1 Q/I TX Clients who do not complete services achieve increased of functioning (LOF) Percentage of clients achieving increased LOF All clients terminated from services GAF scores in CareLogic documents (Admission Dx, Transition/ Discharge Plan) 30 40 50 Director, Treatment Services Clinical Team N:0% S: 0%* 2 Q/I ADSAP TX Clients complete services Percent of clients completing services All clients entering services Discharge status is “Complete” 50 60 70 Director, Treatment Services Clinical Team N:67% S:83% 3 Q/I ADSAP PRI Score 100 on Post-test Percentage of clients who 100 All clients terminated from services ADSAP Log 50 75 90 ADSAP Coordinator Clinical Team N: 51% S: 0%* 4 Q/I Adol TX Clients who do not complete services achieve increased of functioning (LOF) Percentage of clients achieving increased LOF All clients terminated from services GAF scores in CareLogic documents (Admission Dx, Transition/ Discharge Plan) 20 30 40 Director, Treatment Services Clinical Team N: 40% S:50% 5 Q/I Adol TX Clients complete services Percent of clients completing services All clients entering services Discharge status is “Complete” 50 60 70 Director, Treatment Services Clinical Team N: 64% S:83% completing
6 Q/I CBT TX Clients who do not complete services achieve increased level of functioning (LOF) Percentage of clients achieving increased LOF All clients terminated from services GAF scores in CareLogic documents (Admission Dx, Transition/ Discharge Plan) 30 40 50 Director, Treatment Services Clinical Team N:52% S:25% 7 Q/I CBT TX Clients complete services Percent of clients services All clients entering services Discharge status is “Complete” 50 60 70 Director, Treatment Services Clinical Team N:39% S:64% 8 Q/I Gen CBT TX Clients will demonstrate increased ability to cope Percent increase on instrument scale All clients admitted for the services Survey instrument (pre-/post-) (Instrument scale) Questions 1, 2 & 3 10 20 35 Primary counselor/ Program coordinator Outpatient QIC N:20% S: 27% 9 Q/P TX Maximize scores on reviews of quality/ admin./ appropriateness of client care quality, and of client care Objectives set in management plans and Quarterly progress report 75 80 95 Department Heads Team *See 10 Q/P ADSAP TX Clients exiting the program will score at least an average rating of “4” The percentage of clients rating the program a “4” or higher 100% completed program surveys ADSAP Program satisfaction survey instrument 75 80 90 Primary counselor/ Program coordinator Outpatient QIC *100% 11 Q/P ADSAP TX Clients will receive ADSAP Curriculum service within 30 days of assessment Days from assessment to service 100% of ADSAP clients admitted C/L Report 55 65 75 Program Coordinator Program Dir. Treatment N:71% S:67%
12 Q/P Adol TX Clients assessed for the program will score at least an average rating of “4” The % of program evaluations rating the program a “4” or higher 100% of clients assessed Program survey instrument 75 80 85 Primary counselor/ Program coordinator Outpatient QIC 100% 13 Q/P CBT TX Program will benefit clients The percentage of clients rating the program a “4” or higher 100% completed program surveys Post survey instrument Question 4 75 80 90 Primary counselor/ Program coordinator Outpatient QIC N:94% S:100% 14 Q/P GEN TX Clinicians will maintain caseload Average caseload count Clinical FTEs (excluding PRI) CareLogic Caseload Report 20 25 30 Director, Treatment Team N: 50 S: 33 15 Q/P ADSAP Coordinator will maintain caseload Average caseload count ADSAP Coordinator CareLogic Caseload Report 35 42 50 Director, Treatment Team N: 39 S: 24 16 Q/P ADM Maximize % of strategic/ management plan objectives accomplished Percent of strategic/ management plan objectives accomplished Objectives set forth in plans Quarterly progress report 75 80 95 Department Heads Team 66% 17 Q/P ADM To facilitate the completion of employee evaluations as scheduled Percent of performance evaluations completed as scheduled All evaluations Employee personnel records 90 95 100 Department Dir. Admin. 80%
