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HORIZON HOUSE

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

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HORIZON HOUSE

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  1. HORIZON HOUSE Comprehensive Program Review February 28, 2014

  2. 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

  3. CEO AWARD FROM CRJ

  4. CHALLENGES • Employee Reviews • Quality Assurance of Medications • Location • Innovation

  5. STAFFING Staff Turnover Rates Performance Evaluations Staff Training

  6. 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

  7. STAFF RETENTION RATES Data obtained from HR Retention and Turnover Report

  8. 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

  9. PROGRAMMING • Utilization • Successful Completions • Completion with: • Employment • Permanent Housing

  10. 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

  11. 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

  12. CLIENT RELATED • Clinical Hours • Walk-Aways • Medication

  13. 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

  14. Medication Incidents: Medication errors were results of miscounts - discovered during internal audits of medication system. • Data obtained from MMRs

  15. Quality Assurance Key MMR Results Satisfaction Surveys

  16. 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

  17. CLIENT SATISFACTION SURVEY (August 2013)

  18. CLIENT SATISFACTION SURVEY (August 2013) N = 21

  19. CLIENT SATISFACTION SURVEY (August 2013) N = 21

  20. 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%

  21. 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.

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