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P E R F O R M A N C E M E A S U R E S
2012 STATE OF C.O.R.E.
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?