OCCMHA Recipient Rights Annual Report FY 2015 Presented by Chad Witcher, Manager Recipient Rights Vicki Suder, Director Rights & Advocacy January 19, 2016

Inspire hope, empower people, strengthen communities.

SERVICE SITE INFORMATION Residential DD Case Management Residential MI SIP Residential MI & DD

Residential MI & DD

Inpatient

34

SIP 48

Residential DD

Day Program MI

179

Day Program DD Workshop (prevocational) Supported Employment

Residential MI 46

ACT Psychosocial Rehab

2

Appeals Information

3

Allegation & Substantiation FY05-FY15 1400 1209

1234

1200 1074

Allegations Avg. = 938

1000 852

793

800

959 846

825

819

771

600

512

Substantiated Avg. =

474

384

400 274

279

288

291

362

333 284

200

0 FY 05-06

FY 06-07

FY 07-08

FY 08-09

FY 09-10

Number of Allegations

FY 10-11

FY 11-12

FY 12-13

Substantiated Violations

4

FY 13-14

FY 14-15

Complaint Data Summary 2015 OCCMHA TOTAL 2015

2015 Allegations Substantiated

38%

OCCMHA Allegations State CMHSP Difference % Allegations % OCCMHA YEAR Substantiated Substantiated vs State 2009 38% 33% 5%

2010 2011 2012 2013 2014 2015

39% 35% 36% 42% 38% 38%

34% 39% 35% 39% 43%

*State CMHSP data from MDCH ORR Annual Reports

5% -4% 1% 3% -5% 5

Persons Served/Rights Allegations YEAR 2009 2010 2011 2012 2013 2014 2015

OCCMHA OCCMHA # Persons Rights Served Allegations 19,505 784 20,517 837 20,787 812 21,805 1,060 22,927 1,161 23,697 1,234 22,807 959

% 4% 4% 4% 5% 5% 5% 4%

25,000 20,000 OCCMHA Persons Served

15,000

OCCMHA # Rights Allegations

10,000 5,000 -00 2009

2010

2011

2012

2013

6

2014

2015

Persons Served/Substantiated Allegations

YEAR

OCCMHA # OCCMHA Substantiated Persons served Allegations

%

2009

19,505

299

2%

2010

20,517

331

2%

2011

20,787

282

1%

2012

21,805

385

2%

2013

22,927

492

2%

2014

23,697

474

2%

2015

22,807

362

2%

7

Complaint Source Anonymous 33

Community/ General Public 8 Recipient 131

Guardian/ Family 103

ORR 141

Staff 139

8

Timeframes of Completed Investigations >90 = 24 3%

≤30 = 93 11%

≤60 = 285 35%

≤90 = 423 51%

9

Five Substantiated Violation Categories FY09-FY15 200

180

160

Number Substantiated

140

120 Abuse

100 Neglect

80 Safety

60 Treatment Suited to Condition

40 Dignity & Respect

20

0 FY 08-09

FY 09-10

FY 10-11

FY 11-12

FY 12-13

FY 13-14

Fiscal Year 10

FY 14-15

Remediation Total Plan of Service

Verbal Counseling, Written 31 Counseling, 11

Revision, 19 Environmental Repair/Enhancement,

Demotion, 7 Other , 132

5

Written Reprimand, 113

Policy

Suspension, 36

Revision/Develop, 35 Contract Action,

Staff Transfer, 13

15 Employee left the agency, but

substantiated, 46

Employment

Training, 176

Termination, 103

11

Remediation by Population Totals HMI 9

HSW 190

Adults with mental illness 103

Developmental Disabilities

414

Children with SED 6

POPULATION TOTALS MI

103

DD

414

SED

6

SED-W

0

DD-CWP 12

0

HSW

190

HMI

9

Training Provided How long is the # # training? Agency Contractual # Hours Staff Staff

Topic of Training Provided Basic Rights Training

3

Tell Someone & PCP

0.5

WebSite Update Rights Training

1

Consumer Provided Training

Type Other Staff

# of Consumers

Method of Training Provided Computer & Face-to-Face

120

1226

0

0

0

0

0

184

120

6225

0

0

1

Face to Face Computer

369 Face to Face

Type of Training Totals

Agency Contractual Other Staff Staff Staff Consumers

Face-to-Face

0

0

0

184

Video

0

0

0

0

Computer

0

6225

0

0

0

0

0

0

0

0

0

0

120

1226

0

0

Paper & Face-to-Face

0

0

0

0

Other (please describe)

0

0

0

0

Paper Video & Face-to-Face Computer & Face-to-Face

13

Progress of Outcomes for FY15 Goal #1:Improve the responsiveness of the complaint resolution process by increasing complaint investigation timeliness by; 1.) decreasing the number of complaint investigations requiring more than 90 days to complete by 100%, and 2.) decreasing the number of complaint investigations requiring more than 60 days by 25%

Outcome: Not accomplished. Will carry over to FY15-16

14

Progress of Outcomes for FY15 Goal #2:Review contract incentive for provider performance in promotion and protection of recipient rights, including consideration of initiatives to prevent rights violations. Outcome: Defined repeat rights violation and reviewed data which seemed to indicate limited issue more effectively addressed with targeted action instead of contract incentive

15

Progress of Outcomes for FY15 Goal #3: Implement one Provider outreach mechanism focused on the prevention of rights violations.. Outcome: Accomplished. Conducted noninvestigative site visits, presented at targeted provider meetings, and provided targeted training opportunities for direct care staff.

16

Outcomes for FY16 Goal #1:Improve the responsiveness of the complaint resolution process by increasing complaint investigation timeliness by; 1.) decreasing the number of complaint investigations requiring more than 90 days to complete by 100%, and 2.) decreasing the number of complaint investigations requiring more than 60 days by 25%

17

Outcomes for FY16 Goal #2: Implement Recommendations / Required Actions from MDHHS-ORR Rights Assessment

18

Outcomes for FY16 Goal #3: Implement at least one collaborative effort with Tri-County ORRs.

19

QUESTIONS?

20

Rec Rights Annual Report 2014 PPT Board presentation.pdf ...

Page 2 of 20. SERVICE SITE INFORMATION. Residential DD. 179. Residential MI. 46. SIP 48. Residential MI &. DD. 34. Residential DD. Case Management.

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