Outliers are defined for this report as any consumer with more than 6 months (180 days) in treatment in one facility Number of Provider

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1 Utilization Management Monthly Report April 2015 BBHC-Concordia Submitted by: Elida Segrera A. 1. Average Length of Stay (ALOS) This table shows the average length of stay in days for each provider LEVEL I ALOS Jul-Dec ALOS April FTL Hospital New Beginnings (Locked) Henderson Behavioral Health Parkside Gulf Coast LEVEL II 4. Henderson Behavioral Health Rainbow Archways Avon Spectrum Programs House of Hope Stepping Stones BARC Susan B Anthony Not all programs within a level are identical in focus of treatment or services provided A. 2. Outliers Outliers are defined for this report as any consumer with more than 6 months (180 days) in treatment in one facility Number of Provider Clients ALOS 1. Henderson Behavioral Health Parkside Gulf Coast Henderson Behavioral Health Rainbow total

2 A.3 Outlier Detail Client ID Provider name LOS (days) Comments/Status GCJ-001 Gulf Coast Jewish Family Services 910 Legal Guardian refuses alternative placements HBHL1-001 HBH-Parkside 261 Client clinically unstable, with psychotic episodes and no support system HBHL1-002 HBH-Parkside 668 Lack of progress and refusal to comply with medication; immigration issues HBHL1-003 HBH-Parkside 191 Clinically unstable, difficulties with ADL.-Benefits in process HBHl2-004 HBH-Rainbow 197 No benefits, no income. Refuses to take meds and aggressive at times HBHl2-005 HBH-Rainbow 968 No progress with treatments, plan for stepdown. - Discharged in April HBHl2-006 HBH-Rainbow 262 Noncompliance with Medication and rules at facility, little progress HBHl2-008 HBH-Rainbow 273 Lack of progress in treatment, no benefits.- medically complicated HBHl2-010 HBH-Rainbow 402 Lack of progress in treatment, no benefits 2

3 LEVEL I B. Number of Admissions/ Approved Clients not Admitted /Rejected by Provider Accepted Referrals Admissions April -15 Number Approved Clients not Admitted (W.L.) April -15 Rejections April FTL Hospital New Beginnings (Locked) Henderson Behavioral Health Parkside Gulf Coast Henderson Behavioral Health Rainbow Archways Avon Spectrum Programs House of Hope Stepping Stones BARC Susan B Anthony 3 6 TOTAL

4 C. Bed Utilization Reporting Project LEVEL I C.1 Bed Capacity (This table shows the number of beds reported by Provider) DCF Funded Beds by Level of Care Total Licensed Beds by Level of Care 1. FTL Hospital New Beginnings (Locked) Atlantic Shores Hospital (children) Henderson Behavioral Health Parkside Gulf Coast LEVEL II 4. Henderson Behavioral Health Rainbow Archways Avon Spectrum Programs House of Hope BARC Susan B Anthony C. Bed Utilization Reporting Project C.2 Census Reporting Control (April-15) Provider Level I FTL Hospital New Beginnings (Locked) Henderson Behavioral Health Parkside Gulf Coast Level II Henderson Behavioral Health Rainbow Archways Avon Spectrum Programs House of Hope BARC Susan B Anthony %Census Submission 96% 53% 73% 96% 100% 73% 93% 100% 93% 4

5 C. Bed Utilization Reporting Project C.3 Census Submission and Utilization April-15 (This table shows census submission and bed utilization percentages by Provider) Total # of Beds Max Bed/day availability (month) Total Empty Bed/day (month) %Bed/day Utilized %Bed/day on hold or other Provider LEVEL I FTL Hospital New Beginnings (Locked) 98% 0% Henderson Behavioral Health Parkside 98% 6% Gulf Coast % 2% LEVEL II Henderson Behavioral Health Rainbow 94% 1% Archways Avon % 0% Spectrum Programs % 0% House of Hope % 2% BARC % 0% Susan B Anthony % 0% D. Average Time as Approved Clients not Admitted- Waiting List(Days) LEVEL I April FTL Hospital New Beginnings (Locked) Henderson Behavioral Health Parkside 0 3. Gulf Coast 1 LEVEL II 4. Henderson Behavioral Health Rainbow 0 5. Archways Avon Spectrum Programs House of Hope 3 8. Stepping Stones 1 9. BARC n/a 10. Susan B Anthony 15 5

6 All Providers Averages (days) April Average All Clients Average Forensic Clients Average Community Client Homeless 6 In some cases, the time on list of Approved Clients not Admitted can be attributed to other factors not related to availability. E. Authorizations FY FY YTD 1 Total # Authorizations Requested Total # Forensic Authorizations Requested Total # Community Authorization Requested Total # Medicaid SIPPs Requested Total # Community PRTS Requested April 15 F. Concordia Turn Around Time for Referrals in days (TAT) Objective 3 days FY FY YTD April A. Costs FY FY YTD April Cost of Clients Served (Residential) $ 9,001,475 $8,226,713 $857,580 2 Residential Services % of Total Cost 28% 30.2% 27.1% 6

7 Reasons for Provider Rejections FY FY YTD April 15 Archways, Inc Hx of Violence 6 3 Hx Tx Non-Compliance 2 2 Other Program Not App for Client Sexual Offender or Hx Misconduct 1 Non-Compliance Medication 2 No reason given 4 1 Broward Addiction Recovery Center Program Not App for Client 2 1 Fort Lauderdale Hospital Hx of Failure at Program or LOC 2 Hx of Violence 1 Medical Condition 1 Redirected due to WL time frames 1 Program Not App for Client 3 7 No reason given or other 11 1 Gulf Coast Jewish Family Services Hx of Violence 1 3 Hx Tx Non-Compliance 2 3 Medical Condition 2 Non-Compliance Medication 2 1 Guardian did not approve program 1 Other 2 Program Not App for Client Sexual Offender or Hx Misconduct No reason given 9 1 Henderson Behavioral Health Hx of Violence 10 2 Medical Condition 1 2 Non-Compliance Medication 5 6 Other 1 1 Sexual Offender or Hx Misconduct 1 1 Program Not App for Client No reason given 7 House of Hope, Inc Hx of Violence Hx Tx Non-Compliance Medical Condition 2 Other or no reason given 27 3 Program Not App for Client

8 Sexual Offender or Hx Misconduct Reasons for Provider Rejections FY FY YTD April -15 Spectrum Programs Inc Hx of Violence 1 Non-Compliance Medication 1 1 Program Not App for Client Sexual Offender 1 No reason given 11 1 Susan B Anthony Center, Inc. 1 2 Program Not App for Client 1 0 No reason given 1 Totals