Community Systems Progress Rpt q1

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Prepared by:Quality Management Team

Community Policy Management SectionDivision of Mental Health, Developmental Disabilities, and Substance Abuse Services

November 30, 2010

MH/DD/SASMH/DD/SASComm unity System sComm unity Systems

Progress ReportProgress ReportFirst Quarter SFY 2010-2011

July 1 – September 30, 2010

NC DEPARTMENT OF HEALTH AND HUMAN SERVICES



"You don't just wander in the wilderness, you set specific goals and specificbenchmarks, and then you measure your success on achieving those goals and benchmarks."

-- DHHS Secretary Lanier Cansler, February 10, 2009.



Highlights of First Quarter SFY 2010-2011

Timely Access to Care According to reports submitted by the Local Management Entities (LMEs), almost all of

the individuals (98%) determined to need emergent care were provided access within twohours from the time of the request (no change from the prior quarter). This fell short of the SFY 2011 statewide goal of 100%.

LMEs reported that 86% of individuals determined to need urgent care were provided aface-to-face service within 48 hours from the time of the request (an increase from theprior quarter). This fell short of the SFY 2011 statewide goal of 88%.

Four-fifths (80%) of individuals determined to need routine care were provided a face-to-face service within 14 calendar days of the request (an increase over the prior quarter).This fell short of the SFY 2011 statewide goal of 88%.

Services to Persons in Need

The percentages of persons in need of mental health services that were provided publicly-funded services in their communities exceeded the SFY 2011 statewide goal both foradults (51% served compared to a statewide goal of 40%) and for children (55% servedcompared to the statewide goal of 40%). The percentage remained the same for adultsand increased for children over the prior quarter.

The percentages of persons in need of developmental disability services that wereprovided publicly-funded services in their communities exceeded the SFY 2011statewide goal both for adults (40% served compared to the statewide goal of 38%) andfor children (21% served compared to the statewide goal of 20%). The percentagesdecreased slightly from the prior quarter for both adults and children.

The percentages of persons in need of substance abuse services that were providedpublicly-funded services in their communities exceeded the SFY 2011 statewide goalfor adults (11% served compared to the statewide goal of 10%) and met the goal foradolescents (9% served compared to the statewide goal of 9%). The percentageincreased over the prior quarter for adults and remained the same for adolescents.

Timely Initiation and Engagement in Service The percentages for consumers’ initiation and engagement into mental health care fell

short of meeting the SFY 2011 statewide goal for initiation and for engagement. Forinitiation, 41% of consumers received a 2nd visit within 14 days of the first visitcompared to the statewide goal of 42%. For engagement, 25% of consumers received 2additional visits within 30 days after meeting the initiation measure compared to thestatewide goal of 30%. The percentages for both measures decreased from the priorquarter.

The measures for consumers’ initiation and engagement into developmental disabilityservices and supports remained below SFY 2011 statewide goals. For initiation, 58% of consumers of developmental disability services received a 2nd visit within 14 days of thefirst visit compared to the statewide goal of 72%. For engagement, 44% of consumers of developmental disability services received 2 additional visits within 30 days after

ii



iii

meeting the initiation measure compared to the SFY 2011 statewide goal of 61%. Thepercentages for both measures decreased from the prior quarter.

The measures for consumers’ initiation and engagement into substance abuse servicesincreased from the prior quarter, but remained below the SFY 2011 statewide goal. Forinitiation, almost two-thirds (65%) of consumers of substance abuse services received 2

visits within the first 14 days of care compared to the statewide goal of 71%. Forengagement, almost half (46%) of consumers of substance abuse services received 4visits within 45 days, compared to the statewide goal of 56%. This represents continuedimprovement from last quarter.

Effective Use of State Psychiatric Hospitals Reduction in use of state psychiatric hospitals for short term care (7 days or less)

exceeded the SFY 2011 statewide goal this quarter – 32% of consumers in statehospitals had stays of 7 days or less compared to the SFY 2011 statewide goal of no morethan 44% of consumers. This represents continued improvement from last quarter.

State Psychiatric Hospital Readmissions The 1 to 30 day readmission rate this quarter remained the same as the prior quarter.

Across the state, 7% of consumers discharged from a state psychiatric hospital werereadmitted within 30 days. This exceeded the SFY 2011 statewide goal of 10% or less.

The 1 to 180 day readmission rate this quarter decreased (improved) from the priorquarter. Across the state, 17% of consumers were readmitted within 180 days, which isbetter than the SFY 2011 statewide goal of 22% or less.

Timely Follow-Up after Inpatient Care The SFY 2011 statewide goals for follow-up care for consumers discharged from

ADATCs and state psychiatric hospitals are set high at 70% of consumers seen within 7days following discharge. This reflects the great importance given to the achievement of this measure. Statewide, 40% of consumers discharged from an ADATC and 52% of consumers discharged from a state psychiatric hospital were seen within 7 days followingdischarge this quarter. The percentages decreased from the prior quarter for personsdischarged from an ADATC and from a state psychiatric hospital.

Child Services in Non-Family Settings Under two percent of children and adolescents receiving mental health and/or substance

abuse services were served in residential service settings this quarter, which exceededthe SFY 2011 statewide goal of four percent or less. This is a decrease (continued

improvement) from the prior quarter.



Table of Contents Highlights of First Quarter SFY 2010-2011................................................................................. ii

Introduction.................................................................................................................................... 1The Indicators ................................................................................................................................ 2

Indicator 1: Timely Access to Care........................................................................................... 2 Indicator 2: Services to Persons in Need.................................................................................. 2 Indicator 3: Timely Initiation and Engagement in Service..................................................... 3 Indicator 4: Effective Use of State Psychiatric Hospitals........................................................ 3 Indicator 5: State Psychiatric Hospital Readmissions............................................................. 3 Indicator 6: Timely Follow-Up after Inpatient Care ............................................................... 4 Indicator 7: Child Services in Non-Family Settings................................................................ 4

How to Read This Report............................................................................................................... 5

Performance By Geographic Area ............................................................................................... 6 Statewide....................................................................................................................................6

Alamance-Caswell.....................................................................................................................8 Beacon Center ......................................................................................................................... 10CenterPoint Human Services ................................................................................................ 12Crossroads Behavioral Healthcare ........................................................................................ 14Cumberland............................................................................................................................. 16

Durham Center........................................................................................................................ 18 East Carolina Behavioral Health ........................................................................................... 20 Eastpointe ................................................................................................................................ 26 Five County ............................................................................................................................. 28

Guilford Center ....................................................................................................................... 30 Johnston .................................................................................................................................. 32 Mecklenburg............................................................................................................................ 34 Mental Health Partners .......................................................................................................... 36 Onslow-Carteret Behavioral Healthcare Services ................................................................ 38Orange-Person-Chatham........................................................................................................ 40

Pathways.................................................................................................................................. 42 PBH ........................................................................................................................................ 44Sandhills Center ...................................................................................................................... 46 Smoky Mountain Center ......................................................................................................... 50Southeastern Center................................................................................................................ 54

Southeastern Regional ........................................................................................................... 56 Wake County Human Services .............................................................................................. 58Western Highlands Network................................................................................................... 60



Community Systems Progress Report: First Quarter SFY 2010-2011

1

IntroductionThe NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services(DMH/DD/SAS) has been tracking the effectiveness of community systems through statewideperformance indicators since 2006. 1 These indicators provide a means for the NC public and

General Assembly to monitor how the public service system is performing its responsibilities.Regular reporting of community progress also assists local and state managers in identifyingareas of success and areas in need of attention. Problems caught early can be addressed moreeffectively. Success in a particular component of the service system by one community can beused as a model to guide development in other communities.

