C.O.R.E. MISSION STATEMENT

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2 C.O.R.E. MISSION STATEMENT Comprehensive Opiate Recovery Experience RECOVERY WITH RESPECT Improving the lives of individuals through comprehensive opiate replacement services

3 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

4 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)

5 13 CENSUS BY MONTH MMP LTD MSW Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec MMP LTD MSW

6 9 13 AVERAGE DOSE 7/1/9 = mg 7/1/1 = mg 7/1/11 = mg 7/1/1 = 88.5 mg 7/1/13 = 87.7 mg

7 13 SITE DEMOGRAPHICS BY GENDER & FUNDING 1/1/13 (518 pts) 1/31/13 (557 pts) % Male 5.% Male 51.45% Male 5.% Female 78.3% Medi-Cal 76.5% Medi-Cal 1.% Private Pay.6% Private Pay.58% Other 1.6% Other

8 13 SITE DEMOGRAPHICS COMPARISON 1/1/13 (518 pts) 1/31/13 (557 pts) 58.96% Caucasian 59.54% Caucasian 17.73% Hispanic 15.9% Hispanic 1.7% African-American 1.9% African-American 3.8% Asian.83% Asian 1.73% American Indian 1.94% American Indian 5.58% Other 6.89% Other

9 13 SITE DEMOGRAPHICS COMPARISON BY AGE 1/1/13 (518 pts) 1/31/13 (557 pts) % % % % % % % % % % % %

10 13 UA BY MONTH

11 13 UA BY TIME IN TREATMENT

12 13 TB TESTS 49 TB Tests Negative Positive

13 13 BMI Male Female

14 13 SMOKING CESSATION Did not Reduced Reduced complete over 66% under 5% Reduced under 33% D/C smoking 1 1 Same level No MH Dx MH Dx

15 13 DISCHARGE REASONS - ALL % % % % 1.44% % % % % Discharges Percent

16 13 DISCHARGE REASONS - MMP

17 13 DISCHARGE REASONS - MSW % Achieved goals % Transfer 3.43% Left without notice % Other Discharges Percent

18 13 DISCHARGE REASONS - LTD % Achieved goals 4.31% Transfer % Left without notice % Other Discharges Percent

19 13 PREGNANCY DATA Deliveries = 17 Average Weight = 6 lbs 9 oz Average Height = inches Average Dose at Delivery = 15 % Babies on Meds = 53% Average Weeks Pregnant = 39 Average Days Baby Stayed in Hospital = 1 Negative Drug Screens at Delivery = 94%

20 13 TOTAL # OF PODS

21 13 PODS BY GENDER

22 13 AVERAGE AGE BY TIME IN TREATMENT

23 13 PAYMENT TYPE

24 13 SSI/SDI

25 13 EDUCATION

26 13 ABUSE & MISUSE OF RX DRUGS

27 13 CHRONIC CONDITIONS

28 13 PROBATION/PAROLE

29 13 ER VISITS/AMBULANCE RIDES

30 13 HEPATITIS C

31 13 PRIMARY HEALTH CARE PROVIDER

32 13 MENTAL HEALTH

33 13 CALIFORNIA OUTCOMES MEASURES SYSTEM (CalOMS) DATA DISCHARGE DATA Patients left with satisfactory progress = 5% ANNUAL UPDATE DATA Patients that used primary drug of choice in last 3 days = 8% Patients that used secondary drug of choice in last 3 days = 8% Patients that were arrested in last 3 days = <1% Patients that spent days in jail and/or prison in the last 3 days = %

34 13 CALIFORNIA OUTCOMES MEASURES SYSTEM (CalOMS) DATA ANNUAL UPDATE DATA Patients that visited emergency room in last 3 days = 6.6% Patients that received emergency outpatient services for mental health in last 3 days = 4% Patients that stayed over 4 hours in a hospital or psych facility for mental health needs in last 3 days = <1%

35 13 PATIENT SURVEY STAFF RATINGS 5=Very Courteous, 4=Courteous, 3=Fair, =Below Average, 1=Rude Management Reception Dispensing AHP Lab Billing/Fiscal Counseling

