500

$2000

$1500

$1000

$500

$000

14

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Residential Services

$2500

$2000

$000

$500

$1000

$1500

090 113 113 (SRF) 896 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

15

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (1 of 3)

$2500

$2000

$1500

$1000

$500

$000

16

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Day and Employment Services

100

90

0

10

20

30

40

50

60

70

80

028 055 063 091 094 110 505 510 515 525 950 952 954

Services Surveywide

10

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Transportation Services

100

90

80

70

875 880 882

Services Surveywide

0

10

20

30

40

50

60

11

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Behavioral and Professional Support Services

100

90

80

70

60

50

40

30

20

10

0 048 103 106 115 116 117 605 612 613 615 616 620 805

Services Surveywide

12

03 WAGES (APPENDIX B)

Table of Contents

Summary of Direct Care and Supervisory Wages by Service Code and Regional Center (B-1 through B-46)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Employees (B-47 through B-254)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Contractors (B-255 through B-430)

13

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Personal Supports and Training Services

$2500

$2000

$1500

$1000

$500

$000

14

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Residential Services

$2500

$2000

$000

$500

$1000

$1500

090 113 113 (SRF) 896 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

15

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (1 of 3)

$2500

$2000

$1500

$1000

$500

$000

16

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Transportation Services

100

90

80

70

875 880 882

Services Surveywide

0

10

20

30

40

50

60

11

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Behavioral and Professional Support Services

100

90

80

70

60

50

40

30

20

10

0 048 103 106 115 116 117 605 612 613 615 616 620 805

Services Surveywide

12

03 WAGES (APPENDIX B)

Table of Contents

Summary of Direct Care and Supervisory Wages by Service Code and Regional Center (B-1 through B-46)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Employees (B-47 through B-254)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Contractors (B-255 through B-430)

13

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Personal Supports and Training Services

$2500

$2000

$1500

$1000

$500

$000

14

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Residential Services

$2500

$2000

$000

$500

$1000

$1500

090 113 113 (SRF) 896 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

15

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (1 of 3)

$2500

$2000

$1500

$1000

$500

$000

16

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

02 SURVEY PARTICIPATION (APPENDIX A)

Vendor Participation as a Percentage of FY2017 POS Claims Behavioral and Professional Support Services

100

90

80

70

60

50

40

30

20

10

0 048 103 106 115 116 117 605 612 613 615 616 620 805

Services Surveywide

12

03 WAGES (APPENDIX B)

Table of Contents

Summary of Direct Care and Supervisory Wages by Service Code and Regional Center (B-1 through B-46)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Employees (B-47 through B-254)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Contractors (B-255 through B-430)

13

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Personal Supports and Training Services

$2500

$2000

$1500

$1000

$500

$000

14

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Residential Services

$2500

$2000

$000

$500

$1000

$1500

090 113 113 (SRF) 896 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

15

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (1 of 3)

$2500

$2000

$1500

$1000

$500

$000

16

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

03 WAGES (APPENDIX B)

Table of Contents

Summary of Direct Care and Supervisory Wages by Service Code and Regional Center (B-1 through B-46)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Employees (B-47 through B-254)

Detailed Direct Care and Supervisory Wages by Service Code and Regional Center for Contractors (B-255 through B-430)

13

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Personal Supports and Training Services

$2500

$2000

$1500

$1000

$500

$000

14

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Residential Services

$2500

$2000

$000

$500

$1000

$1500

090 113 113 (SRF) 896 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

15

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (1 of 3)

$2500

$2000

$1500

$1000

$500

$000

16

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Personal Supports and Training Services

$2500

$2000

$1500

$1000

$500

$000

14

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Residential Services

$2500

$2000

$000

$500

$1000

$1500

090 113 113 (SRF) 896 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

15

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (1 of 3)

$2500

$2000

$1500

$1000

$500

$000

16

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Residential Services

$2500

$2000

$000

$500

$1000

$1500

090 113 113 (SRF) 896 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

15

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (1 of 3)

$2500

$2000

$1500

$1000

$500

$000

16

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (1 of 3)

$2500

$2000

$1500

$1000

$500

$000

16

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (2 of 3)

$2500

$2000

$1500

$1000

$500

$000

17

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Day and Employment Services (3 of 3)

$2500

$2000

$000

$500

$1000

$1500

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

18

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Transportation Services

$2500

$2000

$1500

$000

$500

$1000

875 880 882

19

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (1 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

20

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

03 WAGES (APPENDIX B)

Wage Levels (Weighted Average without Outliers) Behavioral and Professional Support Services (2 of 2)