Each topic covered by these indicators involves substantial “behind-the-scenes” activity byservice providers, LME and state staff, consumers, and family members. The indicators do notcover all of those efforts. Instead, they focus on the desired results of those activities. If theresults are different than expected, system stakeholders may need to perform a more detailedanalysis in order to identify contributing factors and issues that may be affecting the result.

The indicators in this report were chosen to reflect: accepted standards of care,

fair and reliable measures, and

readily available data sources.

The following pages provide an overview of the indicators, a guide to reading the report, and asummary of performance for each LME and the state as a whole for the most recent period forwhich data is available.

Appendices for MH/DD/SAS Community Systems Progress Report , a separate document, contains details on the indicators for the most recent period by LME and for some of the

indicators by county, where appropriate. The Appendices includes data sources and time periodsfor each indicator, population data for each county, an explanation of how the indicators arecalculated, and if applicable a summary of revisions that were made to this report.

Critical Measures at a Glance , also a separate document, is a one-page reference table showingeach LME’s performance for the current quarter against statewide averages, statewide goals, andcontractual requirements (“standards”).

This report, the appendices, and the critical measures document, are available on the Divisionwebsite:

http://www.ncdhhs.gov/mhddsas/statspublications/reports

1 This report fulfills the requirements of S.L. 2006-142 (HB 2077) that directs the Department of Health and Human Services todevelop critical indicators of LME performance. Measures reflect the goals of the Division’s Strategic Plan 2010-2013, thePresident’s New Freedom Initiative, CMS’ Quality Framework for Home and Community Based Services, and SAMHSA’sFederal Action Agenda and National Outcome Measures.

http://www.ncdhhs.gov/mhddsas/statspublications/reports/index.htm

http://www.ncdhhs.gov/mhddsas/statspublications/reports/index.htm




The IndicatorsThe performance indicators are divided into seven categories that cover the processes involved inproviding community services. They are intended to capture how well people are getting intocare and continuing care in their chosen communities. The descriptions below provide the

reasoning behind selection of these indicators and the Division’s annual statewide goals.The Division sets the statewide goals at the beginning of each fiscal year by determining (1) thecurrent needs and priorities for the service system and (2) what is considered an achievableimprovement for the year. Some goals may remain the same from one year to the next, somegoals may be incrementally increased over time, while others may be set intentionally high toreflect where the Division wants community systems to focus their efforts. Performance goalsfor SFY2011 remain the same as the prior year in anticipation of budget reductions.

Indicator 1: Timely Access to Care

Rationale: Timely access to appropriate care is critical to protect consumer health and safety,minimize adverse consumer outcomes and promote consumer engagement in services. Thetimely access measures are based on Healthcare Enterprise Data Information System (HEDIS ©)measures, supported by the federal Centers for Medicaid and Medicare.

This indicator, based on reports submitted by LMEs, has three components that look at timelyaccess to care based on urgency of need:

1.1 Emergent Care: Statewide Goal = 100% of persons in need of emergent care are providedaccess through our community service system within two hours of the request.

1.2 Urgent Care: Statewide Goal: 88% or more of persons in need of urgent care receiveservices through our community service system within 48 hours of the request.

1.3 Routine Care: Statewide Goal: 88% or more of persons in need of routine care receiveservices through our community service system within 14 calendar days of the request.

Indicator 2: Services to Persons in Need

Rationale: NC has designed its public system to serve those persons who have the highest needfor ongoing care and limited access to privately-funded services. Increasing delivery of servicesto these persons is a nationally accepted measure of system performance.

This indicator is measured by comparing the number of persons who received treatment for aparticular condition during a year with prevalence , the number of persons estimated to have thatcondition in a given year, to get treated prevalence , or percent of the population in need whoreceive services through our community service system for that condition within a year. This

indicator looks at treated prevalence for six age-disability groups. 2.1 Adult Mental Health Services: Statewide Goal = 40% or more

2.2 Child and Adolescent Mental Health Services: Statewide Goal = 40% or more

2.3 Adult Developmental Disability Services : Statewide Goal = 38% or more

2.4 Child and Adolescent Developmental Disability Services: Statewide Goal = 20% or more

2.5 Adult Substance Abuse Services: Statewide Goal = 10% or more

2




2.6 Adolescent Substance Abuse Services: Statewide Goal: 9% or more

Indicator 3: Timely Initiation and Engagement in Service

Rationale: For persons with mental illness, developmental disabilities, and addictive diseases torecover control over their lives and maintain stability, they need continuing access to supports

and services. Initiation and engagement are nationally accepted measures of continued access. Initiation is measured as the percent of persons who receive 2 visits within the first 14 days of service. Engagement is measured as the percent of persons who after meeting the initiation criteria receive an additional 2 visits within the next 30 days (a total of 4 visits within the first 45days of service). This indicator looks at initiation and engagement for five disability groups.

3.1.a Initiation of Mental Health Consumers: Statewide Goal = 42% or more

3.1.b Engagement of Mental Health Consumers: Statewide Goal = 30% or more

3.2.a Initiation of Developmental Disability Consumers: Statewide Goal = 72% or more

3.2.b Engagement of Developmental Disability Consumers: Statewide Goal = 61% or more

3.3.a Initiation of Substance Abuse Consumers: Statewide Goal = 71% or more

3.3.b Engagement of Substance Abuse Consumers: Statewide Goal = 56% or more

3.4.a Initiation of Consumers with Co-Occurring Mental Health/ Developmental Disabilities: No statewide goal has been established.

3.4.b Engagement of Consumers with Co-Occurring Mental Health/Developmental Disabilities: No statewide goal has been established.

3.5.a Initiation of Consumers with a Co-Occurring Mental Health/Substance Abuse Disorder: No statewide goal has been established.

3.5.b Engagement of Consumers with a Co-Occurring Mental Health/Substance Abuse Disorder: No statewide goal has been established.

Indicator 4: Effective Use of State Psychiatric HospitalsRationale: State psychiatric hospitals provide a safety net for the community service system. An adequatecommunity system should provide short-term inpatient care in a local hospital in the community. Thishelps families stay involved and reserves high-cost state facility beds for consumers with long-term careneeds. Reducing the short-term use of state psychiatric hospitals also allows more effective and efficientuse of funds for community services. This indicator is measured as the percent of persons dischargedfrom state psychiatric hospitals each quarter who have a length of stay of 7 days or less.

4.0 Short Term Hospital Stays: Statewide Goal = 44% or less

Indicator 5: State Psychiatric Hospital ReadmissionsRationale: Successful community living, without repeated admissions to inpatient care, requires effectivecoordination and ongoing appropriate levels of community care after hospitalization. A low psychiatrichospital readmission rate is a nationally accepted standard of care that indicates how well a community isassisting individuals at risk for repeated hospitalizations.

3




This indicator measures the percent of persons discharged from state psychiatric hospitals duringeach quarter who are readmitted to a state psychiatric hospital within 1-30 days followingdischarge and within 1-180 days following discharge.

5.1 Readmissions within 1-30 Days: Statewide Goal = 10% or less

5.2 Readmissions within 1-180 Days:Statewide Goal = 22% or less

Indicator 6: Timely Follow-Up after Inpatient CareRationale: Living successfully in one’s community after discharge from a state-operated facility dependson smooth and timely transition to community services and supports. Receiving a community-basedservice within 7 days of discharge is a nationally accepted standard of care that also indicates the localsystem’s community service capacity and coordination across levels of care.