18 Q/P ADM Maintain personnel files according to legal standards Percent of personnel files maintained to standard All employee PFMF Personnel File Monitor Form 90 95 100 Dir. Dir. Admin. 99% 19 SA/I TX Social Connectedness Rate of clients involved in aftercare 15% of matched clients days post discharge DAODAS Survey =/> state average Admin QIC Team 13.3% 20 SA/I TX Social Connectedness Rate of families who communicate drug use From what clients want to what was achieved Program Pre-/Post Survey Questions 5&6 20% 25% 33% Dir, Treatment OP QIC N:15% S:30%* 21 SA/I TX Social Connectedness Percent discharged clients arrested on any charge in prior 30 days 15% of matched clients days post discharge DAODAS Survey =/> average Admin Staff & Admin QIC Team 0 22 SA/I TX Social Connectedness Percent discharged clients (students) expelled or in detention 15% of matched clients days post discharge DAODAS Survey =/> average Admin QIC Team 0 110
23 SA/I TX Employment/ Education Percent of clients employed or in school in a 30 day period or more 15% of matched clients days post discharge DAODAS Survey =/> state average Admin Staff & Admin QIC Admin QIC & Team 100% 24 SA/I TX Reduce Morbidity Percent discharged clients who abstain from alcohol use in past 30 days 15% of matched clients days post discharge DAODAS Survey 65% 75% 85% Admin Staff & Admin QIC Admin QIC & Team 100% 25 SA/I TX Reduce Morbidity Percent discharged clients who abstain from illicit drug use in past 30 days 15% of matched clients days post discharge DAODAS Survey 80% 90% 100% Admin Staff & Admin QIC QIC & Team 50% 26 SA/I TX Reduce Morbidity Percent discharged clients who abstain from tobacco use in past 30 days 15% of matched clients days post discharge DAODAS Survey 50% 60% 70% Admin Staff & Admin QIC Admin QIC & Team 100% 27 SA/I TX Reduce Morbidity Percent discharged clients who reduce alcohol intoxication in past 30 days 15% of matched clients days post discharge DAODAS Survey 80% 90% 100% Admin Staff & Admin QIC Admin QIC & Team 100%
28 SA/I TX Increase housing stability Percent of discharged clients homeless in last 30 days 15% of matched clients days post discharge DAODAS Survey 0% 1.5% 3% Admin Staff & Admin QIC QIC & Team 0 29 SA/P TX Improves access to services Admissions to Outpatient Clients admitted CareLogic 20 22 25 Monthly Average Dir, Treatment OP QIC N=14.6 S=8.6 30 SA/P TX Improves access to services Admissions to ADSAP-PRI Clients admitted CareLogic 3 5 8 Monthly Average Dir, Treatment OP QIC N=4.8 S=2 31 SA/P TX Maximize clinical time Agency average direct staff hours Portion of Clinical Time Care Logic/Clinical Activity Reports 12 15 20 Hours Exec. Dir. Team 13 32 SA/P TX Maximize clinical time Agency average billable hours Charting billable hours Clinical Activity Report 15 20 25 Exec. Dir. Team 12 33 SA/P TX Increase retention in treatment and education Continued engagement in treatment within 30 days after 1st clinical svc DAODAS contract Care Logic Admissions Report crossed with Service History (Sample) 2 3 4 Dir, Administration Executive Team 3.6 34 SA/P TX Clients satisfied with treatment services Satisfaction with engagement and comfort Clients in service on 1st and 15th each month Satisfaction Survey questions 1, 2, 3, 4, 5 Satisfaction Survey 6 Overall 85 70 100 85 70 100 85 70 100 Program Facilitator and Admin Staff Clinical Staff Dir, Sp. Progs Admin QIC and OP QIC 92.6% 95.3% 93.8%
40 SA/I PREV Reduce Morbidity Reduction in other drug use during last 30 days Students participating in education curriculum Year End Prevention Outcome Evaluation Report (Pre-/ 10% 15% 20% Program Facilitator Prev QIC & DAODAS 24% 41 SA/I PREV Improve educational curriculum attendance Enrollment in curriculum # enrolled roster count (available from teacher) 100 120 Program Facilitator Dir, Prevention 523 42 SA/I PREV Improve perception of risk and negative attitudes Increase in perception of risk of/ harm from substance use Students participating in education curriculum Year End Prevention Outcome Evaluation Report (Pre-/ 5% 10% 15% Program Facilitator Prev QIC & DAODAS 11.3% 43 SA/I PREV Family Communication around drug use Information efforts # articles published in newspaper 4 6 8 Dir, Spec. Progs. Prev QIC 10 44 SA/I PREV Increase social attachments Family around drug use Parenting Classes Rosters 0 2 4 Program Facilitator Prev QIC 14 45 SA/I PREV Improve perception of risk and negative attitudes Increase in disapproval/ negative attitude toward substance use Students participating in education curriculum Year End Prevention Outcome Evaluation Report (Pre-/ 5% 10% 15% Program Facilitator Prev QIC & DAODAS 2.1% 46 SA/P ADM To accidents in the workplace # of workplace accidents All accidents in the workplace Q Risk Management Report 2 1 0 Risk Management Committee Dir, Adm 2