$7000

$6000

$5000

$4000

$3000

$2000

$1000

$000

21

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

048 ndash Client Parent Support Behavior Intervention Training

1 Behavioral Technician 436376

2 Lead Behavior Technician 58775

3 Clinical Assistant 58698

4 Clinical Supervisor 54436

5 Staff Development Assistant 22464

103 ndash Specialized Health Treatment and Training Services

1 Respite Care Provider 43996

2 Health Advocate 15638

3 Personal Services Coordinator II 8771

4 Team Leader 2031

5 Lean Health Advocate 1975

22

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

106 ndash Specialized Recreational Therapy

1 Exercise Tech 22113

2 Occupational Therapist 8008

3 Wellness Therapist 2175

4 Speech Pathologist 1976

5 Licensed Clinical Social Worker 311

605 ndash Adaptive Skills Training

1 Community Facilitator III 137709

2 Instructor 44353

3 Home Support Worker 26581

4 Community Facilitator II 15573

5 Community Advocate 13618

23

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

805 ndash Infant Development Program

1 Early Intervention Specialist 148682

2 Developmental Specialist 121761

3 Therapist (OT PT SLP) 101748

4 Infant Specialist 95152

5 Direct Care Professional Asst 59930

24

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

03 WAGES (APPENDIX B)

Top-5 Reported Job Titles (by Work Hours) for Professional Svcs

Specialized Therapeutic Services

115 (3 to 20)

116 (Early Start)

117 (21+)

115 (3 to 20)

116 (Early Start)

117 (21+)

2 1 5 Therapist 20482 141288 10400

1 2 1 Other 36854 114089 52208

5 3 Therapy Assistant 502 11693

3 4 Behavioral Spec 5772 5772

5 Registered Nurse 11

2 Lic Voc Nurse 36088

3 Social Worker 29120

4 Psychologist 13476

4 Dental Hygienist 960

25

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Averages within a service lsquogroupingrsquo

Function of both average wage and job mix

Detail by service code included in analysis packet

Example

Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Reviewing the average wage alone suggests that Region 1 is the higher wage area

However this is due to differences in job mix rather than higher wages

26

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

03 WAGES (APPENDIX B)

Comparing wages across Regional Centers

Example (cont) Occupation Statewide Region 1 Region 2

Count Wage Count Wage Count Wage

Software Engineer 100 $8200 80 $8000 20 $9000

Housekeeper 100 $2400 20 $2000 80 $2500

Average 200 $5300 100 $6800 100 $3800

Average Based on Statewide Job Mix (50 50)

$5000 $5750

of Statewide Avg 943 1085

After adjusting for job mix Region 2 is actually the higher wage area (which is evident by comparing each regionrsquos wage for individual occupations to the statewide figure)

27

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Personal Supports and Training Services

130

0

10

20

30

40

50

60

70

80

90

100

110

120

28

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Residential Services

130

120

0

10

20

30

40

50

60

70

80

90

100

110

29

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Day Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

30

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

WAGES (APPENDIX B)03

Average Wages as of Survey-wide Total by Regional Center Employment Services

0

10

20

30

40

50

60

70

80

90

100

110

120

130

31

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Table of Contents

Benefit Offerings and Take-up Rates (C-1)

Workerrsquos Compensation by Service Code (C-2 through C-3)

Workforce Composition

Full-Time = 43189 staff (defined as 30+ hours per week)

Part-Time = 53747 staff

32

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Responding Organizations Offering Benefit 100

90

0

10

20

30

40

50

60

70

80

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

33

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Eligible for Benefit Among Vendors That Offer the Benefit 100

0

10

20

30

40

50

60

70

80

90

Holidays Paid Time Off Health Insurance Other Benefits

Full-Time Part-Time

34

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

DIRECT SUPPORT BENEFITS (APPENDIX C)04

of Staff Participating in Benefit Among Vendors That Offer the Benefit 100

90

80

0

10

20

30

40

50

60

70

Health Insurance Other Benefits

Full-Time Part-Time

35

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

04 DIRECT SUPPORT BENEFITS (APPENDIX C)

Benefit Amount Among Vendors That Offer the Benefit

Type Benefit Amount for Participating Staff

Effective Benefit Amount (Adjusted for Participation)

Full-Time Part-Time Full-Time Part-Time

Holidays (days per year) 92 81 84 67

Paid Time Off (days per year) 143 108 134 103

Health Insurance (cost per month person) $488 $306 $271 $59

Other Benefits (cost per month person) $155 $81 $109 $38

36

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

05 TURNOVER amp TRAINING (APPENDIX D)

Table of Contents

Turnover by Service Code and Regional Center (D-1 through D-15)

Training Hours by Service Code ndash First Year and After First Year Hours (D-16 through D-22) Note calculated training figures utilize survey-wide turnover rates if

service-specific turnover rates could not be calculated due to a lack of reported turnover data

37

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Personal Supports and Training Services

50

45

40

35

30

25

20

15

10

5

0

38

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Residential Services

50

45

40

0

5

10

15

20

25

30

35

090 113 113 (SRF) 896 904 905 910 915 920 109 (ARFPSHN) (Clustered

Res)