This indicator measures the percent of persons discharged from state-operated alcohol and drugabuse treatment centers (ADATCs) and from state psychiatric hospitals during each quarter whoreceive follow-up care in the community within 7 days of discharge.

6.1 ADATC Follow-Up Care: Statewide Goal = 70% or more

6.2 State Psychiatric Hospital Follow-Up Care: Statewide Goal = 70% or more

Indicator 7: Child Services in Non-Family SettingsRationale: Children and adolescents served in the most natural and least restrictive community settingsappropriate to their needs are more likely to maintain or develop positive family and communityconnections and to achieve other lasting, positive outcomes. Serving children and adolescents in non-family settings should be minimized whenever possible.

This indicator measures the percent of children and adolescents receiving mental health and/orsubstance abuse services during each quarter who receive Residential Treatment Level 2(Program Type), Level 3, and/or Level 4 services.

7.0 Children Served in Non-Family Settings: Statewide Goal = 4% or less

4



NC Division of Mental Health, Developmental Disabilities, and Substance Abuse Services Appendices for Community Systems Progress Report: First Quarter SFY 2010 - 2011

STATEWIDE

Persons Served By Age and Disability During July 2009 - June 2010(Based On Medicaid and State-Funded IPRS Claims Paid Through October 2010)

The above pie charts show the number and percentage of persons served during the most recent 12 month period for which claims data isavailable. It only includes persons whose services were paid by Medicaid and State-Funds through the Integrated Payment Reporting System.

Timely Initiation of Services

SFY2011 Statewide Goal = 42% or more SFY2011 Statewide Goal = 72% or more

SFY2011 Statewide Goal = 71% or more

Youth (Under Age 18): 118,477

MH

101,09686%

Dual DD/SA100%

DD5,253

4%Dual MH/DD

7,6526%

MH/DD/SA1150%

Dual MH/SA3,086

3%

SA1,265

1%

Adults (Age 18 and Over): 237,573

SA27,869

12%

Dual MH/SA37,077

16%

MH/DD/SA7730%

Dual MH/DD12,142

5%

DD10,442

4%

Dual DD/SA800%

MH149,190

63%

Rationale: For persons with mental illness, developmental disabilities, and addictive diseases to recover control over their lives and maintain stability, theyneed continuing access to supports and services. Having at least two visits within the first 14 days of care provides the best opportunity for an individual tobecome fully committed to continuing services. The goal is to increase the percentage.

Mental Health: 2 Visits within 14 Days

41%42%40%42%42%42%42%42%43%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o

n s

Highest LME State Average Lowest LME

Devel Disabilities: 2 Visits within 14 Days

58%61%63%65%65%66%65%70%68%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o

n s


Substance Abuse: 2 Visits within 14 Days

65%62%59%58%65%64%64%64%65%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


● About two-fifths of mental health consumers received two visits

within the first 14 days of care. The percentage has remained fairlylevel over the last 9 quarters.

● About three-fifths of consumers with developmental disabilitiesreceived two visits within the first 14 days of care. The percentageover the past 9 quarters has been slowly decreasing.

● About two-thirds of substance abuse consumers received two visitswithin the first 14 days of care. The percentage was fairly level for thefirst 5 quarters, decreased during the second quarter of SFY10 andhas steadily increased over the most recent 3 quarters returning to itsprior first 5 quarters level.

North Carolina has 100 counties and approximately 9.5 million residents.Three-fourths (74) of those counties are rural, with fewer than 200 personsper square mile. Almost one-sixth (16.5%) of the state's population (39% of youth and 10% of adults) is enrolled in Medicaid. The state's mental health,developmental disabilities, and substance abuse (MH/DD/SA) service systemis organized into 23 Local Management Entities (LMEs) across three regions.

Anson

Ashe

Avery

Beaufort

Bertie

Bladen

Brunswick

Burke

Cabarrus

Caldwell

Carteret

CatawbaChatham

CherokeeClay

Cleveland

Columbus

Craven

Currituck

Forsyth

Gates

Graham

Granville

Guilford

Halifax

HarnettHenderson

Hertford

Hoke

Jackson

Jones

LeeLincoln

Macon

Madison

Montgomery

Moore

Nash

Northampton

Onslow

Pamlico

Pender

Pitt

Polk

Randolph

Robeson

Rockingham

Rowan

Rutherford

StokesSurry

Swain

Union

Vance

Wake

Warren

Watauga Wilkes

Wilson

Yadkin

Yancey

Mecklenburg

Orange

Transylvania

Person

Western Region Central Region Eastern Region

Cumberland

Scotland

Haywood

NewHanover

Durham

Alleghany

Alam ance

Iredell

Johnston

DuplinSampson

Wayne Lenoir

Dare

Hyde

Martin TyrrellWashington

Camden

Perquimans

Pasquotank

Greene

Alexand er

Mitchell

McDowell

Davie

Gaston

Buncombe

Caswell

Davidson

Stanly

Richmond

FranklinChowan

Edgeco mbe

6




STATEWIDESo… How Did We Do This Quarter?

SFY2011 Range Among LMEs

StatewideGoal

LowestLME

State Average

HiL

1. Timely Access to Care

Emergent ↑ 100% 86% 98% 100%

Urgent ↑ 88% 48% 86% 100%Routine ↑ 88% 59% 80% 95%

2. Services to Persons in Need

Adult Mental Health ↑ 40% 27% 51% 7

Child/Adolescent Mental Health ↑ 40% 35% 55% 8

Adult Developmental Disabilities ↑ 38% 25% 40% 5

Child/Adolescent Developmental Disabilities ↑ 20% 13% 21% 3

Adult Substance Abuse ↑ 10% 5% 11% 1

Adolescent Substance Abuse ↑ 9% 4% 9% 1

3. Timely Initiation & Engagement in Service

Mental Health: 2 Visits within 14 Days ↑ 42% 28% 41% 70%

Mental Health: 2 Add'l Visits within Next 30 Days ↑ 30% 16% 25% 35%

Developmental Disabilities: 2 Visits within 14 Days ↑ 72% 30% 58% 77%

Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ 61% 12% 44% 59%

Substance Abuse: 2 Visits within 14 Days ↑ 71% 39% 65% 88%

Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ 56% 27% 46% 65%

Mental Health/Developmental Disabilities: 2 Visits within 14 Days ↑ NA 28% 51% 6

Mental Health/Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ NA 18% 39% 5

Mental Health/Substance Abuse: 2 Visits within 14 Days ↑ NA 49% 60% 9

Mental Health/Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ NA 33% 44% 5

4. Effective Use of State Psychiatric Hospitals (Reduction of Short-Term Care)

1-7 Days of Care ↓ 44% 0% 32% 6

8-30 Days of Care NA 33% 44% 6

5. State Psychiatric Hospital Readmissions

Readmitted within 30 Days ↓ 10% 0% 7% 1

Readmitted within 180 Days ↓ 22% 7% 17% 3

6. Timely Follow-up After Inpatient Care

ADATCs: Seen in 1-7 Days ↑ 70% 14% 40% 80%

State Psychiatric Hospitals: Seen in 1-7 Days ↑ 70% 32% 52% 93%

7. Child Services in Non-Family Settings

Residential Treatment: Levels 2 (Program), 3, and 4 ↓ 4% 0% 2% 4

* ↑ Goal is to increase the percentage ↓ Goal is to decrease the percentage

Progress Indicator G o a

l *

Meets or exceeds Statewide Goal Statewide Goal n

7




ALAMANCE-CASWELL




Alamance-Caswell LME serves two counties in central North Carolina. OnlyAlamance is considered urban. Of the 174,000 residents living in this area, 17%are enrolled in Medicaid.


