C.O.R.E. Curriculum Fox Valley Church of Christ April 23, 2014.
2012 State of c.o.r.e.coremedicalclinic.com/outcomes/2012_state_of_core.pdf · 2014-12-06 ·...
Transcript of 2012 State of c.o.r.e.coremedicalclinic.com/outcomes/2012_state_of_core.pdf · 2014-12-06 ·...
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P E R F O R M A N C E M E A S U R E S
2012 STATE OF C.O.R.E.
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C.O.R.E. MISSION STATEMENT
Comprehensive Opiate Recovery Experience
RECOVERY WITH RESPECT
“Improving the lives of individuals through
comprehensive opiate replacement services”
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C.O.R.E. MEDICAL CLINIC IS DEDICATED TO MAXIMIZING PATIENT OUTCOMES BY:
• Helping each patient attain and maintain his/her highest quality of life
• Treating opiate addiction with medically assisted treatment, group counseling, individual counseling, and case management services
• Diagnosing, treating, and/or referring mental health disorders • Diagnosing, treating, and/or referring co-morbid medical
problems • Reducing harm and stigma related to illicit drug use through
education, counseling, and treatment • Educating our staff, patients, and the community on
evidence-based drug treatment strategies and policies • Treating each patient with respect and dignity
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C.O.R.E. MEDICAL CLINIC IS DEDICATED TO MAXIMIZING PATIENT OUTCOMES BY:
• Providing person- and family-centered services based on strengths, needs, abilities, preferences, and desired outcomes of the patient and family
• Including the patient in the treatment planning process • Being ever vigilant to the risk of bias • Working on personal growth • Striving to treat all patients equally regardless of gender, race,
ethnicity, cultural, religion, age, sexual preference, or related factors
• Creating a positive and safe work environment for staff • Being sensitive to social and cultural factors that influence the
patient (i.e. cultural competence)
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2012 CENSUS BY MONTH
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov DecMMP 512 520 526 521 519 519 523 528 529 531 533 531Detox 5 4 6 5 2 6 6 5 1 0 2 2
0
100
200
300
400
500
600
MMPDetox
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2009 – 2012 AVERAGE DOSE
• 7/1/2009 = 91.45 mg
• 7/1/2010 = 91.38 mg
• 7/1/2011 = 85.93 mg
• 7/1/2012 = 88.5 mg
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2012 SITE DEMOGRAPHICS BY GENDER & FUNDING
1/1/2012 (509 pts) 12/31/2012 (518 pts) 47.27 % Male 48.55% Male 52.55% Male 51.45% Female 76.47% Medi-Cal 78.23% Medi-Cal 22.75% Private Pay 21% Private Pay 0.78% Other .77% Other
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2012 SITE DEMOGRAPHICS COMPARISON
1/1/2012 (509 pts) 12/31/2012 (518 pts) 61.96% Caucasian 58.96% Caucasian 17.06% Hispanic 18.89% Hispanic 11.57% African-American 12.72% African-American 3.33% Asian 3.28% Asian 1.76% American Indian 1.73% American Indian 2.95% Other 4.42% Other
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2012 SITE DEMOGRAPHICS COMPARISON BY AGE
1/1/2012 (509 pts) 12/31/2012 (518 pts) 18-24 2.75% 18-24 2.89% 25-34 15.88% 25-34 15.61% 35-44 14.91% 35-44 14.64% 45-54 24.90% 45-54 25.63% 55-69 38.44% 55-69 37.76% 70+ 2.95% 70+ 3.27%
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UA BY MONTH
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2012 TB TESTS
422 7
429 TB Tests
NegativePositive
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2012 BMI
02468
101214
8
5 8
5
1 1 2
6
7 5
1
1 1 1
MaleFemale
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2012 SMOKING CESSATION
4 3
4 5
2 4 2
3
012345678
Did notcomplete
Reducedover 66%
