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FY09
Report Card
Short-Term
Plan July
1, 2008 – June 30, 2009
Goal
A: NEOBH will continue to provide high-quality,
non-medical mental health services to children, adolescents, adults
and families.
Objective 1:
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FY09 Progress
on Objective 1: Not Achieved. Use of the ODMH Outcomes Data
Mart has continued to be problematic, with ODMH shut-down of the site
at one point. By the end of FY09, site was accessible, but no new data
had been added. As of April 2009, ODMH does not require NEOBH to submit
Outcomes, but NEOBH has continued to collect and use them. Lack of
access to current data has made it difficult for NEOBH to accomplish
aggregate Outcome projects. Use of Outcomes in treatment planning and
individual client progress tracking has remained a consistent practice.
Recommendation
for FY2010: Retain Objective 1
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Objective 2:
Create one CQI Project
based on an area
of Best Practice and/or a special clinical population (i.e. Outcomes
with trauma victims)
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FY09 Progress
on Objective 2: Partially Achieved. By the end of FY09, the
UCLA PTSD scale was made available to all staff, and a Trauma
Assessment Template had been created. NEOBH had also participated in
the planning of a community-wide outcomes project regarding trauma
victims via its leadership on the Traumatized Child Task Force and its
role within the TF-CBT Learning Collaborative. NEOBH will use this
project to internally track its progress with victims, as well as
contribute to the collaborative project.
Recommendations
for FY2010: Retain Objective 2
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Objective 3:
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FY09 Progress
on Objective 3: Achieved. The CQI Plan was revised
according to COA standards, and is now referred to as PQI. A PQI
Project Template was designed for use by staff in all positions within
NEOBH. New staff was added to the PQI Committee, beginning in March of
2009.
Recommendations
for FY2010: Continue focus on agency-wide PQI efforts, with
emphasis on documentation of small, but essential PQI projects.
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Goal B: NEOBH will seek to attain
the highest level
of client/consumer satisfaction.
Objective 1:
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FY09 Progress
on Objective 1: Partially Achieved. Data collection re:
Client Satisfaction improved, but was still subject to lapses. These
were partially due to changes in Front Desk personnel. NEOBH was able
to establish a standard format for Client Satisfaction Data reporting,
and made changes to the Surveys in order to reduce redundancy.
Recommendations
for FY2010: Continue Objective #1
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Objective 2:
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FY09 Progress
on Objective 2: Achieved. NEOBH established procedures
that required a parent or guardian to accompany children to the
restroom, which eliminated concerns regarding the cleanliness of the
restroom facilities. NEOBH also purchased reading and toy resources for
its waiting areas in response to0 client comments.
Recommendations
for FY2010: Continue to monitor Client Satisfaction data and
act on suggestions and trends noted.
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Goal
C: NEOBH will assess service gaps and the community
assessment of service needs, as well as community satisfaction, and
will respond to this information within the content of its
Annual/Short-Term Plan.
Objective 1:
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FY09 Progress
on Objective 1: Not Achieved. NEOBH did not receive
feedback from an identified respondent.
Recommendations
for FY2010: Revise Community Survey so that respondents are
aware of the importance of their input.
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Objective 2:
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FY09 Progress
on Objective 2: Achieved. NEOBH added an additional staff
member with skills appropriate to the production of parenting
evaluations. NEOBH also increased the number of staff trained in trauma
treatment methods.
Recommendations
for FY2010: Continue to use Community Survey data to inform
programmatic and procedural changes.
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Goal D: NEOBH will create a
practice environment
conducive to the needs of our clients and to the professional
practice of our clinical and office staff members. NEOBH will pursue
any feasible option for off-site treatment of clients that will
expand its operations.
Objective 1:
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FY09 Progress
on Objective 1: Achieved. NEOBH made the decision to remain
in its present Cuyahoga Falls office, but did not sign a long-term
lease. It renovated the former Billing Area and Office Manager Offices
into clinical offices, and added staff willing to market child and
family services to schools and area agencies. NEOBH made the decision
to keep Transcription and Outcomes Data Processing within the Falls
office.
Recommendations for FY2010:
Add Objective re: Addition of services (i.e. services to MR/DD and
autism-spectrum clients, adolescents, parents) to Falls office location
in response to referral trends noted in Falls office location.
