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Comprehensive Program Review April , 2011
Somerville Transition Shelter Comprehensive Program Review April , 2011
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Numbers Obtained from COO’s Balanced Scorecard
UTILIZATION 76% average utilization for the past 6 months Numbers Obtained from COO’s Balanced Scorecard
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OVERDUE PERFORMACE EVALUATIONS
STAFFING STAFF TURNOVER RATE OVERDUE PERFORMACE EVALUATIONS (March 1st 2010 – Feb 28th 2011) SEPT 0 FT 0 PT OCT 1 FT 0 PT NOV 2 FT 0 PT DEC 0 FT 0 PT JAN 3 FT 0 PT FEB 4 FT 1 PT Total of 11 Overdue PEs in 6 months Numbers obtained from HR Department & HR Personnel Summary
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RECREATIONAL ACTIVITIES
There was an average of 8 recreational activities per client Numbers obtained from MMRs
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CLINICAL AND LIFE SKILLS HOURS
There was an average of 7 clinical hours per client each month. * clinical hours include non-substance abuse individual, group and family clinical hours, as well as substance-abuse related clinical hours (not including AA/NA) There was an average of 11 life skills hours per client each month. There was an average of 2.8 cognitive behavioral hours per client each month. Numbers obtained from MMRs
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SEARCHES AND INSPECTIONS
Daily Room Search: Average of 47% complete UCRs: Average of 83% complete Weekly Inspections: Average of 67% complete Numbers obtained from QA Mgr's Monthly Log Reviews
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Average of 93% Advocacy in the last 6 months
Numbers obtained from OMs
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Numbers obtained from QA Mgr's Monthly Case File Reviews
CASE FILES Treatment Plan Updates (Required every 15 days per DEEC): Average of 79% Complete for 6 months. Progress Report Weekly Updates: Average of 94% Complete for 6 months Numbers obtained from QA Mgr's Monthly Case File Reviews
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Numbers obtained from MMRs
MEDICATION INCIDENTS Sept Oct Nov Dec Jan Feb. There was a total of 5 medication incidents in 6 months Numbers obtained from MMRs
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De-escalations & Restraints
De-escalation: Restraints SEPTEMBER 12:0 OCTOBER 11:1 NOVEMBER 7.5:1 DECEMBER 9.5:1 JANUARY 0:3 FEBRUARY 9:0 9:1 For 6 Months Information obtained from the MMRs
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FACILITIES Total of 41 Facilities Requests in 6 months
Average amount of time it took to close a facilities request was 5.86 days Numbers obtained from Facilities Request Management System
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Numbers obtained from STS Youth Satisfaction Surveys
62 Surveyed from Jan-Dec 2010 Numbers obtained from STS Youth Satisfaction Surveys
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Numbers obtained from STS Youth Satisfaction Surveys
SURVEY RESULTS SATISFACTION Numbers obtained from STS Youth Satisfaction Surveys * Results from surveys taken throughout the past year Jan-Dec 2010
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