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Annual Performance Improvement Report
2018
JAMHI Health & Wellness Performance Improvement Plan
• JAMHI’s written plan that describes how we systematicallymeasure, monitor and improve the performance of the of ourorganization over time
• Specifies performance indicators and target goals for the year
• Approved by the board of directors annually
• Implemented by the quality improvement team
• Demonstrates our accountability to the community for the qualityof care provided through the use of public funds
Domains and Quality of measures
• JAMHI measures quality in four domains: • Effectiveness
• Efficiency
• Access
• Stakeholder input
• The reliability, validity, accuracy and completeness of the data reported here is generally improves every year. Footnotes throughout the report indicate when special caution in interpretation should be exercised.
• While the Client Status Review (CSR) generally links the care people get to the outcomes they report, specific CSR reliability and validity measures for persons with severe mental illness or cognitive disabilities are not available and may influence the quality of information.
Preventing sentinel events
• 0 sentinel events, for the second consecutive year
A sentinel event is defined as unexpected death or serious physical or psychological injury resulting in loss of function or risk thereof.
Total Number of People Served in JAMHI behavioral health Services
553
497 481515
597
0
100
200
300
400
500
600
700
FY14 FY15 FY16 FY17 FY18
Number of People Served by JAMHI Service Line
0
50
100
150
200
250
300
350
400
450
BH Res BH Clinic BH Rehab Primary Care Wellness
FY14 FY15 FY16 FY17 FY18
• BH rehab and clinic are not duplicated; others may include duplicated counts
Number of People Served by Population
0
50
100
150
200
250
300
350
400
450
FY14 FY15 FY16 FY17 FY18
GMH SMI SUD
• The SUD column represents people with SUD only
• In 2015 there were adjustments made to SMI criteria based on guidance from DBH
The percent of people in community housing who are not readmitted to an inpatient psychiatric hospital over the previous 3 months
100% 94% 94% 100%
0%
20%
40%
60%
80%
100%
2018 1st Qtr 2018 2nd Qtr 2018 3rd Qtr 2018 4th Qtr
The percent of all people served by JAMHI who report thoughts of suicide or hurting themselves 15 days or less of the last 30
97% 96% 98% 95%
0%
20%
40%
60%
80%
100%
2018 1st Qtr 2018 2nd Qtr 2018 3rd Qtr 2018 4th Qtr
The percent of people receiving case management services who report being employed part or full-time
22% 22%
15%20%
0%
20%
40%
60%
80%
100%
2018 1st Qtr 2018 2nd Qtr 2018 3rd Qtr 2018 4th Qtr
The percent of people receiving outpatient therapy services who report being engaged in productive activities 21 or more hours per week on average over the past 30 days
69% 67%
78% 78%
0%
20%
40%
60%
80%
100%
2018 1st Qtr 2018 2nd Qtr 2018 3rd Qtr 2018 4th Qtr
The percent of people receiving case management services who report no arrests over the past 30 days
99% 94% 98% 96%
0%
20%
40%
60%
80%
100%
2018 1st Qtr 2018 2nd Qtr 2018 3rd Qtr 2018 4th Qtr
The percent of people receiving case management services who are not admitted to an inpatient psychiatric hospital
94% 94% 96% 97%
0%
20%
40%
60%
80%
100%
2018 1st Qtr 2018 2nd Qtr 2018 3rd Qtr 2018 4th Qtr
The percent of people living in community housing who report having 15 or fewer days when physical or mental health kept them from doing usual activities
81%
93%
80%
93%
0%
20%
40%
60%
80%
100%
2018 1st Qtr 2018 2nd Qtr 2018 3rd Qtr 2018 4th Qtr
The percent of people living in community housing who report engaging in productive activities 21 or more hours per week over the past 30 days
44%
57%
35%
56%
0%
20%
40%
60%
80%
100%
2018 1st Qtr 2018 2nd Qtr 2018 3rd Qtr 2018 4th Qtr
The percent of people served who report having a primary care provider at time of treatment plan review
90%93% 92%
95%
0%
20%
40%
60%
80%
100%
2018 1st Qtr 2018 2nd Qtr 2018 3rd Qtr 2018 4th Qtr
The percent of people receiving outpatient therapy who report having seen their primary care provider in the past 12 months
81%85% 85% 86%
0%
20%
40%
60%
80%
100%
2018 1st Qtr 2018 2nd Qtr 2018 3rd Qtr 2018 4th Qtr
The percent of people who are offered access to ongoing services within 7 business days of completed intake
71%76%
62% 63%
0%
20%
40%
60%
80%
100%
2018 1st Qtr 2018 2nd Qtr 2018 3rd Qtr 2018 4th Qtr
The percent of people who have received a wellness service
7%12% 10% 9%
0%
20%
40%
60%
80%
100%
2018 1st Qtr 2018 2nd Qtr 2018 3rd Qtr 2018 4th Qtr
The percent of people receiving outpatient therapy services who report being "satisfied" to "delighted" that they were able to get all the services they needed
77%83%
88% 88%
0%
20%
40%
60%
80%
100%
2018 1st Qtr 2018 2nd Qtr 2018 3rd Qtr 2018 4th Qtr
The percent of people receiving case management services who report being "satisfied" to "delighted" that they were able to get all the services they needed
81% 82% 83%
75%
0%
20%
40%
60%
80%
100%
2018 1st Qtr 2018 2nd Qtr 2018 3rd Qtr 2018 4th Qtr
The percent of people in community housing who report being "satisfied" to "delighted" that they were able to get all the services they needed
88%93%
90%86%
0%
20%
40%
60%
80%
100%
2018 1st Qtr 2018 2nd Qtr 2018 3rd Qtr 2018 4th Qtr
The percent of people receiving primary care services who attend their scheduled appointments or provide timely notice of cancellation
82%76%
83%
76%
0%
20%
40%
60%
80%
100%
2018 1st Qtr 2018 2nd Qtr 2018 3rd Qtr 2018 4th Qtr
The percent of people receiving wellness services who attend their scheduled appointments or provide timely notice of cancellation
86%89% 90% 91%
0%
20%
40%
60%
80%
100%
2018 1st Qtr 2018 2nd Qtr 2018 3rd Qtr 2018 4th Qtr
Thank You!
Thank you to all the JAMHI personnel, community partners, stakeholders and funders that support JAMHI’s continuous
improvement of JAMHI’s performance.
We especially thank the people we serve.
We simply could not do it without you all!
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