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Objective 2:
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FY09 Progress
on Objective 2: First Element - Achieved. NEOBH downsized
its space in the Children’s Network in response to utilization
trends, while retaining a commitment to continue services within this
location. NEOBH did not sign a long-term lease at the Children’s
Network.
Second
Element – Not Achieved. NEOBH ceased services at MCJAS and
re-assigned staff to other duties for a period of time in FY09, due to
lack of census. By the end of FY09, NEOBH learned that Medicaid funding
for youth in incarceration had been diverted to 4-E waivers applied for
by the Stark County Family Court. By the conclusion of FY09, NEOBH had
made the Family Court aware of this predicament, and awaited the
court’s decision regarding its capacity to pay for services for
incarcerated youth identified as victims of trauma by Court personnel.
By the
conclusion of FY09, the Director of NEOBH had participated in two
presentations (Nashville, 2-09 and Orlando, 3-09) regarding trauma
services for incarcerated youth. In May 2009, NEOBH participated in
program planning regarding use of the Parenting with Love and Limits
(PLL) model with MCJAS youth and involvement in a research project
connected with PLL. By the conclusion of FY09, NEOBH awaited
information regarding the feasibility of the research design proposed
and the availability of funding to execute the project.
Recommendations
for FY2010: Continue present Objective.
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Goal E: NEOBH will support, attract
and retain
highly motivated and highly qualified personnel within all areas of
its operation.
Objective 1:
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FY09 Progress
on Objective 1: Achieved. NEOBH successfully executed two
training events that provided staff with CEU’s. The Annual Staff
Training Event was conducted in 2-09. NEOBH opened a second training
event regarding Professional Boundaries to the community in May of 2009.
Recommendations
for FY2010: Continue to conduct annual trainings, sponsor
community-based trainings and make additions to the NEOBH training
schedule based on COA requirements.
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Objective 2:
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FY09 Progress
on Objective 2: Achieved. All Support Staff became
proficient in the use of email as this resource was added to the
Dressler and Cuyahoga Falls locations as of October 2009. Selected
members of the Support Staff were also trained in the procedures used
to scan Closed clinical files for long-term storage.
Internal cross
training occurred as needed, and was centered on the functions of
Billing Office Staff. Dressler Road Support Staff learned the new phone
system.
Recommendations
for FY2010: Continue to increase Support Staff effectiveness
with training as necessary, and as required by the implementation of
new technology.
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Goal F: NEOBH will achieve and
maintain
re-accreditation by the Council on Accreditation for Children and
Family Services (COA). It will obtain accreditation prior to May of
2010, and will continue to implement the organizational changes
created by the certification readiness process, in preparation for
re-accreditation.
Objective 1:
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FY09 Progress
on Objective 1: Achieved. The existing CQI Plan was
completely revised to reflect PQI standards promulgated by COA. PQI
Projects occurred throughout the year, via a Project Template designed
for this Purpose. The Strategic Plan (formerly the Long-Term Plan) was
also extensively revised in order to reflect COA expectations for this
document. A FY09 Report Card was created to reflect progress made on
various Objectives as well as recommendations for the following Fiscal
Year.
Recommendations
for FY2010: Add Objective re: Creation of PQI Projects per
Plan.
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Objective 2:
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FY09 Progress
on Objective 2: Not Achieved. Focus in FY09 was directed
toward successful relocation of the North Canton Office to Dressler
Road, the hiring of new staff for Front Desk functions in the Falls and
the completion of the Closed Chart Scanning Project.
Recommendations
for FY2010: Create Procedure Manual for Support Staff
functions in all positions.
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Objective 3:
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FY09 Progress
on Objective 3: Achieved.
Recommendations
for FY2010: Eliminate Objective 3
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Objective 4:
FY09 Progress on Objective 4: Not Achieved.
Recommendations for FY2010: Continue
Objective 4. Make all required revisions, with inclusion of data
regarding Quality Indicators, where appropriate See Goal I).
Goal G: NEOBH will expand its
involvement in
self-pay and contracted services markets, while maintaining its
contracts with local Mental Health Boards.
Objective
1:
FY09 Progress on Objective 1: Achieved.
In FY09,
NEOBH completed a Provider Plan, and integrated new expectations
regarding Budgeting, Financial Reporting, etc.
Recommendations for FY2010: Continue
this
Objective, in light of shifting expectations noted in direction of
Board, and changes expected in funding at State level.