MH1,61488%

DD644%

Dual MH/DD835%

MH/DD/SA0

0%

Dual MH/SA432%

SA101%


SA4009%

Dual MH/SA83218%

MH/DD/SA130%

Dual MH/DD2115%

DD1714%

Dual DD/SA2

0%

MH2,98164%


36%37% 36% 38% 38% 42% 39%30%

39%

0%

20%

40%

60%80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LMEState Average Lowest LME


55%

78%

46%

77%77%75%60%63%

76%

0%

20%

40%

60%80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



59%52%

70%81%74%

60%72%

63%63%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME

State Average Lowest LME

● Over one-third of mental health consumers received two visits

within the first 14 days of care this quarter. The percentage hasremained fairly level over the past 9 quarters slightly below the stateaverage.

● Over half of consumers with developmental disabilities received twovisits within the first 14 days of care this quarter. This is down fromthe three-quarters level it has been during 5 of the past 9 quarters andslightly below the state average.

● Three-fifths of substance abuse consumers received two visitswithin the first 14 days of care this quarter. The percentage improvedduring the first 6 quarters, declined during the last half of SFY10, andhas improved in the most recent quarter.



8




ALAMANCE-CASWELLSo… How Did We Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Alamance C


Emergent ↑ 86% 98% 100% 100% Data for these i

Urgent ↑ 48% 86% 100% 100%Routine ↑ 59% 80% 95% 77%


Adult Mental Health ↑ 27% 51% 77% 56% 56% 52%

Child/Adolescent Mental Health ↑ 35% 55% 84% 48% 48% 46%

Adult Developmental Disabilities ↑ 25% 40% 58% 36% 35% 40%

Child/Adolescent Developmental Disabilities ↑ 13% 21% 35% 13% 14% 10%

Adult Substance Abuse ↑ 5% 11% 17% 11% 11% 10%

Adolescent Substance Abuse ↑ 4% 9% 18% 6% 6% 3%


Mental Health: 2 Visits within 14 Days ↑ 28% 41% 70% 36% 37% 28%

Mental Health: 2 Add'l Visits within Next 30 Days ↑ 16% 25% 35% 19% 20% 14%

Developmental Disabilities: 2 Visits within 14 Days ↑ 30% 58% 77% 55% 55% 0%

Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ 12% 44% 59% 45% 45% 0%

Substance Abuse: 2 Visits within 14 Days ↑ 39% 65% 88% 59% 61% 44%

Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ 27% 46% 65% 38% 37% 44%

Mental Health/Developmental Disabilities: 2 Visits within 14 Days ↑ 28% 51% 68% 68% 77% 0%

Mental Health/Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ 18% 39% 53% 44% 50% 0%

Mental Health/Substance Abuse: 2 Visits within 14 Days ↑ 49% 60% 94% 54% 52% 74%

Mental Health/Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ 33% 44% 57% 34% 32% 43%


1-7 Days of Care ↓ 0% 32% 60% 29% Data for these i

8-30 Days of Care 33% 44% 67% 39%


Readmitted within 30 Days ↓ 0% 7% 14% 5%






Residential Treatment: Levels 2 (Program), 3, and 4 ↓ 0% 2% 4% 2% 2% 3


Progress Indicator LM E G o a

l *

9




BEACON CENTER




Western Region C en tr al R eg io n E as te rn R eg io nThe Beacon Center serves the eastern North Carolina counties of Edgecombe,Greene, Nash and Wilson. Only Wilson is considered urban. Of the 250,000residents living in this area, 23% are enrolled in Medicaid.


MH

3,57186%

DD1664%

Dual MH/DD3107%

MH/DD/SA3

0%

Dual MH/SA882%

SA321%


SA4317%

Dual MH/SA91715%

MH/DD/SA341%

Dual MH/DD4417%

DD2484%

Dual DD/SA2

0%

MH3,90766%

● One-third of mental health consumers received two visits within the

first 14 days of care this quarter. The percentage has declined over the past 9 quarters from being at to below the state average.

● About two-fifths of consumers with developmental disabilitiesreceived two visits within the first 14 days of care this quarter. Thepercentage has decreased over the last 9 quarters. Except for onequarter it has remained below the state average.

● Over two-thirds of substance abuse consumers received two visitswithin the first 14 days of care this quarter. The percentage hasshown improvement over the past 9 quarters and is currently slightlyabove the state average.



33%43% 38% 39% 37% 33% 37% 32% 35%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



44%57%52%53%54%

42%54%

81%63%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



71%68%58%

50%49%52%56%45%

57%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


10




BEACON CENTER So… How Did W e Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Edgecombe G



Urgent ↑ 48% 86% 100% 48%Routine ↑ 59% 80% 95% 59%





















8-30 Days of Care 33% 44% 67% 45%











l *

11




CENTERPOINT HUMAN SERVICES




Centerpoint Human Services LME serves the central North Carolina counties of Davie, Forsyth, Rockingham, and Stokes. Forsyth is part of the Triadmetropolitan area; the other counties are rural. Of the 543,000 residents living inthis area, 16% are enrolled in Medicaid.


Dual MH/DD3127%

MH/DD/SA1

0%

Dual MH/SA2786%

MH3,88981%

DD1954%

SA1132%


SA1,46112%

Dual MH/SA2,15718%

MH/DD/SA350%

Dual MH/DD5925%

DD5545%

MH7,22360%

● About two-fifths of mental health consumers received two visitswithin the first 14 days of care this quarter. The percentage hasremained fairly level over the past 8 quarters and has followed thestate average.

● About three-fifths of consumers with developmental disabilitiesreceived two visits within the first 14 days of care this quarter. Thepercentage has fluctuated above and below the state average and iscurrently slightly above the state average.

● Almost two-thirds of consumers with substance abuse received twovisits within the first 14 days this quarter. The percentage hasgenerally improved over the past 9 quarters and is currently slightlybelow the state average.




41%48% 44% 41% 40% 40% 41% 37% 44%

0%

20%

40%

60%80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



62%57%58%72%65%72%67%75%60%

0%

20%

40%

60%80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



64%55%

46%54%58%56%60%

53%55%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME


12




CENTERPOINTSo… How Did W e Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Davie F



Urgent ↑ 48% 86% 100% 82%Routine ↑ 59% 80% 95% 74%







Adolescent Substance Abuse ↑ 4% 9% 18% 14% 3% 16














8-30 Days of Care 33% 44% 67% 52%











l *

13




CROSSROADS BEHAVIORAL HEALTHCARE




Crossroads Behavioral Healthcare LME serves the western North Carolinacounties of Iredell, Surry and Yadkin. Only Iredell is considered urban. Of the272,000 residents living in this area, 16% are enrolled in Medicaid.


Dual MH/DD1436%

MH/DD/SA0

0%

Dual MH/SA994%

MH2,09083%

DD1416%

SA351%


SA63610%

Dual MH/SA1,21319%

MH/DD/SA200%

Dual MH/DD2584%

DD3095%

MH4,06262%

● About two-fifths of mental health consumers received two visitswithin the first 14 days of care this quarter. The percentage hasshown modest improvement over the past 9 quarters and is currentlyslightly below the state average.

● About two-thirds of consumers with developmental disabilitiesreceived two visits within the first 14 days of care this quarter. Thepercentage has decreased over the past 9 quarters; however it iscurrently above the state average.