Reducedaround
50%
D/Csmoking
Samelevel
Mental Health Diagnosis No Mental Health Diagnosis
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2012 DISCHARGE REASONS - ALL
35
64 66
7 1
15 11 8
18 15
14.5
8%
26.6
7%
27.5
0%
2.92
%
0.42
%
6.25
%
4.58
%
3.33
%
7.50
%
6.25
%
010203040506070
DischargesPercent
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2012 DISCHARGE REASONS - MMP
17
38
53
6 0
15 11 8
15 15
9.55
%
21.3
5%
29.7
8%
3.37
%
0.00
%
8.43
%
6.18
%
4.49
%
8.43
%
8.43
%
0102030405060
DischargesPercent
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2012 DISCHARGE REASONS - MSW
8 9 9
0 30.7
7%
34.6
2%
34.6
2%
0.00
%
0123456789
10
Achievedgoals
Transfer Left withoutnotice
Other
DischargesPercent
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2012 DISCHARGE REASONS - LTD
9
16
4 1 1
3 0 26
.47%
47.0
6%
11.7
6%
2.94
%
2.94
%
8.82
%
0.00
%
02468
1012141618
DischargesPercent
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2012 PREGNANCY DATA
• Deliveries = 9 • Average Weight = 6 lbs 9 oz • Average Height = 16.48 inches • Average Dose at Delivery = 64 • % Babies on Meds = 44% • Average Weeks Pregnant = 39 • Average Days Baby Stayed in Hospital = 19.5 • Negative Drug Screens at Delivery = 66%
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2012 TOTAL # OF PODS
Intake, 145, 18%
1 mo, 105, 13%
3 mo, 90, 11%
6 mo, 57, 7%9 mo, 91, 11%
1 yr, 74, 9%
2+ yrs, 250, 31%
Total Number PODS & Percentage of Total By Time in Treatment
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2012 PODS BY GENDER
428, 52.7%
384, 47.3%
PODS By Gender
Male Female
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2012 EMPLOYMENT STATUS
2013 12 9
18 14
42
125
9278
48
7360
208
13.8% 12.4% 13.3%15.8%
19.8%
18.9% 16.8%
86.2% 87.6%
86.7%
84.2%
80.2%
81.1% 83.2%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
0
50
100
150
200
250
Intake 1 mo 3 mo 6 mo 9 mo 1 yr 2+ yrs
% o
f PO
DS
# of
PO
DS
Employment Status by Time in Treatment
Employed Unemployed % Emp % UnEmp
n #'s
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2012 EMPLOYMENT – PRIVATE PAY
35.3%
28.6% 30.8%35.3%
38.1% 46.7%
60.0%64.7%
71.4% 69.2% 64.7%
61.9% 53.3%
40.0%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Intake 1 mo 3 mo 6 mo 9 mo 1 yr 2+ yrs
Perc
enta
ge o
f Priv
ate
Pay
Patie
nts
Percentage of Private Pay PatientsEmployed/Unemployed by Time in Treatment
% Emp % UnEmp
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2012 ENROLLED IN SCHOOL
9 10 11 10 10 4`
136
9579
47
8170
233
6.2%9.5%
12.2% 17.5% 11.0%5.4% 6.8%
93.8% 90.5%87.8%
82.5%89.0%
94.6% 93.2%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
0
50
100
150
200
250
Intake 1 mo 3 mo 6 mo 9 mo 1 yr 2+ yrs
% o
f PO
DS
# of
PO
DS
# PODSEnrolled
# PODSNot Enrolled
% PODSEnrolled
% PODSNot Enrolled
Number and Percentage of Patients Enrolled in Any Type of School/Program by Time in Treatment
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2012 SSI/SDI
61.4%
52.4% 53.3%
54.4%
57.1%62.2%
70.4%
38.6%
47.6% 46.7%
45.6%
42.9%37.8%
29.6%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Intake 1 mo 3 mo 6 mo 9 mo 1 yr 2+ yrs
Per
cent
age
of P
OD
S
Percentage of Patients on SSI or SDI by Time in Treatment
% SurveysOn SSI/SDI
% SurveysNot on SSI/SDI
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PROBATION/PAROLE
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2012 PRIMARY HEALTH CARE PROVIDER
Intake 1 mo 3 mo 6 mo 9 mo 1 yr 2+ yrs TotalYES 51.0% 60.0% 71.1% 66.7% 81.3% 89.2% 89.6% 74.3%NO 49.0% 40.0% 28.9% 33.3% 18.7% 10.8% 10.4% 25.7%
7463
64 38
7466 224
603
71
42
2619
178 26
209
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Per
cent
age
of P
OD
S
Percentage of PODS With PHCP By Time in Treatment(Primary Health Care Provider)
