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HORIZON HOUSE. Comprehensive Program Review September 25, 2015. HIGHLIGHTS. Successful PREA audit Awarded increased bed capacity by City of Albany Facility improvements to both buildings High Utilization
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HORIZON HOUSE Comprehensive Program Review September 25, 2015
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.)
CHALLENGES • Accommodating growth and ensuring the delivery of quality programming • Incorporating video conferencing in a more meaningful way
STAFFING Staff Turnover Rates Staff Retention Rates Staff Training Hours
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
STAFF RETENTION RATES • Last CPR, Horizon staff retention was 80% compared to SJS at 70.3% Data obtained from HR Turnover and Retention Reports
Staff Training Hours • Total of 294.5 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
PROGRAMMING • Utilization • Successful Completions • Completion with: • Employment • Permanent Housing
Utilization (February 2015 – July 2015) • Current utilization rate is 105.26% (This is a 3.1% decrease from previous CPR). Last CPR the utilization rate was 108.7%. • Horizon House had an average of 33.68 clients; last CPR, an average of 34.7 clients Data obtained from Monthly Utilization Reports
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
CLIENT RELATED • Clinical Hours • Walk-Aways • Medication
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
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
Quality Assurance KEY MMR RESULTS SATISFACTION SURVEYS
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
CLIENT SATISFACTION SURVEY (July 2015)
CLIENT SATISFACTION SURVEY (July 2015)
LAST CPR ACTION PLAN 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