1. Comprehensive Program Review September 25, 2015
HORIZON HOUSE
Comprehensive Program Review September 25, 2015

2. HIGHLIGHTS Successful PREA audit
Awarded increased bed capacity by City of Albany
Facility improvements to both buildings
High Utilization
Increased Staff awareness about social issues that affect Horizon House residents (racial inequality, gang related issues, etc.)

3. CHALLENGES
Accommodating growth and ensuring the delivery of quality programming
Incorporating video conferencing in a more meaningful way

4. STAFFING Staff Turnover Rates Staff Retention Rates
Staff Training Hours

5. STAFF TURNOVER RATES
Last CPR, Horizon staff turnover was 34.5% compared to SJS at 28.8%
Data obtained from HR Turnover and Retention Reports

6. STAFF RETENTION RATES
Last CPR, Horizon staff retention was 80% compared to SJS at 70.3%
Data obtained from HR Turnover and Retention Reports

7. Staff Training Hours
Total of training hours over six months; an average of 16.9 hours per staff/over six months or 2.8 hours per month/per staff. (This is a 36.9% decrease in training hours from previous CPR)
Last CPR, a total of 467 training hours over six months; average of 30.1 hours per staff/over six months or 5.2 trainings hours per month.
Data obtained from MMRs and HR Training Reports

8. PROGRAMMING Utilization Successful Completions Completion with:
Employment
Permanent Housing

9. Utilization (February 2015 – July 2015)
Current utilization rate is % (This is a 3.1% decrease from previous CPR). Last CPR the utilization rate was 108.7%.
Horizon House had an average of clients; last CPR, an average of 34.7 clients
Data obtained from Monthly Utilization Reports

10. Program Completion
Average of 82.3% of clients completed with employment. (This is a 12.8% decrease from previous CPR). Last CPR 95.1% completed with employment.
Average of 98.6% of clients completed with housing. Last CPR 98.9% completed with housing.
Average of 81.7% of clients successfully completed the program. (This is a 7.3% decrease from previous CPR). Last CPR = 89%
Average of 18% of clients were terminated before completing the program. Last CPR = 11%
Data obtained from MMRs

11. CLIENT RELATED
Clinical Hours
Walk-Aways
Medication

12. Clinical Hours Total Hours: 2,250; last CPR = 1,790
(This is a 26% increase)
Total Life Skills Hours: 930; last CPR = 510
Total Cognitive-Behavioral Hours: 1,320;
last CPR = 1,208
Average Total Clinical Hours per client/per month: 10.7; last CPR, the average clinical hours was 8.6 per client/per month
Average Life Skills Hours per client/per month: 4.4; last CPR = 2.4
Average Cognitive-Behavioral Hours per client/per month: 6.3;
last CPR = 6.1
Data obtained from MMRs

13. MEDICATION INCIDENTS CLIENT WALK-AWAYS
2/15 – 7/15
3/14 – 8/14
Horizon House 4 3
CLIENT WALK-AWAYS
2/15 – 7/15
3/14 - 8/14
Horizon House 4 1
Total of 4 medication incidents (this is a 33% increase from last CPR).
Last CPR, a total of 3 Medication Incidents, resulting from miscounts - discovered during internal audits of medication system.
Client Walk-Aways = increase of 300% from last CPR.
Data obtained from MMRs

14. Quality Assurance
KEY MMR RESULTS SATISFACTION SURVEYS

15. KEY MMR RESULTS
98.6% of the clients completed the program with permanent housing; last CPR = 98.9%
93% of client discharge plans were developed with family involvement; last CPR = 89.7%
82.3% of the clients completed the program with employment; last CPR = 95.1%
A total of 9 incidents involving contraband were reported; last CPR = 7
100% of staff are certified in First Aid/CPR/AED; last CPR = 100%
Data obtained from MMRs

16. CLIENT SATISFACTION SURVEY (July 2015)

17. CLIENT SATISFACTION SURVEY (July 2015)

18. CLIENT SATISFACTION SURVEY (July 2015)

19. CLIENT SATISFACTION SURVEY (July 2015)

20. LAST CPR ACTION PLAN (This is a 13.7% decrease from last CPR.)
ISSUE: Decrease Staff Turnover
COMMENTS: Last CPR, staff turnover was 34.5%
IMPROVEMENTS MADE: Current CPR, staff turnover is 20.8%
(This is a 13.7% decrease from last CPR.)
ISSUE: Client satisfaction survey – improvement in the “staff are fair and consistent” under “Program Staff” section of survey -- a higher number of respondents should feel this is “always”
COMMENTS: Last CPR, 38% of respondents reported, staff were always fair and consistent
IMPROVEMENTS MADE: Currently, 47% of respondents reported, staff were always fair and consistent

21. CPR ACTION PLAN (Next 6 months)
Proposed Objective
Proposed Timeline
ACA Accreditation
November 2015
More Community Engagement
December 2015 – December 2016
Collaborate with CRJ to identify plans to get services in emergency situations
TBD
Proposed Objective
Proposed Timeline