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.
Discharge and MORS County Project (July - December 2011)
This report reviews the discharge statistics of members who departed OASIS between January and June 2011.
Graph A illustrates that from January to June 2011, OASIS discharged a total of 22 members about 4 members every month. In comparison to the previous reporting period, the OASIS discharge rate increased by 214%. .
Graph B provides a breakdown of the discharge rate per month of the January to June 2011 reporting period.
Graph C indicates that the most common discharge reasons were members who met their personal recovery goals and graduated, followed by those who could not be contacted after numerous attempts. Of the total discharges in this period, 45% were Graduations and 18% were Members who were Unable to be contacted. In comparison to the previous reporting period, OASIS graduations increased 233% (from 3 to 10 members). Difficulty in contacting members often occurs when members are homeless. The decision to discharge members who cannot be contacted occurs only when OASIS staff has been unsuccessful at reaching the member after numerous attempts. This usually includes making phone calls, visiting listed residence, following up with emergency contacts, checking hospitals in the region, and searching jail websites.
A total of 9% of members decided to discontinue partnership and pursue their recovery goals on their own without the OASIS program. Another 9% of members discharged, did not meet the required criteria for program enrollment. During the 60-day assessment period, it may be determined that the consumers are well-linked and connected with resources in their community. This is considered after the OASIS Nurse Practitioner/Psychiatrist, nursing staff, and PSC meet.
In the event a consumer does not need the intensive services provided by OASIS, they will be linked to services that are more appropriate for their level of need. One Percent of members moved out of the OASIS coverage area during this reporting period.
Graph D represents a breakdown of the MORS scores ranging from 1 to 8, for those members discharged. OASIS staff records a MORS score for each member for an assessment period of 2 weeks per month. This report uses the latest MORS scores recorded before the member was discharged. 100% of the members who graduated from OASIS had MORS scores of 6 or 7. The MORS scores for these graduates and those who were deceased were carried over from the previous assessment recorded.
Additionally, the majority of the members captured in the MISC category were those unable to be located, and one who decided to discontinue partnership. Since MORS is based on the most recent two week history, it is not possible to assign an accurate MORS score to individuals who are unable to be located after a lengthy period of time.
|Discharge Reasons ||Number of Members ||Min Tenure Days ||Max Tenure Days ||Avg Tenure Days ||Min MORS ||Max MORS ||Ave MORS |
|Graduation ||10 ||162 ||1407 ||756 ||6 ||7 ||7 |
|Unable to Contact ||4 ||168 ||757 ||453 ||0 ||0 ||0 |
|Deceased ||3 ||638 ||1540 ||1235 ||3 ||4 ||4 |
|Discontinued Partnership ||2 ||63 ||190 ||127 ||0 ||4 ||2 |
|Criteria Not Met ||2 ||114 ||420 ||267 ||5 ||5 ||5 |
|Member Moved ||1 ||305 ||305 ||305 ||5 ||5 ||5 |
|Average tenure of all discharges = 643 days |
Average MORS score of all discharges = 4.0
Table 1 and Graph E depicts the average tenure and the average Milestone of Recovery Scale (MORS) scores for members by overall discharge reason. The 22 members partnered with OASIS within the time frame of 63 days to approximately four years and three months before leaving the program. The average tenure of the entire group was 643 days. The longest average tenure of 1235 days was for the member who deceased. There was a total of four deaths during this reporting period, one being a member who was scheduled to graduate the month he passed away. The highest average tenure of 756 days, for members who met their recovery goals and subsequently graduated from the program.
Furthermore, the wide span of minimum and maximum program enrollment for this group highlights the different needs of each member. It also indicates that members’ road to recovery depends on their individual circumstances. In addition the average MORS score of the entire discharge group was a 4.
Following the unable to contact group, members discharged due to members being deceased received services from OASIS for an average of 1245 days (three years and four months). The three remaining groups were members who discontinued partnership, moved, or did not meet criteria for the program. Of those who discontinued partnership, members in this group received a MORS score of 4 or did not receive a MORS score prior to discharge and had average tenure of 127 days. Each of these two individuals decided they did not need and intensive level of services. Those members who did not meet criteria received a MORS score of 5 and an average tenure of 267 days. Each of these individuals required a higher level of care and OASIS assisted in transitioning them to skilled nursing facilities. In conclusion, the member who moved out of the coverage area received a MORS score of 5 and was in the program 305 days.
Analyzing OASIS discharge data provides a final take on all of the members the program serves, the program’s successes, and the challenges that OASIS will continue overcome to support members on their personal roads to recovery.