39

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 1 of 3

50

45

40

35

30

25

20

15

10

5

0

40

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 2 of 3

50

45

40

35

30

25

20

15

10

5

0

41

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Day and Employment Services - 3 of 3

50

45

40

0

5

10

15

20

25

30

35

55 (Job 55 (Job 63 (Job 63 (Job 950 952 (Job 952 (Job 954 Coaching) Development) Coaching) Development) Coaching) Development)

42

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Transportation Services

50

45

40

0

5

10

15

20

25

30

35

875 880 882

43

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 1 of 2

100

90

80

70

60

50

40

30

20

10

0

44

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

TURNOVER amp TRAINING (APPENDIX D)05

Turnover Rate Behavioral and Professional Support Services - 2 of 2

100

90

80

70

60

50

40

30

20

10

0

45

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Personal Support and Training Services

80

70

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

46

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Residential Services

70

60

50

40

30

20

10

0 090 113 113 (SRF) 896 904 905 910 915 920 109

(ARFPSHN) (Clustered Res)

1st Year 2nd Year Est Annual Training Based on Turnover

47

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (1 of 3)

60

50

40

30

20

10

0

1st Year 2nd Year Est Annual Training Based on Turnover

48

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (2 of 3)

70

60

50

40

30

20

10

0 505 505 505 (Non- 510 510 510 (Non- 515 525 525 (Non- Tailored Day 110

(Behavioral) (Medical) Med Non- (Behavioral) (Medical) Med Non- (Behavioral) med Non-Beh) Beh) Beh)

1st Year 2nd Year Est Annual Training Based on Turnover

49

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Day and Employment Services (3 of 3)

80

70

60

50

40

30

20

10

0 055 (Job 055 (Job 063 (Job 063 (Job 950 952 (Job 952 (Job 954

Coaching) Development) Coaching) Development) Coaching) Development)

1st Year 2nd Year Est Annual Training Based on Turnover

50

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

05 TURNOVER amp TRAINING (APPENDIX D)H

ours

of t

rain

ing

per y

ear

Training Hours Transportation Services

60

50

40

30

20

10

0 875 880 882

1st Year 2nd Year Est Annual Training Based on Turnover

51

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

05 TURNOVER amp TRAINING (APPENDIX D) H

ours

of t

rain

ing

per y

ear

Training Hours Behavioral and Professional Support Services (1 of 2)

120

100

80

60

40

20

0

1st Year 2nd Year Est Annual Training Based on Turnover

52

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

05 TURNOVER amp TRAINING (APPENDIX D)

Training Hours Behavioral and Professional Support Services (2 of 2)

Hou

rs o

f tra

inin

g pe

r yea

r

350

300

250

200

150

100

50

0

1st Year 2nd Year Est Annual Training Based on Turnover

53

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Table of Contents

Productivity amp Other Factors Summary (E-1 through E-54)

Productivity amp Other Factors Detail (E-55 through E-274)

Mileage and Facility Cost by Regional Center (E-275 through E-498)

Family Home Agency Analysis (E-499 through E-503)

54

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Encounter Length in Hours - Personal Supports and Training Services

Hou

rs p

er w

eek

per i

ndiv

idua

l

12

10

8

6

4

2

0

55

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k pe

r ind

ivid

ual

Average Number of Hours of Service per Week -Personal Supports and Training Services

120

100

80

60

40

20

0

55A

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Avg Number of Hours of Service per Year -Personal Supports and Training Services

300

0

50

100

150

200

250

Hou

rs p

er y

ear p

er in

divi

dual

862 (Agency) 862 (EOR)

55B

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er w

eek

per i

ndiv

idua

l

Average Weekly Miles per Individual Personal Supports and Training Services

300

250

200

150

100

50

0

Miles Between Encounters Miles Transporting Individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

56

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2) 025 055

(In-Home Comm)

062 063 (In-Home

Comm)

108 520 635 645

Providing direct services 367 346 367 280 330 328 343 359

Providing other billable services 00 06 02 68 03 10 00 00

Participating in individual planning meetings

00 04 01 16 16 07 00 07

Travel time between individuals 08 11 07 09 21 29 00 15

Recordkeeping 08 13 06 15 13 10 11 11

Employer time (eg participating in staff meetings etc) 08 14 16 09 15 09 17 08

Time lost to missed appointments 08 00 02 00 02 05 00 00

Other activities 00 06 00 02 00 02 29 00

Total 400 400 400 400 400 400 400 400

57

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Personal Supports and Training Services (1 of 2)

