1. Comprehensive Program Review September 21, 2012

2.  FBOP Monitoring Results. 4/2012 cited for 1 deficiency which is down from 9 in 11/2011. 6/2012, cited for 0 deficiencies  Programming additions: Three raised garden beds have been installed for therapeutic use. Additionally, “Stages of Change” group session has been incorporated for residents  Worked in the immediate community assisting neighbors with home maintenance/repairs, snow/trash removal and joined in the birthday celebration of a neighbor  Community outreach efforts include: maintaining a community relations advisory board, participating in various academic events, endorsing a minor-league team through a donation  Created working partnerships with various local individuals and agencies  Program Director and Case Manager participating in SJS Department Case Management Assistance Team to develop a training curriculum and technical assistance for department programs

4.  Retention of residents  Retention of staff  Develop more in-house programming opportunities for residents  Physical building and facility issues

5. Staff Turnover Rate Overdue Performance Evaluations FEB1 FT2 PT MAR6 FT3 PT APRIL1 FT1 PT MAY0 FT0 PT JUNE0 FT0 PT JULY0 FT0 PT  Average: 1.33 FT Overdue Performance Evaluations  Last CPR turnover rates: (11/1/2010-10/31/2011) -Horizon House was 6.3% -SJS was 25.2% -Overall yearly average was 24.1 (8/1/2011 – 7/31/2012) Data obtained from HR Department & HR Personnel Summary

6.  Horizon House was operating at an average of 97% capacity for the above time frame  Average utilization: 31 clients  Last CPR averaged 17 clients in a three month period (September, October, November). Average utilization increase of 14 clients per month Data obtained from MMRs

7.  Overall completion rate for the above time frame is 73.2%  87.5% completed with employment  95.83% completed with permanent housing

8.  Total Clinical Hours = 1354 (February – July 2012)  Average of 7.63 clinical hours per client each month.  Last CPR, there was an average of 4.35 clinical hours per client each month for an increase of 3.28 hours per client each month Data obtained from MMRs

9. & last CPR  Last CPR, there was a total of three medication incidents over the span of three months (September, October, November 2011). Comparatively, there has been a 50% reduction.

10. Data obtained from MMRs

15.  98% of staff were current in first aid certification for the above time frame. As of June, 2012 100% of staff are current in first aid, CPR, and AED certifications.  88% of clients completed the program with employment in the above time frame. September-November 2011, 32% of clients completed the program with employment (increase of 56%).  96% of clients completed the program with permanent housing.  92% of client discharge plans were developed with family involvement. Data obtained from MMRs and CPR 2011

16.  See Handout