Summary of Key Activites:
All PQI activites centered around either ensuring agency viability and sustainability or programmatic effiency and effectivness. Youth Unlimited primarily relies on fee for service revenue because fundraising in this community is difficult due to the large number of non-profit and population size. We have learned that utilixation is the key measure that indicates whether we are successful or not. Responding to community needs by adapting programing to fill service gaps has also been crucial. Although annual goals for utilization were not reached, progress has been made in both increased utilization and consistency.
As part of the agency's continued recovery from the failed CABHA program implemented by DHHS financial goals were on-going and will continue for the near future. With the end of the CABA program a re-organization occurred that allows for more efficient staffing at the management level. Maintaining program quality while ensuring that State and COA requirements are ment remains a challenge but results show good progress to date.
For Residential Treatment performance data, clinical and functional outcomes continue to show high levels of quality, i.e. only 1 restraint out of 3,343 days of service.100% of client and parents/guardians rate symptoms improved at the time of discharge. Also, across all homes at the end of the school year 10% of grades were A's versus 0% at admission and 40% of grades were B's vs 5% at admission. 100% of school behavior grades were satisfactory.
For Group Living 91% of clients were discharged to a permanent (home, relative placement, adoption or foster home). 90% of care plan goals were accomplished and over 95% of safety, health and welfare goals were accomplished.
For Foster Care only .07% of clients were dischareged to a higher level of care. 85% were placed in potentially permanent (3 in trial adoptions). Clients averaged completing or accomplishing 92% of all treatment plan goals. No client had a grade below C and only 9% had unsatisfactory school behavior grades at time of discharge.
Intensive in-home managed to prevent out of home placement for 71% of clients in the program. 100% of clients and parents / guardians reported symptom improvement at discharge. Clients averaged accomplishing 89.5% of treatment goals. Over 90% of all contacts were in the community or home.
Outpatient / Med clinic had 82% of all clients and parents / guardians report symptom improvement at time of discharge.
Across all programs and services, clients, parents / guardians, referral sources and community groups responded 98% positive in satisfaction surveys.
Board activities remained an on-going focus. The Board has added two new members and raised enough money to purchase two vehicles. This represents significat improvements and will continue to be a focus going into next year.
The following objectives were met and will not be continued into next year.
• Residential Treatment
• Reduction of discharges to impatient care
• Residential Group Living
• Staff retention
• Increasing activities to achieve permanence
• Intensive In-home
• Reduction in number of ER visits
• Timely submission of authorization request
• Med Clinic / Outpatient Program
• Reduction of no shows
• Timely coordination / follow-up with referral source
Areas that Need Continued Attention:
• Foster Care
• Addition of 6 new foster homes for a total of 18
• Reduction of unplanned discharges by 30%
• Residential Treatment
• Reduce medication errors by 28%
• Increase utilization by 12%
• Increase revenue total from all sources by 15%
• Board Activity - maintain increased level of activity 100% meeting quorums, raise enough money for another vehicle and add one new board member
Strategic Plan goals related to Board Activity and finances will continue to be evaluated as part of the current Strategic Plan.
Annual goals related to efficient staffing, expenditures and increased program utilization will be monitored. Medication errors and Foster programming issues will also be continued.