● Under half of consumers with substance abuse received two visitswithin the first 14 days this quarter. The percentage has decreasedover the past 9 quarters and is currently below the state average.

Western Region C en tr al R eg io n E as te rn R eg io n



38%37% 38% 35% 38% 42% 40% 38% 40%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



67%79%

57%68%72%71%88%85%82%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



48%53%53%57%55%50%59%50%

57%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


14




CROSSROADSSo… How Did We Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Iredell



Urgent ↑ 48% 86% 100% 91%Routine ↑ 59% 80% 95% 88%





















8-30 Days of Care 33% 44% 67% 53%











l *

15




CUMBERLAND




Cumberland County LME is a single-county program in eastern North Carolina.This urban county has 324,000 residents, of whom 18% are enrolled inMedicaid.


MH3,61686%

Dual MH/SA1193%

Dual MH/DD3067%

MH/DD/SA

40%

DD1303%

SA631%


SA4928%

Dual MH/SA91614%

MH/DD/SA361%

Dual MH/DD3626%

DD2484%

MH

4,40767%

● Almost two-fifths of mental health consumers received two visitswithin the first 14 days of care this quarter. The percentage has

improved over the past 9 quarters and is currently slightly below thestate average.

● About two-thirds of consumers with developmental disabilitiesreceived two visits within the first 14 days of care this quarter. Thepercentage is currently slightly above the state average.

● Over two-thirds of consumers with substance abuse received twovisits within the first 14 days this quarter. The percentage hasimproved over the past 6 quarters from slightly below to slightly abovethe state average.




37%31% 30% 29% 32% 31% 36% 33% 38%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



64%69%82%

65%78%

59%67%66%70%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



68%69%64%64%57%59%57%62%65%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


16




CUMBERLANDSo… How Did W e Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Cumberland



Urgent ↑ 48% 86% 100% 96%Routine ↑ 59% 80% 95% 91%


Adult Mental Health ↑ 27% 51% 77% 45% 45%

Child/Adolescent Mental Health ↑ 35% 55% 84% 53% 53%

Adult Developmental Disabilities ↑ 25% 40% 58% 34% 34%

Child/Adolescent Developmental Disabilities ↑ 13% 21% 35% 19% 19%

Adult Substance Abuse ↑ 5% 11% 17% 7% 7%

Adolescent Substance Abuse ↑ 4% 9% 18% 11% 11%


Mental Health: 2 Visits within 14 Days ↑ 28% 41% 70% 37% 37%

Mental Health: 2 Add'l Visits within Next 30 Days ↑ 16% 25% 35% 23% 23%

Developmental Disabilities: 2 Visits within 14 Days ↑ 30% 58% 77% 64% 64%

Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ 12% 44% 59% 55% 55%

Substance Abuse: 2 Visits within 14 Days ↑ 39% 65% 88% 68% 68%

Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ 27% 46% 65% 47% 47%

Mental Health/Developmental Disabilities: 2 Visits within 14 Days ↑ 28% 51% 68% 39% 39%

Mental Health/Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ 18% 39% 53% 31% 31%

Mental Health/Substance Abuse: 2 Visits within 14 Days ↑ 49% 60% 94% 51% 51%

Mental Health/Substance Abuse: 2 Add'l Visits within Next 30 Days ↑ 33% 44% 57% 40% 40%



8-30 Days of Care 33% 44% 67% 42%








Residential Treatment: Levels 2 (Program), 3, and 4 ↓ 0% 2% 4% 1% 1%



l *

17




DURHAM CENTER




The Durham Center LME is a single-county program in central North Carolina.This urban county is par t of the Tr iangle metropolitan area. Of the 272,000residents living in the county, 15% are enrolled in Medicaid.


MH3,44284%

Dual MH/SA1273%

Dual MH/DD3769%

MH/DD/SA8

0%

DD1173%

SA341%


SA64610%

Dual MH/SA1,47022%

MH/DD/SA250%

Dual MH/DD4487%

DD1773%

MH3,83058%

● About two-fifths of mental health consumers received two visitswithin the first 14 days of care this quarter. The percentage has

decreased slightly over the past 9 quarters but remains slightly abovethe state average.

● Over half of consumers with developmental disabilities receivedtwo visits within the first 14 days of care this quarter. The percentagehas fluctuated above and below the state average over the pas t 9quarters and is currently slightly below the state average.

● About three-quarters of consumers with substance abuse receivedtwo visits within the first 14 days this quarter. The percentage hasdecreased s light ly over the past 9 quar ters but has consis tentlyremained above the state average.




43%49% 49% 47% 47% 47% 53% 47% 46%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



56%59%52%56%

78%

30%46%

63%72%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



74%77%73%72%75%78%77%83%81%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


18




DURHAM CENTER So… How Did W e Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Durham



Urgent ↑ 48% 86% 100% 66%Routine ↑ 59% 80% 95% 83%





















8-30 Days of Care 33% 44% 67% 45%











l *

19




EAST CAROLINA BEHAVIORAL HEALTH




East Carolina Behavioral Health LME serves 19 count ies in eastern NorthCarolina, all but one of which are rural . Of the 593,000 residents living in thisarea, 19% are enrolled in Medicaid. In July 2010 the LME doubled in size whenit assumed responsibility for the 10 counties that were formerly part of AlbemarleLME.


MH

8,00888%

Dual MH/SA2313%

Dual MH/DD5936%

MH/DD/SA9

0%

DD3093%

SA430%


SA1,39910%

Dual MH/SA2,80220%

MH/DD/SA751%

Dual MH/DD1,003

7%

DD6965%

MH8,00157%

● About two-fifths of mental health consumers received two visitswithin the fir st 14 days of care this quarter. This percentage has

decreased slightly over the past 9 quarters from slightly above thestate average to just at the state average.

● Over half of consumers with developmental disabilities receivedtwo visits within the first 14 days of care this quarter. The percentagehas fluctuated below the state average over the past 9 quarters and iscurrently only slightly below the state average.

● Almost two-thirds of consumers with substance abuse received twovisits within the first 14 days this quarter. The percentage hasfluctuated from slightly below to slightly above the state average over the past 9 quarters. It is currently slightly below the state average.



40%47% 46% 49% 42% 45% 46% 40% 44%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



55%50%51%54%56%

64%58%53%

63%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



63%59%60%63%64%53%61%59%59%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



20




ECBHSo… How Did W e Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Beaufort B



Urgent ↑ 48% 86% 100% 62%Routine ↑ 59% 80% 95% 80%





















8-30 Days of Care 33% 44% 67% 50%











l *

21





Range Among LMEs

LowestLME

State Average

HighestLME

Jones M



Urgent ↑ 48% 86% 100% 62%Routine ↑ 59% 80% 95% 80%





















8-30 Days of Care 33% 44% 67% 50%








Residential Treatment: Levels 2 (Program), 3, and 4 ↓ 0% 2% 4% 2% 0% 2%



l *

23





Range Among LMEs

LowestLME

State Average

HighestLME

Perquimans



Urgent ↑ 48% 86% 100% 62%Routine ↑ 59% 80% 95% 80%





















8-30 Days of Care 33% 44% 67% 50%











l *

24




This Page Intentionally Left Blank

25




EASTPOINTE




Eastpointe LME serves the eastern North Carolina counties of Duplin, Sampson,Lenoir, and Wayne. Only Wayne is considered urban. Of the 294,000 residentsliving in this area, 23% are enrolled in Medicaid.