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2012 MEDICAL INSURANCE
87% 87%84% 84% 86%
93% 92%
13% 13%16% 16%
14%7% 8%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Intake 1 mo 3 mo 6 mo 9 mo 1 yr 2+ yrs
Percentage of Patients With Medical Insurance by Time in Treatment
% Yes % No
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2012 ER VISITS/AMBULANCE RIDES
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2012 % WITH PSYCH PROVIDER
18%
28%
34%
25%
47%51%
56%
69%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Intake 1 mo 3 mo 6 mo 9 mo 1 yr 2+ yrs All PODS
Percentage of Patients WithPsychiatric Provider by Time in Treatment
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2012 HOUSING
Intake 1 mo 3 mo 6 mo 9 mo 1 yr 2+ yrs TotalsHome, Condo or Apt 89.7% 82.9% 87.8% 93.0% 95.6% 97.3% 98.0% 92.7%Residential or Sober Living 1.4% 3.8% 2.2% 0.0% 2.2% 2.7% 0.4% 1.6%Assisted Living 0.0% 1.0% 2.2% 1.8% 0.0% 0.0% 0.8% 0.7%Homeless 9.0% 12.4% 7.8% 5.3% 2.2% 0.0% 0.8% 4.9%
89.7%82.9%
87.8% 93.0% 95.6%97.3% 98.0%
92.7%
9.0% 12.4% 7.8%5.3% 2.2% 0.0% 0.8% 4.9%
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
C.O.R.E. Patient Housing Status by Time in Treatment
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2012 MENTAL HEALTH
Intake 1 mo 3 mo 6 mo 9 mo 1 yr 2+ yrsYes 96 56 51 28 56 48 164No 49 49 39 29 35 26 86% Yes 66.2% 53.3% 56.7% 49.1% 61.5% 64.9% 65.6%% No 33.8% 46.7% 43.3% 50.9% 38.5% 35.1% 34.4%
66.2%
53.3%56.7%
49.1%
61.5%64.9%
65.6%
33.8%
46.7%43.3%
50.9%
38.5%35.1%
34.4%
0%
10%
20%
30%
40%
50%
60%
70%
0
20
40
60
80
100
120
140
160
180
% o
f PO
DS
Num
ber o
f PO
DS
Diagnosed With or Patient FeelsThey May Need Treatment for a Mental Health Disorder
Yes No % Yes % No
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2012 CALIFORNIA OUTCOMES MEASURES SYSTEM (CalOMS) DATA
• DISCHARGE DATA • Patients left with satisfactory progress = 58%
• ANNUAL UPDATE DATA • Patients that used primary drug of choice in last 30 days =
9% • Patients that used secondary drug of choice in last 30 days
= 8% • Patients that were arrested in last 30 days = <1% • Patients that spent days in jail and/or prison in the last 30
days = <1%
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2012 CALIFORNIA OUTCOMES MEASURES SYSTEM (CalOMS) DATA
• ANNUAL UPDATE DATA
• Patients that visited emergency room in last 30 days = 6.6%
• Patients that received emergency outpatient services for mental health in last 30 days = 4%
• Patients that stayed over 24 hours in a hospital or psych facility for mental health needs in last 30 days = <1%
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2012 PATIENT SURVEY – STAFF RATINGS
4.8
4.8
4.4
4.6
4.8
4.9
4.8
4.1 4.2 4.3 4.4 4.5 4.6 4.7 4.8 4.9 5
Counseling
Billing/Fiscal
Lab
AHP
Dispensing
Reception
Management
5=Very Courteous, 4=Courteous, 3=Fair, 2=Below Average, 1=Rude
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2012 PATIENT SURVEY
88.9%
9.6% 0.7% 0.0% 0.0% 0.7%
0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
Are you treated with respect and dignity by C.O.R.E. staff?
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2012 PATIENT SURVEY
76.3%
22.2%
0.7% 0.0% 0.7% 0.0% 0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
Do you feel C.O.R.E. is meeting your needs and expectations while in treatment?
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2012 PATIENT SURVEY
75.00%
18.90% 2.30% 0.80% 0.80% 2.30%
0.0%
20.0%
40.0%
60.0%
80.0%
100.0%Do you feel your confidentiality is respected?
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2012 WORKPLACE SURVEY
13
7
1 0 0 0
02468
101214
VerySatisfied
SomewhatSatisfied
NeitherSatisfied
norDissatisfied
SomewhatDissatisfied
Dissatisfied Blank
A1: Overall, how satisfied are you with your job?
