horizon house comprehensive program review october 31, 2014 1

HORIZON HOUSE

Comprehensive Program ReviewOctober 31, 2014

1

Maintenance of a successful operation

Overcoming staffing issues

Best Practice Employing a second Case Manager to work

with those residents displaying mental health, adjustment, or disciplinary issues

HIGHLIGHTS

2

CHALLENGES

Integration of our new position (Community Case Manager) into the operational format of the program

Accommodating growth

3

STAFFING

Staff Turnover RatesStaff Retention Rates

Staff Training Hours

4

Emerging Leaders Graduation Photo

STAFF TURNOVER RATES

Horizon Brooke Coolidge Hampshire McGrath SJS CRJ Overall - Average

34.5%

38.1%

34.7%

20.8%

25.0%

28.2% 27.9%

21.7%

36.8% 38.6%

14.3%

30.4%

38.3%

28.5%

9/1/13-8/31/14 1/1/13-12/31/13

5

Data obtained from HR Turnover and Retention Reports

Last CPR, HH staff turnover was 21.7% compared to SJS at 38.3%

STAFF RETENTION RATES

Horizon Brooke Coolidge Hampshire McGrath SJS CRJ Overall - Average

80.0%

61.1%56.3%

83.3%

66.7% 70.3% 71.4%

60.0%63.2% 66.7%

78.6%

66.7%

56.6%

68.2%

9/1/2013-8/31/2014 1/1/2013-12/31/2013

6

Data obtained from HR Turnover and Retention Reports

Last CPR, HH staff retention was 60% compared to SJS at 56.6%

STAFF TRAINING HOURS

Data obtained from MMRs and HR Training Reports

Total of 467 training hours over six months; an average of 30.1 hours per staff/over six months or 5.02 hours per month/per staff. (This is a 38% increase in training hours from previous CPR)

Last CPR, average of 21.7 hours per staff/over six months or 3.6 trainings hours per month; a total of 337.5 training hours over six months

7

PROGRAMMING

• Utilization• Successful Completions• Completion with:o Employmento Permanent Housing

8

UTILIZATION (March 2014 – August 2014)

March April May June July August

35.5

33.8

34.9

35.8

33.6

35

32 32 32 32 32 32

Monthly Average of Clients Capacity

Current utilization rate is 108.7% (This is a 1.3% increase from previous CPR). Last CPR the utilization rate was 107.3%.

Horizon House had an average of 34.7 clients; last CPR, an average of 34.3 clients

Data obtained from Monthly Utilization Reports 9

PROGRAM COMPLETION

Average of 95.1% of clients completed with employment. (This is a 16% increase from previous CPR). Last CPR 81.8% completed with employment.

Average of 98.9 of clients completed with housing. Last CPR 97.8% completed with housing. Average of 89% of clients successfully completed the program. (This is a 7.1% decrease from

previous CPR). Last CPR = 95.9% Average of 11% of clients were terminated before completing the program; last CPR = 4.1%

Data obtained from MMRs


9

6 6 5

16

6

9

6 6 5

14

5

9

6 6 5

15

6

1 02 1 1 1

Clients Completing Program With Employment With Housing Terminated Before Completion

10

CLIENT RELATED

• Clinical Hours• Walk-Aways• Medication

11

Se-ries

1

02468

1012

Series1

Series2

CLINICAL HOURS

Average Total Clinical Hours per client/per month: 8.6; last CPR, the average clinical hours was 7.4 per client/per month

Average Life Skills Hours per client/per month: 2.4; last CPR = 1.9

Average Cognitive-Behavioral Hours per client/per month: 6.1; last CPR = 5.4

Total Hours: 1,790; last CPR = 1,504

(This is a 19% increase)

Total Life Skills Hours: 510; last CPR = 400

Total Cognitive-Behavioral Hours: 1,280; last CPR = 1,104Data obtained from MMRs


280

310 310 300

250

340

80 90 90 8060

110

200220 220 220

190

230

Total Hours Life Skills Cognitive-Behavioral

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CLIENT WALK-AWAYS 3/14 - 8/14 7/13 -12/13

Horizon House 1 2

MEDICATION INCIDENTS 3/14 – 8/14 7/13 - 12/13

Horizon House 3 16

Total of 3 medication incidents ( this is a 81% decrease from last CPR). Last CPR, a total of 16 Medication Incidents, resulting from miscounts - discovered during

internal audits of medication system. Client Walk-Aways = decrease of 50% from last CPR.


13

QUALITY ASSURANCE

KEY MMR RESULTS

SATISFACTION SURVEYS

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KEY MMR RESULTS • 98.9% of the clients completed the program with permanent

housing; last CPR = 97.8%• 89.7% of client discharge plans were developed with family

involvement; last CPR = 95.4%• 95.1% of the clients completed the program with

employment; last CPR = 81.8%• A total of 7 incidents involving contraband were reported ;

last CPR = 3• 100% of staff are certified in First Aid/CPR/AED; last CPR =

100%


15

CLIENT SATISFACTION SURVEY (August 2014)

The staff were very clear about program rules and what was

expected of me

Staff are friendly and easy to talk

to

Staff use respect-ful language and conducted them-

selves profes-sionally

Staff are fair and consistent to me

The way staff treat me en-

courages me to improve my be-

havior

Staff are re-sponsive to any problems I bring

to them

Staff are avail-able when I need

them

Staff apply sanc-tions for rule vio-lations fairly and

consistently

0 01 1 1

0 0

34 4

23

43 3 3

78

7

9

5

78

4

98

11

8 8

10 10

4

1 10 0

3

10

7

PROGRAM STAFF

Never Sometimes Most Times Always No Answer/Not Applicable

N = 21

16


17


I feel safe in the program I feel prepared to move back into the community

My relationship with my family has improved

I am better prepared to handle responsibility

I am benefitting from be-ing in the program

1 1 1 1 11 12

1

334

32

5

15 15

11

14

9

10

43 3

CLIENT INFORMATION


N = 21

18


2 21

7 7

0

21

0 0

32

5 5

2 21 1

3

1

8

43

6

01

0 0

5

2

8

13

8

32

1718

19

13

18

0 0

4

0

10

10 0 0 0

PROGRAM INFORMATION


N = 21

19

CPR ACTION PLANISSUE: Reduce Number of Medication Incidents COMMENTS: Last CPR, a total of 16 Medication Incidents, resulting from miscounts - discovered during internal audits of medication system. IMPROVEMENTS MADE: Current CPR, total of 3 medication incidents

(this is a 81% decrease from last CPR).

MONITOR PROGRESS:

Location – integration of video conferences/trainings to help foster sense of belonging

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horizon house comprehensive program review october 31, 2014 1

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