MH

4,07687%

Dual MH/SA1333%

Dual MH/DD2986%

MH/DD/SA3

0%

DD1513%

SA301%


SA5747%

Dual MH/SA1,27016%

MH/DD/SA

370%

Dual MH/DD5637%

DD3725%

MH5,13765%

● About two-fifths of mental health consumers that two visits withinthe first 14 days of care this quarter. The percentage has hovered

around the state average over the past 9 quar ters. It has shown aslight decrease over all.

● About three-fifths of consumers with developmental disabilitiesreceived two visits within the first 14 days of care this quarter. Thepercentage has fluctuated up and down over the pas t 9 quarters(mostly above the state average) and is currently slightly above thestate average.

● Almost half of consumers with substance abuse received two visitswithin the first 14 days this quarter. The percentage has been belowthe state average during the past 9 quarters.




38%43% 45% 44% 43% 40% 43% 41% 40%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



62%71%69%73%60%

74%

50%

74%65%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



48%54%56%55%56%52%57%

34%37%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


26




EASTPOINTESo… How Did W e Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Duplin



Urgent ↑ 48% 86% 100% 100%Routine ↑ 59% 80% 95% 95%





















8-30 Days of Care 33% 44% 67% 35%











l *

27




FIVE COUNTY




Five County Mental Health Authority serves the central North Carolina countiesof Franklin, Granville, Halifax, Vance and Warren counties, all of which are rural.Of the 236,000 residents living in this area, 23% are enrolled in Medicaid.


MH

2,78487%

Dual MH/SA863%

Dual MH/DD1846%

MH/DD/SA

40%

DD993%

SA311%


SA6268%

Dual MH/SA1,30517%

MH/DD/SA340%

Dual MH/DD4015%

DD2293%

MH5,11667%

● About one-quarter of mental health consumers received two visitswithin the first 14 days of care this quarter. The percentage has been

below the state average over the past 9 quarters and has been thelowest in the state for the past 3 quarters.

● About one-third of consumers with developmental disabili tiesreceived two visits within the first 14 days of care this quarter. Thepercentage has been below the state average over the past 9quarters and is currently one of the lowest in the state.

● Almost three-fifths of consumers with substance abuse receivedtwo visits within the first 14 days this quarter. The percentage hasimproved over the past year but remains below the state average.




28%38% 38% 38% 38% 38% 38%

29% 26%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



32%

56%47%

24%35%

45%58%

49%57%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



58%50%53%46%46%

54%54%50%56%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


28




FIVE COUNTY So… How Did W e Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Franklin G



Urgent ↑ 48% 86% 100% 100%Routine ↑ 59% 80% 95% 77%





















8-30 Days of Care 33% 44% 67% 55%











l *

29




GUILFORD CENTER




Guilford Center LME is a single-county program in the Triad metropolitan area of central North Carolina. Of the 483,000 residents living in this urban county, 16%are enrolled in Medicaid.


MH

4,52786%

Dual MH/SA1513%

Dual MH/DD3397%

MH/DD/SA6

0%

DD1373%

SA451%


SA1,13410%

Dual MH/SA2,13118%

MH/DD/SA370%

Dual MH/DD6135%

DD4634%

MH7,20963%

● About two-fifths of mental health consumers received two visitswithin the first 14 days of care this quarter. The percentage has

decreased over the past year but remains slightly above the stateaverage.

● Over three-quarters of consumers with developmental disabilitiesreceived two visits within the first 14 days of care this quarter. Thepercentage has fluctuated from slightly below to well above the stateaverage over the past 9 quarters and is currently the highest in thestate.

● Almost three-quarters of consumers with substance abuse receivedtwo visits within the first 14 days this quarter. The percentage hasbeen at or above the state average for the past 9 quarters and iscurrently slightly above the state average.




43%49% 48% 53% 52% 53% 46% 44% 48%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



77%73%84%75%58%

86%80%68%

78%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



71%70%72%78%72%65%65%70%71%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


30




GUILFORD CENTER So… How Did W e Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Guilford



Urgent ↑ 48% 86% 100% 100%Routine ↑ 59% 80% 95% 83%





















8-30 Days of Care 33% 44% 67% 45%











l *

31




JOHNSTON COUNTY AREA MENTAL HEALTH AUTHORITY




Johnston County LME is a single-county program in eastern North Carolina.Johnston county has recently been designated an urban county, due to thegrowth of the Triangle metropolitan area. Of the 174,000 residents living in thiscounty, 17% are enrolled in Medicaid.


MH1,80787%

Dual MH/SA563%

Dual MH/DD1336%

MH/DD/SA3

0%

DD934%

SA3

0%


SA2155%

Dual MH/SA1,21328%

MH/DD/SA100%

Dual MH/DD1353%

DD1133%

MH2,60161%

● Almost half of mental health consumers received two visits withinthe first 14 days of care this quarter. The percentage has improved

over the past 9 quar ters and is current ly slightly above the stateaverage.

● About two-fifths of consumers with developmental disabilitiesreceived two visits within the first 14 days of care this quarter. Thepercentage has decreased over the past 5 quarters from well aboveto well below the state average.

● About three-fifths of consumers with substance abuse received twovisits within the first 14 days this quarter. The percentage hasfluctuated up and down over the last 9 quarters and is currently belowthe state average.




46%38%

25% 22%34%

43% 43% 43% 46%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



41%

68%67%65%82%88%79%75%75%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



59%49%

67%64%59%62%49%48%

57%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


32




JOHNSTONSo… How Did We Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Johnston



Urgent ↑ 48% 86% 100% 91%Routine ↑ 59% 80% 95% 61%





















8-30 Days of Care 33% 44% 67% 67%











l *

33




MECKLENBURG COUNTY AREA MH/DD/SA AUTHORITY




Mecklenburg County Area MH/DD/SA Authority is a single-county program thatcomprises the center of the Charlotte metropolitan area in wes tern NorthCarolina. Of the 909,000 residents living in this urban county, 15% are enrolledin Medicaid.


MH7,66082%

Dual MH/SA2713%

Dual MH/DD88210%

MH/DD/SA10

0%

DD3704%

SA551%


SA2,51917%

Dual MH/SA2,77019%

MH/DD/SA841%

Dual MH/DD1,161

8%

DD6444%

MH7,40451%

● Two-fifths of mental health consumers received two visits within thefirst 14 days of care this quarter. The percentage has hovered at or

slightly below the state average over the past 9 quarters and iscurrently at the state average.

● Almost two-thirds of consumers with developmental disabilitiesreceived two visits within the first 14 days of care this quarter. Thepercentage has decreased over the past 9 quarters but remainsslightly above the state average.

● Two-thirds of consumers with substance abuse received two visitswithin the first 14 days this quarter. The percentage has improvedover the past 3 quarters from slightly below to slightly above the stateaverage.




40%43% 39% 41% 39% 36% 40% 39% 38%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



63%63%75%69%65%69%71%70%72%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



66%58%55%55%

75%70%67%67%69%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


34




MECKLENBURGSo… How Did W e Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Mecklenburg



Urgent ↑ 48% 86% 100% 100%Routine ↑ 59% 80% 95% 90%





















8-30 Days of Care 33% 44% 67% 48%











l *

35




MENTAL HEALTH PARTNERS




Mental Health Partners LME serves two counties in western North Carolina.Burke is a rural county and Catawba is urban. Of the 249,000 residents living inthis area, 17% are enrolled in Medicaid.


MH

2,75188%

Dual MH/SA732%

Dual MH/DD1475%

MH/DD/SA1

0%

DD1254%

SA161%


SA75011%

Dual MH/SA1,03715%

MH/DD/SA160%

Dual MH/DD3555%

DD2353%

MH

4,57366%

● About one-third of mental health consumers received two visitswithin the first 14 days of care this quarter. The percentage has

decreased slightly over the past 9 quarters and is currently below thestate average.