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2012 WORKPLACE SURVEY
7
5 4
1 0 0
012345678
VerySatisfied
SomewhatSatisfied
NeitherSatisfied
norDissatisfied
SomewhatDissatisfied
Dissatisfied Blank
A2: Compared with a year ago, how would you describe your current job satisfaction?
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2012 WORKPLACE SURVEY
11
3
7
0 0 0 02468
1012
StronglyAgree
SomewhatAgree
NeitherAgree norDisagree
SomewhatDisagree
StronglyDisagree
Blank
B1: Company leadership has made changes which are positive for me.
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2012 WORKPLACE SURVEY
11
3
7
0 0 0 02468
1012
StronglyAgree
SomewhatAgree
NeitherAgree norDisagree
SomewhatDisagree
StronglyDisagree
Blank
B2: Company leadership is responding to important external issues.
![Page 42: 2012 State of c.o.r.e.coremedicalclinic.com/outcomes/2012_state_of_core.pdf · 2014-12-06 · C.O.R.E. MEDICAL CLINIC IS DEDICATED TO MAXIMIZING PATIENT OUTCOMES BY: • Providing](https://reader034.fdocuments.us/reader034/viewer/2022050421/5f901f4615a8356ab470ff1c/html5/thumbnails/42.jpg)
2012 WORKPLACE SURVEY
9
4
6
2
0 0 0
2
4
6
8
10
StronglyAgree
SomewhatAgree
NeitherAgree norDisagree
SomewhatDisagree
StronglyDisagree
Blank
B3: Company leadership is responding to important internal issues.
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2012 WORKPLACE SURVEY
7 6
7
0 0 1
012345678
StronglyAgree
SomewhatAgree
NeitherAgree norDisagree
SomewhatDisagree
StronglyDisagree
Blank
B4: I am enthusiastic about the change in the company.
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2012 WORKPLACE SURVEY
13
6
0 1
0 1
02468
101214
VerySatisfied
SomewhatSatisfied
Not Sure SomewhatDissatisfied
Dissatisfied Blank
C1: Are you satisfied that the leaders in your work environment are positive role models?
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2012 WORKPLACE SURVEY
12
3 4
1 0
1 02468
101214
VerySatisfied
SomewhatSatisfied
Not Sure SomewhatDissatisfied
Dissatisfied Blank
C2: Are you satisfied that your views and participation are valued?
![Page 46: 2012 State of c.o.r.e.coremedicalclinic.com/outcomes/2012_state_of_core.pdf · 2014-12-06 · C.O.R.E. MEDICAL CLINIC IS DEDICATED TO MAXIMIZING PATIENT OUTCOMES BY: • Providing](https://reader034.fdocuments.us/reader034/viewer/2022050421/5f901f4615a8356ab470ff1c/html5/thumbnails/46.jpg)
2012 WORKPLACE SURVEY
14
4
0 2
0 1 02468
10121416
VerySatisfied
SomewhatSatisfied
Not Sure SomewhatDissatisfied
Dissatisfied Blank
C3: Are you satisfied with the morale and team work of your work environment?
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2012 WORKPLACE SURVEY
10
6
3
1 0
1 0
2
4
6
8
10
12
VerySatisfied
SomewhatSatisfied
Not Sure SomewhatDissatisfied
Dissatisfied Blank
C4: Are you satisfied with the professionalism of the people with whom you work?
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2012 WORKPLACE SURVEY
13
5
1 0
1 1 02468
101214
VerySatisfied
SomewhatSatisfied
Not Sure SomewhatDissatisfied
Dissatisfied Blank
C5: Are you satisfied that your work gives you a feeling of personal accomplishment?
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2012 WORKPLACE SURVEY
11
5
2 2
0 1
0
2
4
6
8
10
12
VerySatisfied
SomewhatSatisfied
Not Sure SomewhatDissatisfied
Dissatisfied Blank
C6: Are you satisfied that you receive appropriate recognition for your contributions?
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2012 WORKPLACE SURVEY
11
5
2 1 1 1
02468
1012
VerySatisfied
SomewhatSatisfied
Not Sure SomewhatDissatisfied
Dissatisfied Blank
C7: Are you satisfied with your ability to maintain a reasonable balance between your personal
life and your work life?
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2012 WORKPLACE SURVEY
15
4
1 0 0 1 02468
10121416
VerySatisfied
SomewhatSatisfied
Not Sure SomewhatDissatisfied
Dissatisfied Blank
C8: Are you satisfied with the company as a place to work?