860 862

(Agency) 862

(EOR) 896

(Contin) 896

(Interm) Providing direct services 383 383 384 378 364

Providing other billable services 00 01 00 02 01

Participating in individual planning meetings

02 01 00 03 06

Travel time between individuals 10 08 01 06 15

Recordkeeping 00 02 07 05 07

Employer time (eg participating in staff meetings etc) 05 04 07 06 06

Time lost to missed appointments 00 01 00 00 01

Other activities 00 00 00 00 01

Total 400 400 400 400 400

58

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 113

(ARFPSHN) 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 4B)

905 (Level 4C)

905 (Level 4D)

2 Residents 1

3 Residents 3 13 5 2 1

4 Residents 44 48 19 7 5

5 Residents 22 1 3 1 1

6+ Residents 9 6 3 4 6 1 2

59

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 905 (Level

4F) 905 (Level

4G) 905 (Level

4I) 910 (Level

4B) 910 (Level

4D) 910 (Level

4I) 915 (Level 2) 915 (Level 3)

2 Residents

3 Residents 1

4 Residents 4 1 1 4 10

5 Residents 2 1

6+ Residents 1 2 1 1 36 82

60

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4A) 915 (Level

4B) 915 (Level

4C) 915 (Level

4D) 915 (Level

4E) 915 (Level

4F) 915 (Level

4G) 915 (Level

4H) 2 Residents

3 Residents

4 Residents 2 2 2 4 4 15

5 Residents 2 1 4 1 1

6+ Residents 6 5 14 7 6 14 21 14

61

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Reported Sites by Site Capacity (Residential Services) 915 (Level

4I) 915 (Undes) 920 (Level 4G)

920 (Level 4H)

920 (Level 4I) 920 (Undes)

1 Resident 3

2 Residents 9

3 Residents 1

4 Residents 68 4 2 1

5 Residents 10 11

6+ Residents 88 2 1

62

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) A

bsen

ce d

ays p

er p

erso

n pe

r yea

r

Average Absence Days per Year (1 of 2) Residential Services

14

12

10

8

6

4

2

0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 4F) 905 (Level 910 (Level 4I)

(ARFPSHN) 4D) 4G)

63

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Absence Days per Year (2 of 2) Residential Services

25

Abs

ence

day

s per

per

son

per y

ear 20

15

10

5

0 915 915 915 915 915 915 915 915 915 915 915 920 920 920 920

(Level (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level (Level (Undes) 2) 3) 4A) 4B) 4C) 4D) 4E) 4F) 4H) 4I) 4G) 4H) 4I)

64

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Individuals Utilizing Program Support Residential Services

U

sing

Pro

gram

Sup

port

100

90

80

70

60

50

40

30

20

10

0

65

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Weekly Program Support Hours per Individual Residential Services

250

Hou

rs p

er w

eek

200

150

100

50

0

66

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of M

embe

rs

of Members with Activities Outside the Home (1 of 2) Residential Services

100

90

80

70

60

50

40

30

20

10

0

67

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Members with Activities Outside the Home (2 of 2) Residential Services

o

f mem

bers

100

90

80

70

60

50

40

30

20

10

0 915 915 915 915 915 915 915 915 915 915 915 915 920 920

(Level 2)(Level 3) (Level (Level (Level (Level (Level (Level (Level (Level (Level (Undes) (Level (Level 4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H) 4I) 4H) 4I)

68

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Fleet and Staff-Owned Miles per Individual per Year Residential Services

12000

10000

8000

6000

4000

2000

0

Miles per year member (Fleet) Miles per year member (Staff Vehicles)

69

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$0

$50000

$100000

$150000

$200000

Annual Per Home Costs - Residential Services (1 of 4) $250000

113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level (ARFPSHN) 4B) 4C) 4D)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

70

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (2 of 4) $250000

$200000

$150000

$100000

$50000

$0 905 (Level

4F) 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3)

4G) 4I) 4B) 4D) 4I)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

71

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

$250000

Annual Per Home Costs - Residential Services (3 of 4)

$200000

$150000

$100000

$50000

$0 915 (Level

4A) 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4B) 4C) 4D) 4E) 4F)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

915 (Level 4G)

915 (Level 4H)

72

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Per Home Costs - Residential Services (4 of 4) $250000

$200000

$150000

915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Food and recreational activities for staff providing services

Property taxes

Utilities newspapers magazines phones cable and internet Repairs and maintenance

Rent lease mortgage payments and homeowner association fees

$0

$50000

$100000

73

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (1 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 113 113 (SRF) 113 (Undes) 905 (Level 2) 905 (Level 3) 905 (Level 905 (Level 905 (Level

(ARFPSHN) 4B) 4C) 4D)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

74

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (2 of 4)

$20000

$18000

$16000

905 (Level 905 (Level 905 (Level 910 (Level 910 (Level 910 (Level 915 (Level 2) 915 (Level 3) 4F) 4G) 4I) 4B) 4D) 4I)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

