HORIZON HOUSE Comprehensive Program Review October 31, 2014 1.
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Transcript of HORIZON HOUSE Comprehensive Program Review October 31, 2014 1.
HORIZON HOUSE
Comprehensive Program ReviewOctober 31, 2014
1
Maintenance of a successful operation
Overcoming staffing issues
Best Practice Employing a second Case Manager to work
with those residents displaying mental health, adjustment, or disciplinary issues
HIGHLIGHTS
2
CHALLENGES
Integration of our new position (Community Case Manager) into the operational format of the program
Accommodating growth
3
STAFFING
Staff Turnover RatesStaff Retention Rates
Staff Training Hours
4
Emerging Leaders Graduation Photo
STAFF TURNOVER RATES
Horizon Brooke Coolidge Hampshire McGrath SJS CRJ Overall - Average
34.5%
38.1%
34.7%
20.8%
25.0%
28.2% 27.9%
21.7%
36.8% 38.6%
14.3%
30.4%
38.3%
28.5%
9/1/13-8/31/14 1/1/13-12/31/13
5
Data obtained from HR Turnover and Retention Reports
Last CPR, HH staff turnover was 21.7% compared to SJS at 38.3%
STAFF RETENTION RATES
Horizon Brooke Coolidge Hampshire McGrath SJS CRJ Overall - Average
80.0%
61.1%56.3%
83.3%
66.7% 70.3% 71.4%
60.0%63.2% 66.7%
78.6%
66.7%
56.6%
68.2%
9/1/2013-8/31/2014 1/1/2013-12/31/2013
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Data obtained from HR Turnover and Retention Reports
Last CPR, HH staff retention was 60% compared to SJS at 56.6%
STAFF TRAINING HOURS
Data obtained from MMRs and HR Training Reports
Total of 467 training hours over six months; an average of 30.1 hours per staff/over six months or 5.02 hours per month/per staff. (This is a 38% increase in training hours from previous CPR)
Last CPR, average of 21.7 hours per staff/over six months or 3.6 trainings hours per month; a total of 337.5 training hours over six months
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PROGRAMMING
• Utilization• Successful Completions• Completion with:o Employmento Permanent Housing
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UTILIZATION (March 2014 – August 2014)
March April May June July August
35.5
33.8
34.9
35.8
33.6
35
32 32 32 32 32 32
Monthly Average of Clients Capacity
Current utilization rate is 108.7% (This is a 1.3% increase from previous CPR). Last CPR the utilization rate was 107.3%.
Horizon House had an average of 34.7 clients; last CPR, an average of 34.3 clients
Data obtained from Monthly Utilization Reports 9
PROGRAM COMPLETION
Average of 95.1% of clients completed with employment. (This is a 16% increase from previous CPR). Last CPR 81.8% completed with employment.
Average of 98.9 of clients completed with housing. Last CPR 97.8% completed with housing. Average of 89% of clients successfully completed the program. (This is a 7.1% decrease from
previous CPR). Last CPR = 95.9% Average of 11% of clients were terminated before completing the program; last CPR = 4.1%
Data obtained from MMRs
March April May June July August
9
6 6 5
16
6
9
6 6 5
14
5
9
6 6 5
15
6
1 02 1 1 1
Clients Completing Program With Employment With Housing Terminated Before Completion
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CLIENT RELATED
• Clinical Hours• Walk-Aways• Medication
11
Se-ries
1
02468
1012
Series1
Series2
CLINICAL HOURS
Average Total Clinical Hours per client/per month: 8.6; last CPR, the average clinical hours was 7.4 per client/per month
Average Life Skills Hours per client/per month: 2.4; last CPR = 1.9
Average Cognitive-Behavioral Hours per client/per month: 6.1; last CPR = 5.4
Total Hours: 1,790; last CPR = 1,504
(This is a 19% increase)
Total Life Skills Hours: 510; last CPR = 400
Total Cognitive-Behavioral Hours: 1,280; last CPR = 1,104Data obtained from MMRs
March April May June July August
280
310 310 300
250
340
80 90 90 8060
110
200220 220 220
190
230
Total Hours Life Skills Cognitive-Behavioral
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CLIENT WALK-AWAYS 3/14 - 8/14 7/13 -12/13
Horizon House 1 2
MEDICATION INCIDENTS 3/14 – 8/14 7/13 - 12/13
Horizon House 3 16
Total of 3 medication incidents ( this is a 81% decrease from last CPR). Last CPR, a total of 16 Medication Incidents, resulting from miscounts - discovered during
internal audits of medication system. Client Walk-Aways = decrease of 50% from last CPR.
Data obtained from MMRs
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QUALITY ASSURANCE
KEY MMR RESULTS
SATISFACTION SURVEYS
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KEY MMR RESULTS • 98.9% of the clients completed the program with permanent
housing; last CPR = 97.8%• 89.7% of client discharge plans were developed with family
involvement; last CPR = 95.4%• 95.1% of the clients completed the program with
employment; last CPR = 81.8%• A total of 7 incidents involving contraband were reported ;
last CPR = 3• 100% of staff are certified in First Aid/CPR/AED; last CPR =
100%
Data obtained from MMRs
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CLIENT SATISFACTION SURVEY (August 2014)
The staff were very clear about program rules and what was
expected of me
Staff are friendly and easy to talk
to
Staff use respect-ful language and conducted them-
selves profes-sionally
Staff are fair and consistent to me
The way staff treat me en-
courages me to improve my be-
havior
Staff are re-sponsive to any problems I bring
to them
Staff are avail-able when I need
them
Staff apply sanc-tions for rule vio-lations fairly and
consistently
0 01 1 1
0 0
34 4
23
43 3 3
78
7
9
5
78
4
98
11
8 8
10 10
4
1 10 0
3
10
7
PROGRAM STAFF
Never Sometimes Most Times Always No Answer/Not Applicable
N = 21
16
CLIENT SATISFACTION SURVEY (August 2014)
17
CLIENT SATISFACTION SURVEY (August 2014)
I feel safe in the program I feel prepared to move back into the community
My relationship with my family has improved
I am better prepared to handle responsibility
I am benefitting from be-ing in the program
1 1 1 1 11 12
1
334
32
5
15 15
11
14
9
10
43 3
CLIENT INFORMATION
Never Sometimes Most Times Always No Answer/Not Applicable
N = 21
18
CLIENT SATISFACTION SURVEY (August 2014)
2 21
7 7
0
21
0 0
32
5 5
2 21 1
3
1
8
43
6
01
0 0
5
2
8
13
8
32
1718
19
13
18
0 0
4
0
10
10 0 0 0
PROGRAM INFORMATION
Never Sometimes Most Times Always No Answer/Not Applicable
N = 21
19
CPR ACTION PLANISSUE: Reduce Number of Medication Incidents COMMENTS: Last CPR, a total of 16 Medication Incidents, resulting from miscounts - discovered during internal audits of medication system. IMPROVEMENTS MADE: Current CPR, total of 3 medication incidents
(this is a 81% decrease from last CPR).
MONITOR PROGRESS:
Location – integration of video conferences/trainings to help foster sense of belonging
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