36 13 PATIENT SURVEY 1.% 8.% 6.% 4.%.%.% Are you treated with respect and dignity by C.O.R.E. staff? 75.% 18.5% 3.%.6%.% 3.%

37 13 PATIENT SURVEY 1.% 8.% 6.% 4.%.%.% Do you feel C.O.R.E. is meeting your needs and expectations while in treatment? 57.7% 33.9% 4.%.%.6% 3.6%

38 13 PATIENT SURVEY 1.% 8.% 6.% 4.%.%.% Do you feel your confidentiality is respected? 76.% 14.3% 5.4%.6%.% 3.6%

39 13 WORKPLACE SURVEY A1: Overall, how satisfied are you with your job? 11 Very Satisfied 6 Somewhat Satisfied 1 1 Neither Somewhat Dissatisfied Satisfied Dissatisfied nor Dissatisfied 1 Blank

40 13 WORKPLACE SURVEY A: Compared with a year ago, how would you describe your current job satisfaction? 8 Very Satisfied Somewhat Satisfied Neither Somewhat Dissatisfied Satisfied Dissatisfied nor Dissatisfied Blank

41 13 WORKPLACE SURVEY B1: Company leadership has made changes which are positive for me. 5 Strongly Agree 7 Somewhat Agree 5 Neither Agree nor Disagree Somewhat Disagree Strongly Disagree 3 Blank

42 13 WORKPLACE SURVEY Strongly Agree B: Company leadership is responding to important external issues. 4 4 Somewhat Agree Neither Agree nor Disagree Somewhat Disagree Strongly Disagree 3 Blank

43 13 WORKPLACE SURVEY Strongly Agree B3: Company leadership is responding to important internal issues. 3 Somewhat Agree 5 Neither Agree nor Disagree Somewhat Disagree Strongly Disagree 3 Blank

44 13 WORKPLACE SURVEY Strongly Agree B4: I am enthusiastic about the change in the company. 4 Somewhat Agree 7 Neither Agree nor Disagree Somewhat Disagree Strongly Disagree 3 Blank

45 13 WORKPLACE SURVEY C1: Are you satisfied that the leaders in your work environment are positive role models? 11 Very Satisfied 5 Somewhat Satisfied Not Sure Somewhat Dissatisfied Dissatisfied Blank

46 13 WORKPLACE SURVEY Very Satisfied C: Are you satisfied that your views and participation are valued? 3 Somewhat Satisfied 5 Not Sure 1 Somewhat Dissatisfied Dissatisfied Blank

47 13 WORKPLACE SURVEY C3: Are you satisfied with the morale and team work of your work environment? 9 Very Satisfied 8 Somewhat Satisfied 1 Not Sure Somewhat Dissatisfied Dissatisfied Blank

48 13 WORKPLACE SURVEY C4: Are you satisfied with the professionalism of the people with whom you work? 9 Very Satisfied 6 Somewhat Satisfied Not Sure 1 Somewhat Dissatisfied Dissatisfied Blank

49 13 WORKPLACE SURVEY C5: Are you satisfied that your work gives you a feeling of personal accomplishment? 9 Very Satisfied 4 Somewhat Satisfied Not Sure 1 Somewhat Dissatisfied Dissatisfied Blank

50 13 WORKPLACE SURVEY C6: Are you satisfied that you receive appropriate recognition for your contributions? 6 Very Satisfied 5 Somewhat Satisfied 4 Not Sure Somewhat Dissatisfied Dissatisfied 3 Blank

51 13 WORKPLACE SURVEY 15 1 C7: Are you satisfied with your ability to maintain a reasonable balance between your personal life and your work life? 1 5 Very Satisfied 3 Somewhat Satisfied Not Sure 1 Somewhat Dissatisfied Dissatisfied Blank

52 13 WORKPLACE SURVEY C8: Are you satisfied with the company as a place to work? 1 Very Satisfied 3 Somewhat Satisfied Not Sure 1 Somewhat Dissatisfied Dissatisfied Blank