MENTAL WELLNESS CENTERS, INC
PERFORMANCE ANALYSIS FOR THE FISCAL YEAR JUNE 2009-JUNE 2010
Background
Mental Wellness Centers is a for-profit corporation providing mental health services to residents living in the State of Idaho specifically, (Region Six and Region Seven). Mental Wellness Centers serves adults, adolescents, children, couples and families. Mental Wellness Centers provides the following services; diagnostic evaluations, psychiatric evaluations, medication management, nursing services, individual therapy, play therapy, couples therapy, family therapy, group therapy, psycho-social-rehabilitation, service coordination, EAP services, crisis assessment and referral services. Mental Wellness Centers provides these services to those suffering from, general life issues, mental illness and/or substance abuse disorders.
The population for the two regions is primarily Caucasian, with a small number of Hispanics, Native Americans and other races. The table below indicates the numbers per county (Region Six Listed First then Region Seven Counties):
County Statistics 2006Native American / Hispanic / Caucasian / Other Races / TOTAL POPULA
Bingham / 6.4% / 14.9% / 90.9% / 2.7% / 43,903
Power / 3.8% / 27.0% / 94.8% / 1.3% / 7,683
Bannock / 3.0% / 5.5% / 93.0% / 4.0% / 80,812
Franklin / .5% / 6.9% / 98.5% / 1% / 12,454
Bear Lake / .7% / 3.3% / 98.2% / 1.1% / 5,798
Oneida / .4% / 3.0% / 98.8% / .8% / 4,130
Bonneville / .7% / 9.2% / 96.4% / 2.8% / 99,135
Clark / 1.1% / 40.0% / 97.7% / 1.2% / 910
Butte / .8% / 5.8% / 96.7% / 2.6% / 2,751
Fremont / .6% / 13.0% / 97.6% / 1.8% / 12,551
Jefferson / .8% / 9.9% / 97.3% / 1.9% / 23,860
Madison / .4% / 4.3% / 96.5% / 3.1% / 37,456
Teton / .6% / 13.5% / 98.1% / 1.3% / 8,833
The table below indicates the demographic numbers for employees of MWC:
EEO-4 Job Category / Ethnic Group / Sex / # of EmployeesAdministrative Support / White / Female / 5 FTE
Administrative Support / Asian / Female / 1 FTE
Program Director / White / Male / 1 FTE
Quality Assurance Manager / Hispanic / Male / 1 FTE
Program/Clinical Director / White / Male / 2 FTE
PSR Worker / White / Male / 2.5 FTE
PSR Worker / White / Female / 17.5 FTE
PSR Worker / Hispanic / Female / 1 FTE
PSR Worker / Hispanic / Male / 1 FTE
PSR Worker / Polynesian / Male / 1 FTE
Case Manager / White / Male / 1 FTE
Case Manager / White / Female / 2.5 FTE
Substance Abuse Counselor / White / Female / 2.5 FTE
Substance Abuse Counselor / White / Male / 2 FTE
Substance Abuse Counselor / White / Female / 3.5 FTE
Therapist / White / Male / 5.5 FTE
Therapist / White / Female / 6.5 FTE
Psychiatrist / White / Male / 1 FTE
Psychiatrist / White / Female / .25 FTE
Physician / White / Male / .25 FTE
Physician Assistant / White / Female / .5 FTE
Nurse / White / Female / .25 FTE
Mental Wellness Centers (MWC) strives to ensure it has a workforce that is representative of the cultural diversity of the community. As the numbers above indicate, 93% of employees are white, 5% are Hispanic, 1% are Polynesian, 1% and 1% are Asian. Since the Hispanic population is the most prevalent in both Region Six and Region Seven we continue to strive in hiring those who can provide services to this population as to break the language barrier. We had a 4% increase in hiring of Hispanic workers. Currently our two employees who speaks Spanish have reached full capacity for their client load.
MWC currently has staff that is fluent in the following languages:
Therapist / JoAnn Cook / PhillipinoTherapist / Michael Hartley / Portuguese
PSR / Charlotte Bzrrett / Spanish
Case Manager / Jake Silva / Spanish
Psychiatrist / Matthew Pontzer / German
MWC evaluated its turnover rates for the past three fiscal years. The results are represented in the following table.