$0

$2000

$4000

$6000

$8000

$10000

$12000

$14000

75

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (3 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level 915 (Level

4A) 4B) 4C) 4D) 4E) 4F) 4G) 4H)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

76

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Annual Housing Supplies and Other Costs Per Individual -Residential Services (4 of 4)

$20000

$18000

$16000

$14000

$12000

$10000

$8000

$6000

$4000

$2000

$0 915 (Level 4I) 915 (Undes) 920 (Level 4H) 920 (Level 4I) 920 (Undes)

Other costs not listed above per home Food per resident Household supplies per resident Laundry and dry cleaning per resident Personal hygiene items per resident Recreational activities per resident Medical and first aid for residents per resident

77

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (1 of 4) 113

(ARFPSHN) 113

(SRF) 113

(Undes) 905

(Lvl 2) 905

(Lvl 3) 905

(Lvl 4B) 905

(Lvl 4C) 905

(Lvl 4D) Providing direct services 388 393 386 387 387 393 390 392

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

05 03 04 07 06 04 05 02

Employer time (eg participating in staff meetings etc) 07 05 09 06 07 04 05 06

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

78

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (2 of 4) 905

(Lvl 4F) 905

(Lvl 4G) 905

(Lvl 4I) 910

(Lvl 4B) 910

(Lvl 4D) 915

(Lvl 2) 915

(Lvl 3) 915

(Lvl 4A) Providing direct services 392 396 397 390 400 386 388 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

04 01 02 05 00 03 04 05

Employer time (eg participating in staff meetings etc) 04 03 02 05 00 05 06 06

Other activities 00 00 00 00 00 04 01 00

Total 400 400 400 400 400 400 400 400

79

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (3 of 4) 915

(Lvl 4B) 915

(Lvl 4C) 915

(Lvl 4D) 915

(Lvl 4E) 915

(Lvl 4F) 915

(Lvl 4G) 915

(Lvl 4H) 915

(Lvl 4I) Providing direct services 388 387 388 388 394 394 392 390

Providing other billable services 00 00 00 00 00 00 00 00

Participating in individual planning meetings

06 06 05 05 01 01 03 05

Employer time (eg participating in staff meetings etc) 06 07 07 07 04 05 04 04

Other activities 00 00 00 00 00 00 00 00

Total 400 400 400 400 400 400 400 400

80

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week) ndash Residential Services (4 of 4)

915 (Undes)

920 (Lvl 4H)

920 (Lvl 4I)

920 (Undes)

Providing direct services 393 392 385 367

Providing other billable services 00 00 00 00

Participating in individual planning meetings

03 04 05 17

Employer time (eg participating in staff meetings etc) 03 04 08 17

Other activities 00 00 02 00

Total 400 400 400 400

81

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (1 of 3)

12000

10000

8000

6000

4000

2000

0

82

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06 N

umbe

r of I

ndiv

idua

ls

Number of Individuals Served by Responding Providers Day Programs (2 of 3)

12000

10000

8000

6000

4000

2000

0 91 - Non-

Med Non-Beh

91 - 91 - Medical 91 - Undes Behavioral

94 - Non- 94 - Medical 505 - Non-Med Non- Med Non-

Beh Beh

505 -Behavioral

505 -Medical

505 - Undes

83

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served by Responding Providers Day Programs (3 of 3)

0

2000

4000

6000

8000

10000

12000

Num

ber o

f Ind

ivid

uals

510 - Non-Med 510 -Behavioral 510 - Medical 515 525 - Non-Med 525 - Behavioral 525 - Undes Non-Beh Non-Beh

84

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

per

wee

k

Hours per Week Individuals Receive Community vs Facility Based Services Day Services

60

50

40

30

20

10

0

Hours per Week - Facility Hours per Week - Community

85

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) M

iles p

er m

embe

r per

yea

r

Fleet and Staff-Owned Miles per Individual per Year Day Services

6000

5000

4000

3000

2000

1000

0

Miles per year member (Fleet) Miles per year Member (Staff Vehicles)

86

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) Sq

uare

Foo

tage

Square Footage of Program Space per Member Day Services 500

450

400

350

300

250

200

150

100

50

0

87

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) C

ost p

er sq

uare

foot

Cost per Square Foot Day Services $50

$45

$40

$35

$30

$25

$20

$15

$10

$5

$0

88

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (1 of 4) 28 - Non-

Med Non-Beh

28 -Behavioral

28 -Medical 28 - Undes

55 - Non-Med Non-

Beh

55 -Behavioral

55 -Medical 55 - Undes

Providing direct services 300 278 06 393 333 349 355 340

Providing other billable services 36 22 350 04 15 23 01 28

Participating in individual planning meetings

14 19 01 00 09 05 07 05

Recordkeeping 15 19 33 01 12 08 07 07

ldquoEmployer Timerdquo (eg participating in staff meetings) 11 38 08 01 08 08 12 05

