1. 2017 State of C.O.R.E.
performance measures

2. C.O.R.E. Mission Statement
Comprehensive Opiate Recovery Experience RECOVERY WITH RESPECT “Improving the lives of individuals through comprehensive opiate replacement services”

3. C.O.R.E. medical clinic is dedicated to maximizing patient outcomes by:
Helping each patient attain and maintain his/her highest quality of life
Treating opiate addiction with medically assisted treatment, group counseling, individual counseling, and case management services
Diagnosing, treating, and/or referring mental health disorders
Diagnosing, treating, and/or referring co-morbid medical problems
Reducing harm and stigma related to illicit drug use through education, counseling, and treatment
Educating our staff, patients, and the community on evidence-based drug treatment strategies and policies
Treating each patient with respect and dignity

4. C.O.R.E. medical clinic is dedicated to maximizing patient outcomes by:
Providing person- and family-centered services based on strengths, needs, abilities, preferences, and desired outcomes of the patient and family
Including the patient in the treatment planning process
Being ever vigilant to the risk of bias
Working on personal growth
Striving to treat all patients equally regardless of gender, race, ethnicity, cultural, religion, age, sexual preference, or related factors
Creating a positive and safe work environment for staff
Being sensitive to social and cultural factors that influence the patient (i.e. cultural competence)

5. 2017 Census by Month

6. 2012 – 2017 Average Dose 7/1/2012 = 88.5 mg 7/1/2013 = 87.7 mg

7. 2017 Site Demographics by Gender & Funding
1/1/ /31/2017
51% Male % Male
49% Female 50% Female
55.07% Medi-Cal % Medi-Cal
13.95% Private Pay % Private Pay
30.98% Other % Other

8. 2017 Site Demographics Comparison
1/1/ /31/2017
61.23% Caucasian % Caucasian
18.36% Hispanic % Hispanic
10.57% African-American % African-American
1.76% Asian % Asian
1.32% American Indian % American Indian
6.76% Other % Other

9. 2017 Site Demographics Comparison by Age
1/1/ /31/2017
% %
% %
% %
% %
% %
% %

10. 2017 UA by Month

11. 2017 UA by Month

12. 2017 TB Tests

13. 2017 Discharge reasons - ALL
This chart is a summary of discharge reasons for all treatment modalities in 2016.
NOTE: These are total discharges; some patients are counted more than once if they had more than one discharge.
Total Successful Discharges: 100 (48%)
Total Unsuccessful Discharges: 55 (26%)
Total Neutral Discharges: 55 (26%)

14. 2017 Pregnancy Data Deliveries = 13 Average Weight = 7 lbs 1 oz
Average Height = 19.6 inches
Average Dose at Delivery = 62
% Babies on Meds = 39%
Average Weeks Pregnant = 38
Average Days Baby Stayed in Hospital = 18
Negative Drug Screens at Delivery = 70%

15. 2017 Total Number of PODS

16. 2017 PODS by Gender

17. 2017 Average Age by Time in Treatment

18. 2017 SSI/SDI

19. 2017 Education

20. 2017 Abuse & Misuse of Rx Drugs
Uptick in Rx drug abuse and misuse after 3 years may be related to increase in chronic conditions after 3 years. See next slide.

21. 2017 Chronic Conditions
Note that after 3 years, average age of patient population increases.

22. 2017 Probation/Parole

23. 2017 Emergency Room Visits

24. 2017 Hepatitis C

25. 2017 Primary Health Care Provider

26. 2017 Mental Health

27. 2017 Mental Health Provider

28. 2017 California Outcomes Measures System (CalOMS) Data
DISCHARGE DATA
Patients left with satisfactory progress = 85%
ANNUAL UPDATE DATA
Patients that used primary drug of choice in last 30 days = 10%
Patients that used secondary drug of choice in last 30 days = 16%
Patients that were arrested in last 30 days = <1%
Patients that spent days in jail and/or prison in the last 30 days = <1%

29. 2017 California Outcomes Measures System (CalOMS) Data
ANNUAL UPDATE DATA
Patients that visited emergency room in last 30 days = 2%
Patients that received emergency outpatient services for mental health in last 30 days = 3%
Patients that stayed over 24 hours in a hospital or psych facility for mental health needs in last 30 days = 1%
Patients that identified as homeless = 1%

30. 2017 Patient Survey

31. 2017 Workplace Survey

32. 2017 Workplace Survey

33. 2017 Workplace Survey

34. 2017 Workplace Survey

35. 2017 Workplace Survey

36. 2017 Workplace Survey

37. 2017 Workplace Survey

38. 2017 Workplace Survey

39. 2017 Workplace Survey

40. 2017 Workplace Survey

41. 2017 Workplace Survey

42. 2017 Workplace Survey

43. 2017 Workplace Survey

44. 2017 Workplace Survey