MWC Turnover RatesJune 2006 – June 2007 / 18%
June 2007 – June 2008 / 6%
June 2008 – June 2009 / 18%
June 2009 – June 2010 / 9%
Employee Satisfaction Survey
In May 2010, staff was surveyed regarding satisfaction in support given in area of clinical training, supervision, company ethics and overall job satisfaction. Ten areas were surveyed. The results of this survey are indicated below:
EMPLOYEE SATISFACTION SURVEY
MAY 2010
Ten questions were included on the survey and employees were asked to rate their satisfaction on a scale of 1 through 5. The results were as follows:
1. I believe Mental Wellness Centers complies with all standards of care and that they strive for the most ethical practice.
Always: 76%
Almost Always 24%
Neutral 0%
Almost Never 0%
Never 0%
2. I believe I am provided with the training and support I need to perform my job.
Always: 24%
Almost Always 54%
Neutral 22%
Almost Never 0%
Never 0%
3. I believe management is approachable and supportive to me when I need direction with my job.
Always: 65%
Almost Always 19%
Neutral 15%
Almost Never 0%
Never 3%
4. I am informed of changes made in standards of care and given the training needed to comply with those changes.
Always: 48%
Almost Always 27%
Neutral 22%
Almost Never 3%
Never 0%
5. I believe MWC provides me with a competitive wage, benefits and working environment given the company budget.
Always: 32%
Almost Always 38%
Neutral 24%
Almost Never 3%
Never 3%
6. If I were concerned about unethical practices I feel confident that I can access the confidential Corporate Compliance Officer to file my complaint and that the Corporate Compliance Officer will investigate the complaint.
Always: 68%
Almost Always 14%
Neutral 18%
Almost Never 0%
Never 0%
7. I believe that the companies main concern is client care and by them receiving that care their lives improve.
Always: 51%
Almost Always 40%
Neutral 9%
Almost Never 0%
Never 0%
8. I would recommend my friends and others to work for MWC.
Always: 68%
Almost Always 19%
Neutral 11%
Almost Never 2%
Never 0%
9. MWC strives to give me access to training opportunities that will meet my professional needs and financial budget.
Always: 43%
Almost Always 22%
Neutral 32%
Almost Never 3%
Never 0%
10. I feel MWC management takes into account my opinions and suggestions when making policy and procedural changes.
Always: 27%
Almost Always 32%
Neutral 27%
Almost Never 12%
Never 2%
MWC has continued to strive in providing its employees the benefits and pay that are competitive. Within the last year we continued a employer health care plan for full-time employees. However, we have found it difficult to make many significant changes as of several factors such as; Continued Idaho Medicaid Reform which has reduced overall resources spent on the populations we serve, no rate increases since 1997, an increase of $60,000.00 to $80,000.00 increase in administrative costs (moving towards an EHR system) to ensure and monitor compliance with State of Idaho IDAPA rule, the current recession and overall expense of health care. Even though MWC has been unable to make significant salary increases and/or benefit increases we continue to have a low turnover rate and the employee satisfaction indicates the majority of employees are very satisfied with their job.
OUTCOMES
JUNE 2009 THROUGH MAY 2010
IDAHO FALLS OFFICE
SERVICE COORDINATION SERVICES
- Adults served under the service coordination program
- 83 clients or 81% of total client population
- 62 female clients or 75% of clients receiving service coordination
- 21 male clients or 25% of clients receiving service coordination
- Children served under the service coordination program
- 19 clients or 19% of client population
- 7 female clients or 37% of clients receiving service coordination
- 12 male clients or 63% of clients receiving service coordination
- Diagnostic summary of clients receiving service coordination
- 28% Bi-Polar
- 36% Major Depression Recurrent Severe
- 18% Schizophrenia
- 13% Borderline Personality Disorder
- Summary of high cost services for clients receiving service coordination
- 70% decrease in psychiatric re-hospitalization
- 73% decrease in ER visits
- 78% decrease in incarceration
- Summary of upward mobility for clients receiving service coordination
- 28% transitioned out of assisted living facilities
- 63% of children attended school consistently
- 11% gained employment
- 2% transitioned into educational opportunities
CLINIC SERVICES
- Adults served under clinic option
- 325 clients or 82% of total client population
- 212 adult female clients or 65% of adult client population
- 113 adult male clients or 35% of adult client population
- Children served under clinic option
- 71 clients or 18% of total client population
- 39 female clients or 55% of child client population
