2012 state of c.o.r.e.coremedicalclinic.com/outcomes/2012_state_of_core.pdf · 2014-12-06 ·...

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.

C.O.R.E. MISSION STATEMENT

Comprehensive Opiate Recovery Experience

RECOVERY WITH RESPECT

“Improving the lives of individuals through

comprehensive opiate replacement services”

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

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)

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

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

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

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

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%

UA BY MONTH

2012 TB TESTS

422 7

429 TB Tests

NegativePositive

2012 BMI

02468

101214

8

5 8

5

1 1 2

6

7 5

1

1 1 1

MaleFemale

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

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

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

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

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

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%

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

2012 PODS BY GENDER

428, 52.7%

384, 47.3%

PODS By Gender

Male Female

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

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

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

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

PROBATION/PAROLE

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)

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

2012 ER VISITS/AMBULANCE RIDES

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

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

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

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%

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%

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

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?

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?

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?

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?

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?

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.

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.

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.

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.

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?

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?

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?

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?

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?

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?

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?

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?