● Over two-thirds of consumers with developmental disabili tiesreceived two visits within the first 14 days of care this quarter. Thepercentage has fluctuated over the past 9 quarters above and belowthe state average and is currently above the state average.

● Over three-fifths of consumers with substance abuse received twovisits within the first 14 days this quarter. The percentage hasfluctuated slightly above and below the state average over the past 9quarters and is currently slightly below the state average.




32%35% 37% 34% 38% 33% 40% 37% 34%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



70%67%64%77%79%

70%71%59%

70%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



62%65%63%55%

70%73%59%60%62%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


36




ONSLOW-CARTERET BEHAVIORAL HEALTHCARE SERVICES




Onslow-Carteret Behavioral Healthcare Services LME serves two counties ineastern Nor th Carolina. Only Car teret is considered rural. Of the 247,000residents living in this area, 11% are enrolled in Medicaid.


MH1,80487%

Dual MH/SA251%

Dual MH/DD1557%

MH/DD/SA2

0%

DD894%

SA161%

Adults (Age 18 and Over): 4,947SA3156% Dual MH/SA

52011%

MH/DD/SA7

0%

Dual MH/DD2245%

DD1723%

MH

3,70975%

● Almost half of mental health consumers received two visits withinthe first 14 days of care this quarter. The percentage has increased

over the past 9 quarters from well below the state average to slightlyabove the state average.

● About one-third of consumers with developmental disabili tiesreceived two visits within the first 14 days of care this quarter. Thepercentage initially increased during the first 5 of the past 9 quartersfrom slightly below to above the state average, then it decreased inthe most recent 4 quarters to one of the lowest in the state.

● Over two-thirds of consumers with substance abuse received twovisits within the first 14 days this quarter. The percentage hasincreased over the past 9 quarters from well below to slightly abovethe state average.




45%34% 36% 32% 32% 32% 34% 34% 40%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



36%32%

43%33%

73%71%65%66%64%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s

LME Highest LME



69%55%

44%42%48%41%46%59%

45%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


38




ONSLOW-CARTERETSo… How Did W e Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Carteret O



Urgent ↑ 48% 86% 100% 85%Routine ↑ 59% 80% 95% 75%





















8-30 Days of Care 33% 44% 67% 40%











l *

39




ORANGE-PERSON-CHATHAM MH/DD/SA AUTHORITY




Orange-Person-Chatham MH/DD/SA Authority serves three counties in centralNor th Carolina. Only Orange County is considered urban. Of the 236,000residents living in this area, 11% are enrolled in Medicaid.


MH1,86380%

Dual MH/SA1416%

Dual MH/DD2009%

MH/DD/SA251%

DD1024%

SA7

0%


SA47311%

Dual MH/SA95823%

MH/DD/SA431%

Dual MH/DD3097%

DD2356%

MH2,19652%

● Over one-third of mental health consumers received two visitswithin the first 14 days of care this quarter. The percentage has

remained about the same over the past 9 quarters and is currentlybelow the state average.

● About half of consumers with developmental disabilities receivedtwo visits within the first 14 days of care this quarter. The percentagehas fluctuated above and below the state average over the pas t 9quarters and is currently below the state average.

● About three-quarters of consumers with substance abuse receivedtwo visits within the first 14 days this quarter. The percentage hasimproved over the past 9 quarters f rom below to above the stateaverage.




35%37%37%43%37%38%42%41%37%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



52%56%

87%

38%

74%

52%

70% 68%51%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



73%

53% 60% 61% 60% 57%66% 70% 74%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


40




Orange-Person-ChathamSo… How Did W e Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Chatham O



Urgent ↑ 48% 86% 100% 73%Routine ↑ 59% 80% 95% 86%





















8-30 Days of Care 33% 44% 67% 37%











l *

41




PATHWAYS




Pathways MH/DD/SA LME serves the western North Carolina counties of Cleveland, Gaston and Lincoln. Of the 386,000 residents living in these urbancounties, 20% are enrolled in Medicaid.


MH4,79384%

DD3105%

Dual MH/DD4297%

MH/DD/SA

50%

Dual MH/SA1913%

SA321%


SA8917%

Dual MH/SA2,81221%

MH/DD/SA460%

Dual MH/DD7666%

DD4814%

Dual DD/SA4

0%

MH8,28662%


● Over one-third of mental health consumers received two visitswithin the first 14 days of care this quarter. The percentage hasremained about the same over the past 9 quarters and is currentlybelow the state average.

● About half of consumers with developmental disabilities receivedtwo visits within the first 14 days of care this quarter. The percentagehas decreased over the last 9 quarters and is currently below thestate average.

● About two-thirds of consumers with substance abuse received twovisits within the first 14 days this quarter. The percentage hashovered around the state average over the past 9 quar ters and iscurrently slightly above the state average.



36%35%32%33%33%35%37%34%37%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



49%58% 58% 56%

73%61% 56%

48%59%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



66%64% 64% 62% 67% 61% 59% 54%64%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


42




PATHWAYSSo… How Did W e Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Cleveland G



Urgent ↑ 48% 86% 100% 96%Routine ↑ 59% 80% 95% 65%





















8-30 Days of Care 33% 44% 67% 33%











l *

43




PBHSo… How Did W e Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Cabarrus Da



Urgent ↑ 48% 86% 100% 80%Routine ↑ 59% 80% 95% 94%





















8-30 Days of Care 33% 44% 67% 46%











l *

45




SANDHILLS CENTER So… How Did We Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Anson H



Urgent ↑ 48% 86% 100% 88%Routine ↑ 59% 80% 95% 87%





















8-30 Days of Care 33% 44% 67% 43%











l *

47




SANDHILLS CENTER So… How Did We Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Moore R



Urgent ↑ 48% 86% 100% 88%Routine ↑ 59% 80% 95% 87%





















8-30 Days of Care 33% 44% 67% 43%











l *

48





49




SMOKY MOUNTAIN CENTER




Smoky Mountain Center serves 15 non-contiguous rural counties in western NC.Of the 526,000 residents living in this area, 18% are enrolled in Medicaid.


MH5,82889%

DD2273%

Dual MH/DD3155%

MH/DD/SA

40%

Dual MH/SA1392%

SA521%


SA2,10212%

Dual MH/SA2,53915%

MH/DD/SA400%

Dual MH/DD6964%

DD6053%

Dual DD/SA4

0%

MH11,509

66%


● Two-fifths of mental health consumers received two visits within the

first 14 days of care this quarter. The percentage has remained aboutthe same over the past 9 quarters and is currently at the stateaverage.

● Three-fifths of consumers with developmental disabilities receivedtwo visits within the first 14 days of care this quarter. The percentagehas decreased over the past 9 quarters and is currently at the stateaverage.

● Over half of substance abuse consumers received two visits withinthe first 14 days of care this quarter. The percentage has decreasedover the past 9 quarters and is currently below the state average.



