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)
13 CENSUS BY MONTH 6 5 4 3 1 MMP LTD MSW Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec MMP 511 51 515 5 517 518 54 5 53 519 541 55 LTD 7 11 1 14 1 9 8 4 4 3 6 MSW 3 1 5 1 1 5 3 1
9 13 AVERAGE DOSE 7/1/9 = 91.45 mg 7/1/1 = 91.38 mg 7/1/11 = 85.93 mg 7/1/1 = 88.5 mg 7/1/13 = 87.7 mg
13 SITE DEMOGRAPHICS BY GENDER & FUNDING 1/1/13 (518 pts) 1/31/13 (557 pts) 48.36 % 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
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
13 SITE DEMOGRAPHICS COMPARISON BY AGE 1/1/13 (518 pts) 1/31/13 (557 pts) 18-4.31% 18-4 3.54% 5-34 15.41% 5-34 17.31% 35-44 13.87% 35-44 14.13% 45-54 3.7% 45-54 3.5% 55-69 39.88% 55-69 37.8% 7+ 4.83% 7+ 4.4%
13 UA BY MONTH
13 UA BY TIME IN TREATMENT
13 TB TESTS 49 TB Tests 535 4 Negative Positive
13 BMI 5 4 3 1 3 1 1 1 1 Male Female
13 SMOKING CESSATION 8 7 6 5 4 3 1 4 4 3 1 3 Did not Reduced Reduced complete over 66% under 5% Reduced under 33% D/C smoking 1 1 Same level No MH Dx MH Dx
13 DISCHARGE REASONS - ALL 9 8 7 6 5 4 3 1 7 11.79% 43 18.78% 8 35.81% 8 3.49% 1.44% 18 7.86% 8 3.49% 13 5.68% 9 1.66% Discharges Percent
13 DISCHARGE REASONS - MMP
13 DISCHARGE REASONS - MSW 9 8 7 6 5 4 3 1 8 34.78% Achieved goals 7 7 3.43% Transfer 3.43% Left without notice 1 4.35% Other Discharges Percent
13 DISCHARGE REASONS - LTD 1 11 1 8 6 4 6 3.8% Achieved goals 4.31% Transfer 4 15.38% Left without notice 5 19.3% Other Discharges Percent
13 PREGNANCY DATA Deliveries = 17 Average Weight = 6 lbs 9 oz Average Height = 18.53 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%
13 TOTAL # OF PODS
13 PODS BY GENDER
13 AVERAGE AGE BY TIME IN TREATMENT
13 PAYMENT TYPE
13 SSI/SDI
13 EDUCATION
13 ABUSE & MISUSE OF RX DRUGS
13 CHRONIC CONDITIONS
13 PROBATION/PAROLE
13 ER VISITS/AMBULANCE RIDES
13 HEPATITIS C
13 PRIMARY HEALTH CARE PROVIDER
13 MENTAL HEALTH
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 = %
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%
13 PATIENT SURVEY STAFF RATINGS 5=Very Courteous, 4=Courteous, 3=Fair, =Below Average, 1=Rude Management Reception Dispensing AHP Lab Billing/Fiscal Counseling 4.3 4.4 4.6 4.6 4.6 4.7 4.8 4 4. 4.4 4.6 4.8 5
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.%
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%
13 PATIENT SURVEY 1.% 8.% 6.% 4.%.%.% Do you feel your confidentiality is respected? 76.% 14.3% 5.4%.6%.% 3.6%
13 WORKPLACE SURVEY 1 1 8 6 4 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
13 WORKPLACE SURVEY 1 8 6 4 A: Compared with a year ago, how would you describe your current job satisfaction? 8 Very Satisfied Somewhat Satisfied 6 1 1 Neither Somewhat Dissatisfied Satisfied Dissatisfied nor Dissatisfied Blank
13 WORKPLACE SURVEY 8 6 4 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
13 WORKPLACE SURVEY 1 8 6 4 9 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
13 WORKPLACE SURVEY 1 8 6 4 9 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
13 WORKPLACE SURVEY 8 6 4 6 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
13 WORKPLACE SURVEY 1 1 8 6 4 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
13 WORKPLACE SURVEY 1 8 6 4 9 Very Satisfied C: Are you satisfied that your views and participation are valued? 3 Somewhat Satisfied 5 Not Sure 1 Somewhat Dissatisfied Dissatisfied Blank
13 WORKPLACE SURVEY 1 8 6 4 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
13 WORKPLACE SURVEY 1 8 6 4 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
13 WORKPLACE SURVEY 1 8 6 4 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
13 WORKPLACE SURVEY 7 6 5 4 3 1 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
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
13 WORKPLACE SURVEY 14 1 1 8 6 4 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