Program Development 10 05 01 00 04 02 08 04

Program preparation set-up clean-up 14 19 01 00 14 05 11 03

Other Activities 00 00 00 00 05 00 00 09

Total 400 400 400 400 400 400 400 400

89

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (2 of 4) 63 - Non-

Med Non-Beh

63 -Behavioral 63 - Undes

91 - Non-Med Non-

Beh

91 -Behavioral

91 -Medical 91 - Undes

94 - Non-Med Non-

Beh

Providing direct services 247 332 215 368 390 344 381 331

Providing other billable services 108 44 145 00 07 00 00 05

Participating in individual planning meetings

08 04 09 00 01 07 05 04

Recordkeeping 06 08 09 14 01 13 05 21

ldquoEmployer Timerdquo (eg participating in staff meetings) 09 06 07 00 01 08 05 12

Program Development 07 04 07 00 01 16 05 04

Program preparation set-up clean-up 09 02 07 00 01 12 00 22

Other Activities 05 00 00 18 00 00 00 00

Total 400 400 400 400 400 400 400 400

90

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (3 of 4)

94 -Medical

505 - Non-Med Non-

Beh

505 -Behavioral

505 -Medical

505 -Undes

510 - Non-Med Non-

Beh

510 -Behavioral

510 -Medical

Providing direct services 350 340 329 300 340 357 341 339

Providing other billable services 00 09 03 20 08 11 17 03

Participating in individual planning meetings

10 08 14 05 08 03 06 05

Recordkeeping 10 12 25 05 12 08 13 11

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 07 18 10 07 08 08 09

Program Development 10 07 01 10 07 04 06 09

Program preparation set-up clean-up 10 16 10 50 16 09 09 23

Other Activities 00 02 00 00 03 00 00 00

Total 400 400 400 400 400 400 400 400

91

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week) ndash Day Services (4 of 4)

515 525 - Non-Med

Non-Beh 525 -

Behavioral 525 - Undes

Providing direct services 335 342 329 367

Providing other billable services 22 00 24 00

Participating in individual planning meetings

05 12 09 00

Recordkeeping 12 13 05 00

ldquoEmployer Timerdquo (eg participating in staff meetings) 10 11 05 11

Program Development 03 11 05 00

Program preparation set-up clean-up

11 11 24 22

Other Activities 02 00 00 00

Total 400 400 400 400

92

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Number of Individuals Served Employment Services 4000

0

500

1000

1500

2000

2500

3000

3500

Num

ber o

f ind

ivid

uals

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

93

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Miles Driven per Week per Employee Employment Services 600

500

0

100

200

300

400

Mile

s Driv

en

55 - Job Coach 63 - Job Coach 952 - Job Coach 55 - Job Dev 63 - Job Dev 952 - Job Dev

Miles driven to travel bewteen service encounters Miles driven to transport individuals

Responses for questions related to mileage distance traveled were scaled to a 40-hour work week

94

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (1 of 2) 55 - Job Coach

63 - Job Coach

952 ndash Job Coach

55 - Job Dev

63 - Job Dev

952 ndash Job Dev

Providing direct services 303 280 330 176 100 213

Performing collateral contacts (eg calling an employer regarding a specific individual) 28 00 09 68 03 67

Performing general service activities that are not individual-specific

29 03 02 66 03 44

Providing other billable services 11 83 08 08 280 10

Participating in individual planning meetings 05 03 04 15 03 17

Travel time between individuals 10 03 29 42 03 18

Recordkeeping 08 09 09 18 03 18

Employer time (eg attending staff meetings) 05 09 08 07 08 10

Other activities 01 09 00 00 00 04

Total 400 400 400 400 400 400

95

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Employment Services (2 of 2)

950 954 - (1-30 members)

954 - (31-100 members)

954 - (101+ members)

Providing direct services 303 280 330 176

Providing other billable services 28 00 09 68

Participating in individual planning meetings 29 03 02 66

Recordkeeping 11 83 08 08

Employer time (eg participating in staff meetings etc) 05 03 04 15

Program development 10 03 29 42

Program preparationset-upclean-up 08 09 09 18

Other activities 05 09 08 07

Total 01 09 00 00

Providing direct services 400 400 400 400

95A

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Transportation Services Comparison

875 880

Number of individuals receiving Transportation services 7486 10600

Number of individuals receiving Transportation services with non-ambulatory supports

1604 1425

Average number of one-way routes completed per vehicle per week

145 782

Average time (in hours) to complete a one-way route (ie time from first pick-up to final drop-off) 24 17

