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 • Implemented by the performance improvement team, performance improvement specialist • Accountability to the community for the quality of care provided and the public funds used

Quality of Measures • As this is our second annual performance summary • The reliability, validity, accuracy and completeness of the data reported here is improving. Footnotes throughout the report indicate when caution in interpretation should be exercised. • While the CSR generally links the care people get 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.

Business Function: Grant funding reporting requirements are submitted timely and accurately Goal: 100% 100 100 100 100 100 100 100 100 100 75 BH Grant 50 DD Grant 25 0 Q1 14 Q2 14 Q3 14 Q4 14

Business Function: AKAIMS data integrity minimal data set report Goal: 98% 99.25 99.18 98.73 98.48 100 75 50 25 0 Q1 14 Q2 14 Q3 14 Q4 14

Business Function: Funds on hand for 90 days of SPBHS operations Goal: 100% 100 100 100 100 100 75 50 25 0 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 100 88 78 75 73.5 72 69 58 56 55 BH Adults 50 BY Youth ALL 25 0 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 100 94 86 84 75 70 66.5 60 58 BH Adults 50 BH Youth 47 ALL 25 0 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 100 100 85 85 75.95 75.5 75 74.9 56.25 BH Adults 52.1 50 BH Youth ALL 25 0 Q1 13 Q2 13 Q3 13 Q4 13 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 98.3 98.11 97.8 97.2 96.6 96.3 100 95.8 95.5 75 BH Adults 50 BH Youth 25 0 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 14.0 12.0 11.6 11.1 10.0 8.0 7.5 BH Adults 6.7 BH Youth 6.0 5.8 5.7 5.5 4.87 4.0 3.0 2.8 2.7 2.0 1.8 0.8 0.8 0.0 0.0 0 Q1 13 Q2 13 Q3 13 Q4 13 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 30 25 20 17.8 16.4 BH Adults 15 12.4 BH Youth 11.4 10.9 9.7 9.3 10 4.7 5 0 Q1 14 Q2 14 Q3 14 Q4 14

Efficiency: Percent of clients for whom AST is completed at admission Goal: 95% 100 75 BH Adults 50 BH Youth 25 0 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% 100 75 BH Adults 50 BH Youth 25 0 Q1 13 Q2 13 Q3 13 Q4 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% 100 76 75 74 67 63 62 60 60 58 57 50 47 44 43 25 0 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% 100 75 73 63 61 61 60 60 58 53 53 50 50 49 48 42 26 26 25 0 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 STEPs staff documentation that is turned in by due date each week for services provided in the preceding week Goal: 90% 100 75 73 63 61 61 60 60 58 53 53 50 50 49 48 42 26 26 25 0 0 ‘0’ in January of 2013 was data unavailable

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% 100 75 61 61 51 50 41 25 0 Q1 14 Q2 14 Q3 14 Q4 14 Average across all FT staff for 2014 is 53.5%

Access: Percent who present for non-emergent services who are provided an initial BHA the same day they present Goal: 10% 71 Nov-14 100 86 Sep-14 86 75 Jul-14 100 89 May-14 83 89 Mar-14 90 86 Jan-14 85 100 Nov-13 93 80 Sep-13 100 88 Jul-13 93 85 May-13 62 22 Mar-13 64 12 Jan-13 0 0 25 50 75 100 SPBHS averaged 14.6 BHA's per month in 2014

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) Dec-13 40 Nov-13 39 Oct-13 36 Sep-13 37 Aug-13 30 Jul-13 33 Jun-13 45 May-13 38 Apr-13 39 Mar-13 49 Feb-13 42 Jan-13 40 0 10 20 30 40 50 60

2014 Indicator Access: Percent of adults presenting for non-emergent psychiatric services who have initial psychiatric evaluation within 30 days of referral Goal: 95% Dec-14 0 Nov-14 25 Oct-14 83 Sep-14 75 Aug-14 100 Jul-14 100 Jun-14 71 May-14 88 Apr-14 100 Mar-14 100 Feb-14 86 Jan-14 50 0 25 50 75 100 SPBHS averaged 6 adult psychiatric evaluations per month in 2014

Access: Percent of Youth presenting for non-emergent psychiatric services who have initial psychiatric evaluation within 30 days of referral Goal: 95% Dec-14 0 Nov-14 100 Oct-14 100 Sep-14 50 Aug-14 100 Jul-14 100 Jun-14 100 May-14 0 Apr-14 100 Mar-14 75 Feb-14 75 Jan-14 100 0 25 50 75 100 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% 100 100 100 95 81 75 75 50 50 25 25 0 0 2014- Persons served I/DD 2014- Family Members 2013

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 100 100 100 100 100 100 100 100 95 94 93 92 90 87 87 87 86 75 BH Adults 50 BH Youth 25 0 Q1 13 Q2 13 Q3 13 Q4 13 Q1 14 Q2 14 Q3 14 Q4 14

2015 Improvement Priorities • Improve timely completion of full time staff documentation. • Develop performance indicators for better representation of I/DD services. • Track and improve timeliness for access to non- emergent psychiatric assessments. • Streamline and simplify internal processes.

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