Full Services Partnerships use the data that are collected to show Performance Outcomes. Essentially this is data that has been analyzed and explained through graphs or text.
Discharges and the MORS (February 1, 2010 through January 31, 2011)
From the time period of July 1, 2010 through December 31, 2010 the CHOICES program had 14 members discharged (with no duplicate discharges). Graph A represents the discharged members in terms of their MORS (Milestones of Recovery Scale) scores. Each month a member is given a score on the MORS scoring scale. February 2010 was the first month in which members were given scores. The higher the score the member receives, the further they are in their recovery process.
Graph B represents the discharge reasons as listed in the Key Event Tracking (KET) forms in Caminar. Of the 14 discharges throughout the six month period, 50% of the members were graduates of the program, meaning they had met all of their recovery goals as set in collaboration with their Personal Service Coordinator (PSC) and themselves. Another 29% of members were discharged because they could not be located by the program. After a member has not been seen for over 30 days, they are subject to discharge from the program. In order to alleviate this, PSCs try to see the members at least once a week.
Graph C represents the average tenure of the members for their given MORS scores at the time of discharge. While the MORS 2 and 3 scores are the highest tenures, there is only one member in each of those score categories who was discharged, where as every other score has at least two members scored (and as many as eight). For the members with a MORS score of 1, it is sensible that they would have lower discharge tenures as they are classified as “Extreme Risk” members. They are highly susceptible to their mental illness, the symptoms associated with it and are not actively engaged in their recovery. CHOICES aims to reduce the number of members who are scored in the categories of MORS 1, 2, and 3 (which are described as “Extreme Risk,” “High Risk/not engaged,” and “High Risk/engaged,” respectively) and to increase the number of members who are in the MORS 6, 7, and 8 (“Rehabilitating,” “Early Recovery,” and “Advanced Recovery,” respectively).
CHOICES assesses all of their discharges to figure out either what worked well or what could be improved in order to better serve the members. Graph D represents the average tenure per discharge reason. “Discontinued Services” is a reason CHOICES looks thoroughly at because we strive to serve all of our members and all of their needs. Since the average tenure is over three years, we examine the member to figure out what may have changed to cause the desire to discontinue services. Graduates have an average tenure of a little over two and a half years in which they complete all of their recovery goals as set in collaboration with their PSC. We aim to have all members being discharged as a result of achieving all of their recovery goals, which leads us not only to explore the best practices used on graduates but also where we can improve our services with other members.
Graph E represents the MORS breakdown for the members who successfully completed all of their recovery goals and were declared graduates of the program. Of all the graduates, 100% of them had either scores of MORS 6 or 7, meaning they were either classified as “Rehabilitating” or “Early Recovery” (respectively). When a member graduates from the CHOICES FSP, they are linked either to a recovery center, a private psychiatrist (pending their insurance regulations and approval), or another lower level of care which is conducive to their situation. The average tenure for graduates is 1,022 days, which is a little less than three years.
Graph F represents the remainder of the discharge options and the correlating MORS scores for the members discharged under those reasons. CHOICES has examined all of the discharges and the reasons for each discharge. One discharge which warranted a lot of attention from CHOICES was the member who chose to discontinue services. The staff looked at the case thoroughly and is using the situation to improve how it handles other members who may be in or are approaching a similar situation. The goal is to help everyone and if they are discontinuing services we can no longer help them. We want all members to achieve their recovery goals with us and to successfully leave the program, which means we need to improve in our flawed areas in order to prevent others from discontinuing our services without completing their goals.