Average number of individuals transported on a one-way route

84 116

Percentage of one-way trips utilizing Transportation Assistant 6 9

Average mileage traveled per vehicle per week 5610 3567

Typical vehicle size (rounded) 13 9

Average purchase price $38797 $44607

modified to accommodate non-ambulatory individuals 71 39

96

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Transportation Services

875 880

Providing Transportation services (with an individual in the vehicle) 330 249

Providing other billable services 02 117

Travel time between individuals 48 20

Employer time (eg participating in staff meetings etc) 09 09

Other activities 12 04

Total 400 400

97

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E) H

ours

Average Length of Encounters - Professional Supports (1 of 2) 90

80

70

60

50

40

30

20

10

00

98

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Encounter Length of Encounters - Professional Supports (2 of 2) 90

80

70

60

50

40

30

20

10

00

Hou

rs

99

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

of Services Provided in Home or Community 100

90

80

70

60

50

40

30

20

10

0

100

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (1 of 3)

103 (G-Tube)

103 (Other)

106 (Moveme

nt)

106 (Other)

805 (In-Home) 115 (All)

115 (PTOTS

LP)

115 (Therapy Assist)

Providing direct services 400 333 255 00 274 329 344 350

Providing other billable services 00 56 00 360 26 06 09 10

Participating in individual planning meetings

00 00 10 00 08 02 09 10

Travel time between individuals 00 03 73 20 38 22 09 10

Recordkeeping 00 03 30 20 11 10 17 10

Employer time (eg participating in staff meetings etc) 00 06 12 00 10 17 13 10

Performing collateral contacts 06 11 00 00

Time lost to missed appointments 00 00 20 00 11 02 00 00

Other activities 00 00 00 00 01 00 00 00

Program development 06

Program preparationset-upclean-up

09

Total 400 400 400 400 400 400 400 400

101

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (2 of 3)

115 (Psycho logist)

115 (Beh Spec)

115 (Other)

116 (All)

116 (PTOT

SLP)

116 (Therap y Assist)

116 (RN)

116 (Beh Spec)

Providing direct services 277 267 273 291 274 226 312 333

Providing other billable services 31 00 00 02 11 16 00 00

Participating in individual planning meetings

00 00 00 04 05 04 00 00

Travel time between individuals 00 27 31 44 43 79 08 22

Recordkeeping 31 13 43 11 14 12 02 11

Employer time (eg participating in staff meetings etc) 00 13 31 11 09 16 00 11

Performing collateral contacts 62 27 19 10 11 05 02 11

Time lost to missed appointments 00 53 03 24 30 41 76 11

Other activities 00 00 00 04 04 00 00 00

Total 400 400 400 400 400 400 400 400

102

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Staffing Pattern (Scaled to a 40-Hour Week)ndash Professional Support Services (3 of 3)

116 (Other)

117 (All)

117 (PTOT

SLP)

117 (RN)

117 (LVN)

117 (Psycho logist)

117 (Beh Spec)

117 (Other)

Providing direct services 312 330 20 295 330 325 300 308

Providing other billable services 00 24 180 35 26 09 00 49

Participating in individual planning meetings

00 17 50 08 22 02 50 07

Travel time between individuals 43 00 00 00 01 00 00 02

Recordkeeping 07 04 60 06 03 01 00 08

Employer time (eg participating in staff meetings etc) 16 04 40 07 05 02 00 07

Performing collateral contacts 09 10 35 14 12 04 00 18

Time lost to missed appointments 13 00 15 01 00 00 00 00

Other activities 00 11 00 33 00 58 50 00

Total 400 400 400 400 400 400 400 400

103

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

Average Length of Encounters Behavioral Services 35

Hou

rs

048 612 615 616 620

30

25

20

15

10

05

00

104

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)06

of Services Provided in Homes and the Community Behavioral Services

0

10

20

30

40

50

60

70

80

90

100

048 612 615 616 620

105

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

06 PRODUCTIVITY amp OTHER FACTORS (APPENDIX E)

Staffing Pattern (Scaled to a 40-Hour Week)ndash Behavioral Services

048 612 615 616 620

Providing direct services 320 261 337 310 283

Providing other billable services 26 38 07 00 19

Participating in individual planning meetings

08 06 02 10 00

Travel time between individuals 18 40 22 30 54

Recordkeeping 12 17 17 20 07

Employer time (eg participating in staff meetings etc) 11 19 11 20 26

Performing collateral contacts 00 06 00 00 04

Time lost to missed appointments 05 13 05 10 07

Other activities 00 00 00 00 00

Total 400 400 400 400 400

106

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Table of Contents

Service Code 113 ndash DSS Licensed Special Residential Facility (F-1 through F-45)

Service Code 905 ndash Residential Facility for Adults ndash Owner Operated (F-46 through F-90)

Service Code 910 ndash Residential Facility Serving Children ndash Owner Operated (F-91 through F-135)

Service Code 915 ndash Residential Facility for Adults ndash Staff Operated (F-136 through F-180)

