COMMUNITY STRATEGIES: New Hampshire

1. COMMUNITY STRATEGIES:New Hampshire Comprehensive Program Review April 25, 2014

2. HIGHLIGHTS • Eric (individual at ACTIVELife) is walking for the first time since he broke both legs due to a seizure (2½ years). This is from the DSP’s hard work and dedication. • Brian (individual at ACTIVELife ) is now living with a family and is socializing (he was anti-social in the past) at both ACTIVELife and the community. Additionally, he was given 4 weeks to live due to his diabetes and not taking his meds accurately. He now has excellent sugar levels and his glucose testing has gone from 2 times per day to 2 times per week. • Tina (individual in Middleton) has lost over 100 pounds and is now off her insulin. She is still working on losing another 50 to 75 pounds. 

3. HIGHLIGHTS (continued) • ACTIVELife received the following email from the Region 5 Director of Case Management: Hi Leslie,  I just wanted to let you know at our department meeting yesterday it was mentioned that CSNH has been doing a really fantastic job at making sure individuals are involved in their community and socializing. Service Coordinators think it is fantastic that your staff are taking pictures of what individuals are doing for teams, guardians and individuals themselves! Some individuals that have not been as involved socially have really made improvements by the activities and positive outlook of your staff. Bravo! Keep up the great work!  Alison, Director of Case Management • Sandy Tarlow, Clinician, is covering clinical services two times per week in NH.  Best Practices • The Creative Ideation Team!

4. ACTIVELife

5. CHALLENGES • New revisions to He-M 507 (Community Participation Services): The new expectation for "unspecified community activities" not to exceed 20% of an individual's total CPS hours per week.  This is stating that if our clients are within our center for more than an hour at a time it will not be billable. • Job placement:  The area agency in our region supports close to 900 individuals.  Roughly 700 of 900 individuals are currently looking for part-time employment in this area.  Last week, looking at jobs posted online and in the newspapers for part-time (not requiring a degree or any previous formal training) only 9 jobs were posted.  This does not include those looking for employment that do not have a disability.  • Limited external resources such as an Administrative Assistant in Keene, janitorial services, storage facility, etc. • Handicap parking in Keene especially for individuals with physical disabilities and those utilizing wheelchairs.

6. STAFFING Staff Turnover Rates Staff Retention Rates Overdue Performance Evaluations Staff Training Hours

7. STAFF TURNOVER RATES Data obtained from HR Turnover and Retention Reports

8. STAFF RETENTION RATES Data obtained from HR Turnover and Retention Reports • April 2013: Data = N/A; data not available for CSNH; CSCT; CSMA and CRJ- Overall • February 2014 : Unity Data = N/A (program closed on 1/31/14)

9. STAFFING • OVERDUE PERFORMANCE EVALUATIONS • Last CPR, a total of 10 FT and 4 PT overdue performance evaluations • Data obtained from HR Department & HR Personnel Summary

10. STAFF TRAINING HOURS • A total of 328.75 training hours; an average of 8.4 hours per staff/over six months (13.5% increase from previous CPR) • Last CPR, a total of 331 training hours completed; an average of 7.4 training hours per staff/over six months. Data obtained from MMRs and HR Reports

11. CLIENT RELATED • Clinical Hours • Elopements • Restraints • New Clients • Medication

12. CLINICAL HOURSSeptember 2013 – February 2014 • A total of 94.75 clinical individual and groups hours offered; an average of .40 clinical hours per client/ per month or 2.4 clinical hours over six months. (This is a 35% decrease from previous CPR) • Last CPR, total clinical hours = 180; an average of .62 clinical hours per client/month or 3.7 clinical hours over six months Data obtained from MMRs

13. New Clients - CSNH Data obtained from MMRs

14. MEDICATION INCIDENTS & OCCURRENCES • No Medication Incidents and Occurrences; this is a 400% decrease from previous CPR  • Last CPR, a total of 4 medication incidents and occurrences Data obtained from MMRs

15. KEY MMR RESULTS • “0” client incidents involving contraband • 12 site visits from outside funders; last CPR = 6 • Keene and Manchester: 39 clients at end of February 2014 • 12 out of 39 (31%) competitively employed • 27 out of 39 (69%) in day programs • Department success with individual's community involvement average of 94.2% over six months; last CPR = 92% • Keene = 90%; Manchester = 94.2%; Unity = 98.8%

16. CPR ACTION PLAN ISSUE: Decrease the Overdue Performance Evaluations COMMENTS: Last CPR, a total of 10 FT and 4 PT evaluations were overdue IMPROVEMENTS MADE: Currently, a total of 10 FT and 4 PT evaluations were overdue – no change from last CPR ISSUE: Decrease Medication Incidents/Occurrences COMMENTS: Last CPR, a total of 4 medication incidents/occurrences IMPROVEMENTS MADE: Currently, no medication incidents/occurrences – a decrease of 400% ISSUE: Track training hours of staff COMMENTS: Last CPR, a total of 331 staff training hours recorded via E Learning and MMR -- did not track all the behavioral/clinical training of staff IMPROVEMENTS MADE: Currently, a total of 328.75 staff training hours, included all behavioral/clinical training hours