Objective 2:
FY09 Progress on Objective 2: Achieved.
NEOBH dropped
its providers from panels that yielded limited income and added to
payback vulnerability. It limited the number of clients it could
accept from some major panels (i.e. Anthem) due to reductions in
reimbursement. NEOBH added eligible clinical staff to local panels
(i.e. AultCare) with more competitive reimbursement schedules. NEOBH
was unsuccessful in its attempts to renegotiate an increase in its
service contract with Summit County Children Services. It was
successful in its efforts to clarify and increase costs of services
provided to the Stark County Department of Job and Family Services.
Recommendations for FY2010: Continue
this Objective
as an ongoing monitoring issue.
Goal
H: NEOBH will maintain financial solvency and will meet
all expectations regarding accurate and timely financial
reporting.
Objective 1:
FY09 Progress on Objective 1: Partially
Achieved. NEOBH
successfully reduced costs in the management of its 401(k) plan, and
also renegotiated its phone and internet coverage package. New
equipment needed for the opening of the Dressler Road office (i.e.
phone system and office furniture) was subjected to vendor bids.
Recommendations for FY2010: Continue
re-evaluation
of any area that is amenable to cost reduction, including cost
reductions that may be brokered by joining larger groups per Stark
County MHRS Board.
Objective 2:
FY09 Progress on Objective 2: Achieved.
Recommendations for FY2010: Continue
to expect
positive reconciliation audits, as long as ODMH requires these. Per
recent data, a reconciliation audit is expected for FY09.
Objective 3:
FY09 Progress on Objective 3: Achieved.
NEOBH made
adjustments in this area according to new expectations, and all
reports/budgets were submitted on time and without error.
Recommendations for FY2010: Continue
this
Objective, with the awareness that financial report data expectations
will continue to evolve.
Objective 4:
FY09 Progress on Objective 4: Achieved.
Minimal
recommendations were made in FY08 Management Letter. NEOBH was
commended for its implementation of changes made in previous
Management Letters.
Recommendations for FY2010: Continue
this
Objective. The implementation of recommendations from audits are
essential to the financial health of NEOBH.
Goal I: NEOBH will reformulate
its policies and
procedures and will define existing and new program practices so
that these will meet one or more of the following Quality
Indicators selected by NEOBH:
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The practice,
policy or procedure is ethically, morally and/or legally responsible.
It safeguards the client, staff members and/or the organization from
undue risk.
Objective 1:
FY09 Progress on Objective 1: Not Achieved.
Recommendations for FY2010: Continue
this Objective
as an integral process toward the accomplishment of COA accreditation
Objective 2:
FY09 Progress on Objective 2: Partially
Achieved. The
NEOBH Advisory Board considered issues related to the use of
technology at NEOBH, use of the Internet by staff, and the use of
internet communication; however, comprehensive policy additions were
not made.
Recommendation for FY2010: Continue
this Objective
toward the accomplishment of COA accreditation, and as a need for
policy clarification, creation or revision that is ongoing at NEOBH.
Goal
J: NEOBH will invest in technology that will enhance the
efficiency of its operations.
Objective 1:
FY09 Progress on Objective 1: Not Achieved.
NEOBH
attended to other areas of technological enhancement (i.e. Closed
Chart storage via scanning and the use of Voice Mail in the Dressler
Road office). By the conclusion of FY09, NEOBH had joined other
Stark County MHRS Board providers in identifying online/computerized
charting as a priority need. The Stark County MHRS Board had
convened a group of providers toward the goal of group purchases of
items such as computer equipment, health and malpractice insurance,
with the hope of negotiating cost savings via this method.
Recommendations for FY2010: Continue
this
Objective.
Summary
Tally
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Long Term Goal
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Achieved
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Continued – Not Achieved
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Goal A
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Objective 3
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Objective 1
Objective 2
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Goal B
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Objective 2
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Objective 1
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Goal C
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Objective 2
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Objective 1
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Goal D
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Objective 1
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Objective 2
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Goal E
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Objective 1
Objective 2
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Goal F
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Objective 1
Objective 3
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Objective 2
Objective 4
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Goal G
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Objective 1
Objective 2
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Goal H
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Objective 2
Objective 3
Objective 4
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Objective 1
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Goal I
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Objective 1
Objective 2
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Goal J
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Objective 1
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