Annual Report - Alaska Center

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ACCA, INC1020 Barnette Street, Fairbanks, AK 99701Tel 907-456-4003Fax 907-456-6124www.alaskacenter.orgANNUALREPORTFY 17July 1, 2016 – June 30, 2017 report for Performance and QualityImprovement

TABLE OF CONTENTSContentsIntroduction 1Outputs 2Impact of Services on Clients - Change in Functional Status 3Quality of Service Delivery - Chart Review 4Quality of Service Delivery - Accessibility of Services 2Contact Information 3Company Information 3

FY 17 ANNUAL PERFORMANCE AND QUALITY IMPROVEMENT REPORTIntroductionCONTINUING TO IMPROVE THE PROCESSPerformance and Quality Improvement has always been an important part of the work ACCA does. ACCAcontinues to grow the Performance and Quality Improvement plan as the reporting occurs. Clarifying anddefining the needs of ACCA and stakeholders so the information is easy to understand is important to thereporting process. The team will work to improve areas needing clarification and will adjust the reportingas needed to properly document and monitor Performance and Quality Improvement.AREAS OF MEASUREMENTThe ACCA PQI team members have developed targets and goals to assist in the process of evaluating theareas of: Impact of Service on ClientsAccessibility of Service DeliveryManagement and Operations PerformanceExternal ReviewQUARTERLY MEASUREMENTNot all areas are measured each quarter. This report covers July 1, 2016 through June 30, 2017. It includesinformation on Impact of Services on Clients including change in functional status, Quality of ServiceDelivery including quarterly file review data and accessibility of services data.Respectfully Submitted,Heidi Haas, Deputy DirectorPQI CoordinatorAugust 1, 2017Page 1

FY 17 ANNUAL PERFORMANCE AND QUALITY IMPROVEMENT REPORTOutputsInfant Learning Program ChildrenFOR FISCAL YEAR 2017 THEINFANT LEARNING PROGRAMPROVIDED SERVICES TO 363CHILDREN AND THEIR FAMILIES.THE AGENCY RECEIVED 525REFERRALS AND 206 WERENEWLY ENROLLED.Speech ClinicSPEECH CLINIC PROVIDED SERVICES TO 32INDIVIDUALS AND 8 FACES EVALUATIONSWERE COMPLETED DURING FISCAL YEAR2017.FACESLoan ClosetLOAN CLOSET CONTINUES TO SERVE THECOMMUNITY WITH THE USE OF QUALITYEQUIPMENT RENTAL. 68 RENTALS WEREESTABLISHED IN FISCAL YEAR 2017.THE FACES TEAM COMPLETEDDIAGNOSES FOR 30INDIVIDUALS DURING THE 2017FISCAL YEAR. THE TEAMRECEIVED 46 REFERRALS.Operations and ManagementTHE OPERATIONS AND MANAGEMENT OFACCA CONTINUE TO STRENGTHEN AS WEREVIEW AND REWRITE AGENCY POLICIESAND PROCEDURES.Page 2

FY 17 ANNUAL PERFORMANCE AND QUALITY IMPROVEMENT REPORTImpact of Services on Clients - Change in Functional StatusINFANT LEARNING PROGRAMThe Infant Learning Program uses data supported by the Child Outcomes Summary. The Child OutcomesSummary data will be evaluated based on social emotional, positive relationships, new knowledge andskills and self-help. The Child Outcomes Summary compares the child’s rate of growth from the time theyentered the program to the time they exited the program.This was the first year comparing annual averages. In Summary Statement 1 there was not a significantdifference in the growth. There was a significant different in the percentages for Summary Statement 2.Additional research will occur to try and determin the reason for the significant decrease.Of those children who entered the program below age expectations in the Outcome Area, thepercent that substantially increased their rate of growth by the time they exited the program.Summary Statement 1FY16PercentSubstantiallyIncrease Rate ofGrowth58.14%FY17PercentSubstantiallyIncrease Rate ofGrowth60.24%Knowledge: Acquisition of knowledgeand skills71.17%69.61%Action: Taking appropriate actions toget needs met78.07%75.00%Child Outcome AreaEmotional: Positive socialrelationshipsThe percent of children who are functioning within age expectations in the Outcome Area by thetime they exit the program.Summary Statement 2Child Outcome AreaEmotional: Positive socialrelationshipsKnowledge: Acquisition of knowledgeand skillsAction: Taking appropriate actions toget needs metFY16PercentSubstantiallyIncrease Rate ofGrowth48.28%FY17Percent withinAge Expectationsat Exit38.46%35.51%45.30%36.79%48.60%Note: The FY16 numbers have been revised based on data input after the FY16 annual data was reported.Page 3

FY 17 ANNUAL PERFORMANCE AND QUALITY IMPROVEMENT REPORTQuality of Service Delivery - Chart ReviewFACES File AccuracyILP File 1ILP improved file review accuracy by 15% over thecourse of the year. Employee education, along with EHRimplementation, aided in this improvement.FACES maintained a high level of file accuracythroughout the course of the year.Speech File Accuracy95%95%Q1Q299%Q3Q4Speech Clinic is closing so there was no 4th quarter review.Page 4

FY 17 ANNUAL PERFORMANCE AND QUALITY IMPROVEMENT REPORTQuality of Service Delivery - Accessibility of ServicesINFANT LEARNING PROGRAMThe Infant Learning Program is required to enroll an eligible child within 45-days of the referral. TheInfant Learning Program enrolled 206 eligible children this fiscal year and 99.5% of them were enrolledwithin the 45-day timeline.SPEECH CLINICSpeech Clinic has established a 30-day enrollment timeline calculated from the referral date. Speech Clinicenrolled 30 eligible clients in fiscal year 2017 and 100% of them were enrolled within the 30-day timeline.The average length of time for enrollment was 14 days.FACESThe FACES program does not enroll children, rather the clinic facilitates the evaluations and diagnosis ofthe children referred. The program will monitor the length of time for referred children to be evaluatedthrough the team from the date of first doctor appointment to diagnosis. FACES completed servicecoordination for 30 children this fiscal year. The average length of time for enrollment was 213 days. ACCAwill continue to use many strategies to try to reduce the timeline for diagnosis, including recruitment ofadditional community providers as team members, assistance to families in managing appointments, andcoordination with Medicaid Travel to facilitate travel to Fairbanks, however some of these factors are out ofour control. Additionally, 46 referrals were made to the FACES program during the fiscal year.Page 2

FY 17 ANNUAL PERFORMANCE AND QUALITY IMPROVEMENT REPORTContact InformationPerformance and Quality Improvement CoordinatorHeidi Haas, Deputy DirectorHeidi.haas@alaskacenter.org 907.456.4003 x104 1020 Barnette Street, Fairbanks, AK 99701Company InformationACCA, INC1020 Barnette Street, Fairbanks, AK 99701Tel 907-456-4003Fax 907-456-6124www.alaskacenter.orgPage 3

fy 17 annual performan e and quality improvement report page 2 operations and management the operations and management of acca continue to strengthen as we review and rewrite agency policies and procedures. outputs infant learning program hildren for fiscal year 2017 the infant learning prog

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