40%41%42%42%39%38%37%37%39%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



60%78%

60%75% 69% 65% 70%

55% 62%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



54%62% 63% 63% 59% 57% 58% 59% 57%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


50




SMOKY M OUNTAIN CENTER So… How Did We Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Alexander All



Urgent ↑ 48% 86% 100% 93%Routine ↑ 59% 80% 95% 82%















Mental Health/Developmental Disabilities: 2 Visits within 14 Days ↑ 28% 51% 68% 59% 0% 100

Mental Health/Developmental Disabilities: 2 Add'l Visits within Next 30 Days ↑ 18% 39% 53% 47% 0% 100





8-30 Days of Care 33% 44% 67% 40%











l *

51





Range Among LMEs

LowestLME

State Average

HighestLME

Cherokee



Urgent ↑ 48% 86% 100% 93%Routine ↑ 59% 80% 95% 82%





















8-30 Days of Care 33% 44% 67% 40%











l *

52





Range Among LMEs

LowestLME

State Average

HighestLME

Macon M



Urgent ↑ 48% 86% 100% 93%Routine ↑ 59% 80% 95% 82%





















8-30 Days of Care 33% 44% 67% 40%











l *

53




SOUTHEASTERN CENTER




Southeastern Center LME serves the eastern North Carolina count ies of Brunswick, New Hanover, and Pender. Only New Hanover is considered urban.Of the 361,000 residents living in this area, 14% are enrolled in Medicaid.


MH4,12883%

Dual MH/SA902%

Dual MH/DD4209%

MH/DD/SA100%

DD2285%

SA321%


SA1,50218%

Dual MH/SA94911%

MH/DD/SA230%

Dual MH/DD4726%

DD3484%

MH4,95961%

● Over two-fifths of mental health consumers received two visitswithin the first 14 days of care this quarter. The percentage has

increased s light ly over the past 9 quar ters f rom slightly below toslightly above the state average.

● Two-thirds of consumers with developmental disabilities receivedtwo visits within the first 14 days of care this quarter. The percentagehas fluctuated above and below the state average over the pas t 9quarters and is currently above the state average.

● About two-fifths of consumers with substance abuse received twovisits within the first 14 days of care this quarter. The percentage hasdecreased over the past 9 quar ters from slightly below the stateaverage to the lowest in the state for the past 5 quarters.




42%45%41%42%43%40%40%41%40%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



67%67% 70%62%

71%

39%

72%54%

64%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



39%

61% 68% 61%51%

36% 37%28%

39%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


54




SOUTHEASTERN REGIONAL




Southeastern Regional MH/DD/SAS LME serves the eastern North Carolinacounties of Bladen, Columbus, Robeson, and Scotland. Of the 258,000residents living in these rural counties, 30% are enrolled in Medicaid.


MH4,81590%

Dual MH/SA992%

Dual MH/DD3136%

MH/DD/SA2

0%

DD1122%

SA250%


SA5747%

Dual MH/SA1,48318%

MH/DD/SA390%

Dual MH/DD4986%

DD3214%

MH

5,21965%

● Almost half of mental health consumers received two visits withinthe first 14 days of care this quarter. The percentage has decreased

over the past 9 quarters but remains above the state average.

● Under one-third of consumers with developmental disabilitiesreceived two visits within the first 14 days of care this quarter. Thepercentage has fluctuated over the past 9 quarters showing periods of increase and decrease and has fallen sharply over the past 3 quartersfrom above to well below the state average.

● Almost three-fifths of consumers with substance abuse receivedtwo visits within the first 14 days of care this quarter. The percentagehas decreased over the past 9 quar ters from being at to below thestate average.




47%47%47%48%51%56%54%51%56%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



30%

60% 68%52%

38%52%

62%71%

52%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



57%64% 64% 68% 61% 65% 59%51% 50%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


56




SOUTHEASTERN REGIONALSo… How Did W e Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Bladen Co



Urgent ↑ 48% 86% 100% 99%Routine ↑ 59% 80% 95% 88%





















8-30 Days of Care 33% 44% 67% 54%











l *

57




WAKE COUNTY HUMAN SERVICES




Wake County Human Services LME is a single-county program in the Trianglemetropolitan area of central North Carolina. Of the 920,000 residents living inthis urban county, 10% are enrolled in Medicaid.


MH6,41585%

Dual MH/SA2413%

Dual MH/DD4546%

MH/DD/SA6

0%

DD3935%

SA411%


SA1,20110%

Dual MH/SA2,02117%

MH/DD/SA330%

Dual MH/DD6596%

DD7256%

MH7,24861%

● Over two-fifths of mental health consumers received two visitswithin the first 14 days of care this quarter. The percentage has

remained about the same over the past 9 quarters which has beenaround the state average.

● Two-thirds of consumers with developmental disabilities receivedtwo visits within the first 14 days of care this quarter. The percentagehas decreased over the past 9 quarters but has remained above thestate average.

● About two-thirds of consumers with substance abuse received twovisits within the first 14 days of care this quarter. The percentage hasincreased s light ly over the past 9 quar ters f rom slightly below toslightly above the state average.




43%48%42%40%44%43%40%43%43%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



67%64%66%67%61%67%70%70%77%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



66%59%

53% 56% 61% 67%54% 56% 56%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


58




WAKESo… How Did W e Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Wake



Urgent ↑ 48% 86% 100% 84%Routine ↑ 59% 80% 95% 59%





















8-30 Days of Care 33% 44% 67% 39%











l *

59




WESTERN HIGHLANDS NETWORK




Western Highlands Network LME serves eight counties in western NorthCarolina, six of which are rural. Of the 511,000 residents living in this area, 17%are enrolled in Medicaid.


MH5,29386%

Dual MH/SA1332%

Dual MH/DD4507%

MH/DD/SA5

0%

DD3245%

SA210%


SA1,40310%

Dual MH/SA2,68319%

MH/DD/SA380%

Dual MH/DD8556%

DD5334%

MH8,84661%

● Almost half of mental health consumers received two visits withinthe first 14 days of care this quarter. The percentage has decreased

slightly but has remained above the state average over the past 9quarters.

● Over half of consumers with developmental disabilities receivedtwo visits within the first 14 days of care this quarter. The percentagehas decreased slightly over the past 9 quarters and is currentlyslightly below the state average.

● Over two-thirds of consumers with substance abuse received twovisits within the first 14 days of care this quarter. The percentage hasremained about the same over the past 8 quarters above the stateaverage.




45%45%45%50%49%48%44%46%47%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



56%62% 63% 58% 52%64% 60% 61% 59%

0%

20%

40%

60%

80%100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s



71%75%69% 70% 67% 71% 69% 68% 73%

0%

20%

40%

60%

80%

100%

Q1 Q2 Q3 Q4 Q1 Q2 Q3 Q4 Q1

SFY09 SFY10 SFY11

P c

t o

f N e w

P e r s o n s


60




WESTERN HIGHLANDS NETWORK So… How Did We Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Buncombe Hen



Urgent ↑ 48% 86% 100% 90%Routine ↑ 59% 80% 95% 95%





















8-30 Days of Care 33% 44% 67% 41%











l *

61




WESTERN HIGHLANDS NETWORK So… How Did We Do This Quarter?

Range Among LMEs

LowestLME

State Average

HighestLME

Rutherford Tran



Urgent ↑ 48% 86% 100% 90%Routine ↑ 59% 80% 95% 95%





















8-30 Days of Care 33% 44% 67% 41%











l *

62





63




The MH/DD/SAS Community Systems Progress Report , Report Appendices and Critical Measures at a Glance are published

four times a year on the Division’s website:http://www.ncdhhs.gov/mhddsas/statspublications/reports/

Questions and feedback should be directed to:NC DMH/DD/SAS Quality Management Team

[email protected] (919/733-0696)

http://www.ncdhhs.gov/mhddsas/statspublications/reports/

mailto:[email protected]



http://www.ncdhhs.gov/mhddsas/statspublications/reports/

Community Systems Progress Rpt q1

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