Annual Performance Summary 2014 Performance Improvement Plan - - PowerPoint PPT Presentation
Annual Performance Summary 2014 Performance Improvement Plan Describes how we systematically measure, monitor and improve the performance of the SPBHS over time Specifies performance indicators and target goals for the year
Performance Improvement Plan
monitor and improve the performance of the SPBHS over time
for the year
team, performance improvement specialist
Quality of Measures
summary
completeness of the data reported here is
indicate when caution in interpretation should be exercised.
to the outcomes they report, specific CSR reliability and validity measures for persons with severe mental illness or cognitive disabilities are not available and may influence the quality of data.
100 100 100 100 100 100 100 100
25 50 75 100 Q1 14 Q2 14 Q3 14 Q4 14
Business Function: Grant funding reporting requirements are submitted timely and accurately Goal: 100%
BH Grant DD Grant
98.48 98.73 99.25 99.18 25 50 75 100 Q1 14 Q2 14 Q3 14 Q4 14
Business Function: AKAIMS data integrity minimal data set report Goal: 98%
100 100 100 100 25 50 75 100
Q1 14 Q2 14 Q3 14 Q4 14
Business Function: Funds on hand for 90 days of SPBHS operations Goal: 100%
55 73.5 58 56 69 78 88 72 25 50 75 100 Q1 13 Q2 13 Q3 13 Q4 13 Q1 14 Q2 14 Q3 14 Q4 14
Effectiveness: Percent of clients reporting improvement in life domains between first and second CSR Goal 90%- All BH clients 65% for FY14
BH Adults BY Youth ALL
60 66.5 58 47 94 84 70 86 25 50 75 100 Q1 13 Q2 13 Q3 13 Q4 13 Q1 14 Q2 14 Q3 14 Q4 14
Effectiveness: Percent of clients reporting improvement in quality of life domains between first and second CSR Goal: 90%- All BH clients 62% for FY14
BH Adults BH Youth ALL
85 75.5 100 85 56.25 52.1 75.95 74.9 25 50 75 100 Q1 13 Q2 13 Q3 13 Q4 13 Q1 14 Q2 14 Q3 14 Q4 14
Effectiveness: Percent of clients who report their quality of life as Satisfied or better on the second CSR Goal: 90%- All BH clients 85% for FY14
BH Adults BH Youth ALL
96.3 95.5 97.2 97.8 95.8 98.3 96.6 98.11 25 50 75 100 Q1 14 Q2 14 Q3 14 Q4 14
Efficiency: Percent of CSR’s completed within the required 135 days from previous CSR Goal: 98%- All BH clients 97% for 2014
BH Adults BH Youth
5.5 5.8 11.6 11.1 7.5 6.7 5.7 4.87 0.8 0.0 2.7 3.0 1.8 0.8 2.8 0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0 Q1 13 Q2 13 Q3 13 Q4 13 Q1 14 Q2 14 Q3 14 Q4 14
Efficiency: Percent of active BH recipients who have not been seen for a face-to-face contact for at least 135 days Goal: <5%- All BH clients 4.5% for 2014
BH Adults BH Youth
9.3 17.8 4.7 11.4 10.9 9.7 16.4 12.4 5 10 15 20 25 30 Q1 14 Q2 14 Q3 14 Q4 14
Efficiency: Elapse time of less than 30 days on average between experiencing Alaska Screening Tool (AST) to first service for BH Adults and Youth Goal: <30 Days- Average of 12 days all BH clients for 2014
BH Adults BH Youth
25 50 75 100 Q1 13 Q2 13 Q3 13 Q4 13 Q1 14 Q2 14 Q3 14 Q4 14
Efficiency: Percent of clients for whom AST is completed at admission Goal: 95%
BH Adults BH Youth
25 50 75 100 Q1 13 Q2 13 Q3 13 Q4 13 Q1 14 Q2 14 Q3 14 Q4 14
Efficiency: Percent of initial CSRs completed at admission Goal: 95%
BH Adults BH Youth
43 47 57 60 76 58 67 74 63 44 60 62 25 50 75 100 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Q1 14 Q2 14 Q3 14 Q4 14
Efficiency: Percent of full-time DD service staff documentation that is turned in by due date each week for services provided in the preceding week Goal: 90%
73 61 61 60 53 63 50 42 26 26 60 48 49 58 53 25 50 75 100 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13 Q1 14 Q2 14 Q3 14 Q4 14
Efficiency: Percent of full-time BH Adult staff documentation that is turned in by due date each week for services provided in the preceding week Goal: 90%
73 61 61 60 53 63 50 42 26 26 60 48 49 58 53 25 50 75 100
Efficiency: Percent of full-time STEPs staff documentation that is turned in by due date each week for services provided in the preceding week Goal: 90% ‘0’ in January of 2013 was data unavailable
41 51 61 61 25 50 75 100 Q1 14 Q2 14 Q3 14 Q4 14
Efficiency: Percent of ALL full-time staff documentation that is turned in by due date each week for services provided in the preceding week Goal: 90% Average across all FT staff for 2014 is 53.5%
12 64 22 62 85 93 88 100 80 93 100 85 86 90 89 83 89 100 75 86 86 100 71
25 50 75 100 Jan-13 Mar-13 May-13 Jul-13 Sep-13 Nov-13 Jan-14 Mar-14 May-14 Jul-14 Sep-14 Nov-14
Access: Percent who present for non-emergent services who are provided an initial BHA the same day they present Goal: 10% SPBHS averaged 14.6 BHA's per month in 2014
40 42 49 39 38 45 33 30 37 36 39 40 10 20 30 40 50 60 Jan-13 Feb-13 Mar-13 Apr-13 May-13 Jun-13 Jul-13 Aug-13 Sep-13 Oct-13 Nov-13 Dec-13
2013 Indicator Access: Average number of calendar days from referral to initial non-emergent psychiatric evaluation All populations Goal: 30 days (Changed to percentage in 2014)
50 86 100 100 88 71 100 100 75 83 25 25 50 75 100 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14
2014 Indicator Access: Percent of adults presenting for non-emergent psychiatric services who have initial psychiatric evaluation within 30 days of referral Goal: 95% SPBHS averaged 6 adult psychiatric evaluations per month in 2014
100 75 75 100 100 100 100 50 100 100 25 50 75 100 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14
Access: Percent of Youth presenting for non-emergent psychiatric services who have initial psychiatric evaluation within 30 days of referral Goal: 95% SPBHS averaged 2 youth psychiatric evaluations per month in 2014
Stakeholder Input: Percent of PRIDE recipients or family members who Agree or Strongly Agree that they are satisfied with their care providers Goal: 80%
81 25 50 75 100
2013
100 95 25 50 75 100
2014- Persons served I/DD 2014- Family Members
93 87 100 92 87 87 94 95 90 100 100 86 100 100 100 100 25 50 75 100 Q1 13 Q2 13 Q3 13 Q4 13 Q1 14 Q2 14 Q3 14 Q4 14
Stakeholder Input: Percent of clients who report being Satisfied or better regarding getting service and being treated with respect on the second CSR Goal: 80%- All BH clients 93% FY14
BH Adults BH Youth
2015 Improvement Priorities
documentation.
representation of I/DD services.
non- emergent psychiatric assessments.