Comprehensive Program Review March 16, 2012
Successfully opened two new programs, both doing very well. Danielle’s program is now running very smoothly, mom is extremely happy. Dina went to Florida for the first time in her life, stayed 3 months and had a fantastic time! Ian is now expecting more support hours, he is feeling comfortable with staff and is enjoying life more now. Josh was finally able to find employment with staff’s assistance, after many months of searching, he is employed at Price Chopper and loving it. Three of our autistic individuals (Ericka, Jenny and Danielle) are attending a gymnastics group for adults with autism and they are doing very well. New program in New Market and filled apartment in New Market site. Increased referral and work with Autism. Successfully worked with Provider, Family and Individual through Cancer diagnosis and treatment. Need to hire a Program Coordinator for Keene. Continue to stabilize the Andover St. Program. Continue to work on a more seamless process for RFP’s and intake. Resolve the issue of Day Program space at 1480 Elm St., Manchester. More timely evaluations. Data obtained from CSNH
There has been a 32.5% increase in clients experiencing new day activities since last CPR (40 53). Only 1 restraint occurred August-January. There were 0 elopements August-January. There were 0 incidents involving contraband August-January. An average of 28% of clients were competitively employed (August-January). CSNH received 3 written commendations from site visits by outside regulators/funders and 27 deficiencies (over 6 months). However, at the time of the last CPR there were 38 deficiencies so this is an improvement. The number of medication incidents and occurrences rose from 1 (at the time of the last CPR) to 7. There is a steady decline in the percentage of department success with individuals community involvement. Data obtained from MMRs
Staff Turnover Rate March 1, 2011 – February 29, 2012 Last CPR: Keene, Manchester and Unity House had 0% turnover. Individual Sites had 20% turnover. CSNH: 17.9% CRJ: 26% Overdue Performance Evaluations August 2011-January 2012 Aug. 8 FT 8 PT 1B Sept. 10 FT 9 PT 1B Oct.14 FT 10 PT 1B Nov. 14 FT 11 PT 1B Dec. 13 FT 8 PT 1B Jan. 13 FT 9 PT 1B Total of 72 FT, 55 PT and 6B Overdue Performance Evaluations. Last CPR: Total of 64 FT and 23 PT Overdue Performance Evaluations. Data obtained from HR Personnel Summary
Data obtained from MMRs New Clients August 2011-January 2012 Completed Service Contact Forms August 2011-January 2012 Total of 151 Completed Service Forms over 6 months. (avg. of 25 forms per month) Last CPR: Total of 140 completed service forms over 6 months (avg. of 23 forms per month). Total of 3 new clients over 6 months. (same as last CPR)
Individuals Experiencing New Day Activities August 2011-January 2012 Total of 53 individuals experiencing new day activities over 6 months. Data obtained from MMRs Last CPR: Total of 40 individuals experiencing new day activities over 6 months.
Competitively Employed Clients August 2011-January 2012 Department Success in Community Involvement August 2011-January 2012 Average of 28% of clients competitively employed over 6 months. Data obtained from MMRs Last CPR: Average of 29.5% clients competitively employed over 6 months. Average of 93% Department Success in Community Involvement over 6 months. (same as last CPR)
Clinical Hours Average number of clinical hours per client each month August 2011-January 2012 Average of.7 clinical hours per client each month. Last CPR: Average of.48 clinical hours per client each month. Total of 188 clinical hours over 6 months. Clinical Hours include in-house individual and group clinical service hours, community treatment counseling and in-house treatment counseling. Data obtained from MMRs
Medication Administration Medication Incidents and Occurrences Per Client Each Month August 2011 – January 2012 Total of 7 medication incidents or occurrences over 6 months. Last CPR: Total of 1 medication incident or occurrence. Data obtained from MMRs