Service Code 920 ndash Residential Facility Serving Children ndash Staff Operated (F-181 through F-225)

107

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (113) 07 01

Behavioral Specialist Other Therapists

Nursing RN

Psychologist Nursing LVN

Dietician

Nurse - Other Types

Recreational Therapist Occupational Therapist Behavior Consultant Board Certified Behavior Anayst Speech Language Pathologist Doctor Psychiatrist Respiratory Therapist Physical Therapist Orientation and Mobility

414

149

120

64

64

59

25

23 19 16

11 09

09 04 0401

00 00 00

00

108

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (905)

334

305

151

114

55 28

13

Behavioral Specialist Nursing RN

Physical Therapist Nurse - Other Types

Dietician

Behavior Consultant Occupational Therapist

109

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Distribution of Reported Hours by Discipline Job Title (915) 03 02 02

00 00 Psychologist Behavioral Specialist Nursing RN

Recreational Therapist Nursing LVN

Behavior Consultant Dietician

Behaviorist Occupational Therapist Other Therapists

Doctor Psychiatrist Physical Therapist Nurse - Other Types

Board Certified Behavior Anayst Behavior Therapist Speech Language Pathologist

563301

32

27 2410 09

07 06

04

0303 02 01

01

110

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

07 CONSULTANTS ndash RESIDENTIAL (APPENDIX F)

Distribution of Reported Hours by Discipline Job Title (920) 07 0219 15

778

155

24

Behavioral Specialist Psychologist Psychiatrist Occupational Therapist Speech Language Pathologist Pharmacist Sexual education

111

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Behavioral Services) $300

$0

$50

$100

$150

$200

$250

Behavior Behaviorist Behavioral Sexual Psychologist Behavior Psychiatrist Board Sex Offender Consultant Specialist education Therapist Certified Specialist

Behavior Anayst

112

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Medical Services) $300

$250

$200

$150

$0

$50

$100

Nursing LVN Pharmacist Nursing RN Nurse - Other Audiologist Medication Dietician Doctor Types Support

113

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

CONSULTANTS ndash RESIDENTIAL (APPENDIX F)07

Cost per Hour (Therapy Services) $300

$250

$200

$150

$0

$50

$100

Physical Therapist Recreational Occupational Respiratory Speech Language Other Therapists Orientation and Therapist Therapist Therapist Pathologist Mobility

114

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Table of Contents

Administrative Rate Summary and Expenditures by Category (G-1)

Administrative Rate by Service Group and Code (G-2 through G-19) Note Percentages displayed throughout Appendix G reflect reported

administrative program support costs as a percentage of reported revenue the figures would differ if administrative program support costs were reported as a percentage of total costs

115

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Composition of Administrative Costs - Providers with Less Than 50 Administrative Expense Rate (Weighted Average = 169)

16 09

546

81

72

59

55

37

29

28

27 24 16

Payroll amp Benefits

Other

RentMortgage

Consulting Services

Taxes Insurance

Supplies

Utilities

Depreciation Interest

Repairs Maintenance Janitorial

Travel Training

IT Expense

Workers Comp

Equipment Furniture

116

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average w

Supervision = 164)

Payroll amp Benefits

Other RentMortgage

Supplies

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

778

55

54

25

16

14 13

12

10 10 07 03

03

117

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Operations Costs - Providers with Less Than 50 Program Operations Expense Rate (Weighted Average wo

Supervision = 101) 16 05

0417

63989

88

40

26 23

20 20

Payroll amp Benefits

Other RentMortgage

Supplies

11

Travel Training

Utilities

Depreciation Interest Consulting Services

Repairs Maintenance Janitorial Taxes Insurance

IT Expense

Equipment Furniture

Workers Comp

117A

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Personal Supports and Training Services 350

300

250

200

150

100

50

00

118

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

ADMIN amp PROGRAM OPERATIONS (APPENDIX G)08

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Residential Services 140

120

00

20

40

60

80

100

113 113 (SRF) 896 (Clustered 904 905 915 920 109 (ARFPSHN) Res)

119

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (1 of 2) 300

250

200

150

100

50

00

120

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Day and Employment Services (2 of 2) 160

140

120

100

80

60

40

20

00

121

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Transportation Services 400

350

300

250

200

150

100

50

00 875 880 882

122

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

08 ADMIN amp PROGRAM OPERATIONS (APPENDIX G)

Program Ops Rate by Service for Organizations Reporting Less Than 50 Program Operations Rate Without Supervision

Behavioral and Professional Support Services 250

200

00

50

100

150

123

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124

CONTACT INFORMATION

Stephen Pawlowski Vice President and Project Manager

Burns amp Associates Inc spawlowskiburnshealthpolicycom

(602) 241-8519

3030 North 3rd Street Suite 200

Phoenix Arizona 85012

wwwburnshealthpolicycom

124