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Horizon House program review highlighting excellence in results, completion of building renovations, and improved resident orientation. Data shows increased successful program completions and reduced terminations. The report includes information on staff turnover rates, performance evaluations, client-related metrics, and program completion rates. Key improvements and challenges addressed with clear action plans for ongoing success.
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HORIZON HOUSE Comprehensive Program Review February 28, 2014
HIGHLIGHTS Highlights • Excellence in results with Federal Monitorings • Completion of building renovations – phase 1 • Community relations • Increase in successful program completions and decrease of resident terminations Best Practice • Improved comprehensive orientation process for residents
CHALLENGES • Employee Reviews • Quality Assurance of Medications • Location • Innovation
STAFFING Staff Turnover Rates Performance Evaluations Staff Training
STAFF TURNOVER RATES(1/1/13 - 12/31/13) • Last CPR, Horizon staff turnover was 30.4% compared to SJS at 35.7% • Last CPR, Overdue Performance Evaluations = 0 FT and 0 PT as of July 31, 2012. Data obtained from HR Turnover & Personnel Summary
STAFF RETENTION RATES Data obtained from HR Retention and Turnover Report
Staff Training Hours • Total of 337.5 training hours over six months; an average of 21.7 hours per staff/over six months or 3.6 hours per month/per staff. (This is a 18% decrease in training hours from previous CPR) • Last CPR, average of 25.8 hours per staff/over six months or 4.3 trainings hours per month; a total of 412 training hours over six months Data obtained from MMRs and HR Training Reports
PROGRAMMING • Utilization • Successful Completions • Completion with: • Employment • Permanent Housing
Utilization (July 2013-December 2013) • Current utilization rate is 107.26%; last CPR the utilization rate was 97%. This is an increase of 10.5% • Horizon House had an average of 34.32 clients; last CPR, an average of 31 clients Data obtained from Monthly Utilization Reports
Program Completion • Average of 81.8% of clients completed with employment. Last CPR 87.5% completed with employment. • Average of 97.8 of clients completed with housing. Last CPR 95.8% completed with housing. • Average of 95.9 % of clients successfully completed the program. (31% increase in successful completion rates from last CPR; last CPR = 73.2%) • Average of 4.1% of clients were terminated before completing the program. (84% decrease compared to last CPR, where 26.8% were terminated before completing the program). Data obtained from MMRs
CLIENT RELATED • Clinical Hours • Walk-Aways • Medication
Clinical Hours • Total Hours: 1,504; last CPR = 1,354 • (This is a 11% increase) • Total Life Skills Hours: 400 • Total Cognitive-Behavioral Hours: 1,104 • Average Total Clinical Hours per client/per month: 7.4; last CPR, the average clinical hours was 7.6 per client/per month • Average Life Skills Hours per client/per month: 1.9 • Average Cognitive-Behavioral Hours per client/per month: 5.4 • This CPR, Horizon served 205 clients (a 9.6% increase) compared • to last CPR = 187 clients Data obtained from MMRs
Medication Incidents: Medication errors were results of miscounts - discovered during internal audits of medication system. • Data obtained from MMRs
Quality Assurance Key MMR Results Satisfaction Surveys
KEY MMR RESULTS • 97.8% of the clients completed the program with permanent housing; last CPR = 95.8% • 95.4% of client discharge plans were developed with family involvement; last CPR = 91.6% • 81.8% of the clients completed the program with employment; last CPR = 87.5% • A total of 3 incidents involving contraband were reported ; last CPR = 3 • 100% of staff are certified in First Aid/CPR/AED Data obtained from MMRs
CLIENT SATISFACTION SURVEY (August 2013)
CLIENT SATISFACTION SURVEY (August 2013) N = 21
CLIENT SATISFACTION SURVEY (August 2013) • Answered AwaysandMost Times • Know how to file complaint = 20/21 or 95% • Know about contraband items = 20/21 or 95% • Observe UA = 19/21 or 90% • If there was a fire = 18/21 or 86% • Program rules are clear = 18/21 or 86% • Answered AwaysandMost Times • Things working in my room = 16/21 or 76% • Receive medical care = 16/21 or 76% • Overall program is clean = 15/21 or 71% • Food is good = 12/21 or 57% • Received Emergency Assistance = 8/21 or 38%
CPR ACTION PLAN ISSUE: Retention of residents COMMENTS: Last CPR, successful completion rate = 73.2% IMPROVEMENTS MADE: Currently, 95.9 % of clients successfully completed the program. (31% increase in successful completion rates from last CPR) ISSUE: Decrease staff turnover COMMENTS: Last CPR, the turnover rate was 30.4% IMPROVEMENTS MADE: Currently, 21.7 % staff turnover rate (40% decrease from last CPR) ISSUE: Need to develop more in-house programming opportunities for residents COMMENTS: No additional forms of programming offered, aside from required programs, at last CPR IMPROVEMENTS MADE: Additional forms of programming have included groups for female residents, financial planning courses, and gardening. The Horizon House is presently in the process of implementing a Yoga and Meditation program for residents and staff.