- 32 male clients or 45% of child client population
- Clients with private insurance
- 164 clients or 41% of total client population
- Clients with Medicaid
- 232 clients or 59% of total client population
- Clients receiving therapy and medication management
- 302 clients or 76% of total client population
- Clients receiving medication management only
- 94 clients or 24% of total client population
PSR SERVICES
- Adults served under PSR services
- 89 clients or 72% of total client population
- 65 female clients or 73% of total adult client population
- 24 male clients or 27% of total adult population
- Children served under PSR services
- 34 clients or 28% of total client population
- 16 female clients or 47% of total child population
- 18 males or 53% of total child population
- Diagnostic summary of clients receiving PSR
- 26% Bi-Polar
- 33% Major Depression Recurrent Severe
- 15% Schizophrenia
- 11% Borderline Personality Disorder
- Summary of high cost services for clients receiving PSR
- 71% decrease in psychiatric re-hospitalization
- 73% decrease in ER visits
- 83% decrease in incarceration
- Summary of upward mobility of clients receiving PSR
- 33% transitioned out of assisted living facilities
- 74% of children attended school consistently
- 16% gained employment
- 5% transitioned into educational opportunities
INTAKE WAITING PERIOD
- The average wait for intake was ***10.3 days
REFERRAL SOURCES BY PERCENTAGE
- Physician ***23%
- Phone Book ***12%
- Hospital/Community Clinic ***16%
- Employee of MWC ***9%
- Client of MWC ***12%
- Insurance ***12%
- Legal ***8%
- Other ***5%
CAFAS OUTCOMES***
The effectiveness measure applied for all children and adolescents receiving services at
Mental Wellness Centers was the comparison scores on the Child and Adolescent Functional Assessment Scale (CAFAS) at various times from entry into treatment, 120/240 day reviews and annual reviews or discharge. The goal is that at least 50% of the matched pairs for children and adolescents with serious emotional disturbance will show an improvement or remain the same of at least 10 points. The following is the results for the past 12 months:
CAFAS ImprovementYear / Matched Pairs / Showed Improvement / Percent Improved
2008-2009 / 12 / 3 / 25%
Year / Matched Pair / No Change / Percent with Symptoms not Worsening
2008-2009 / 12 / 4 / 33%
As indicated on the report, the goal of at least 50% of the matched pairs has shown improvement or remained the same; however, the goal of at least 10 points was reached, in fact the average increase was 16.6. Taking the whole sample into account there was an average of 1.67 movement towards positive change.
BASIS-24 OUTCOMES
Adults are administered the BASIS-24 which measures overall severity of mental health symptoms and overall effects of their symptoms on daily functioning. They are administered this as the initial intake, 120/240 day reviews and annual reviews or discharge review. The goal is that at least 50% of matched pairs will show improvement. The BASIS-24 scale measures severity on a 1-5 rating scale.
BASIS-24 ImprovementYear / Matched Pairs / Showed Improvement / Percent Improved
2008-2009 / 18 / 12 / 66%
Year / Matched Pair / No Change / Percent with Symptoms not Worsening
2008-2009 / 18 / 2 / 11%
As indicated on the report, the goal of at least 50% of the matched pairs has shown improvement or remained the same. Taking the whole sample into account there was an average of .17 movement towards positive change.
CLIENT SATISFACTION SURVEY
CLIENT SATISFACTION SURVEY
January 2010
Ten questions were included on the survey and clients were asked to voluntarily rate their satisfaction on a scale of 1 through 5. The results were as follows:
1. I was informed about the procedures and policies regarding the treatment I received.
Always: 80%
Almost Always 16%
Neutral 0%
Almost Never 0%
Never 0%
Does Not Apply 4%
2. I was provided with patient rights information.
Always: 88%
Almost Always 12%
Neutral 0%
Almost Never 0%
Never 0%
3. I was provided with sufficient information about the risks and benefits of medication I take.
Always: 60%
Almost Always 24%
Neutral 0%
Almost Never 0%
Never 0%
Does Not Apply 16%
4. I am treated respectfully.
Always: 88%
Almost Always 4%
Neutral 0%
Almost Never 4%
Never 4%
5 The staff provides me with sufficient information on how to reduce the symptoms of my disorder.
Always: 64%
Almost Always 12%
Neutral 8%
Almost Never 0%
Never 0%
Does Not Apply 16%
6. I am helped by the treatment that I have receive at the Mental Wellness Centers.
Always: 76%
Almost Always 16%
Neutral 4%
Almost Never 0%
Never 0%
Does Not Apply 4%
7. I am provided with sufficient information regarding my post treatment and discharge goals.
Always: 52%
Almost Always 8%
Neutral 20%
Almost Never 0%
Never 0%
Does Not Apply 20%
8. I am satisfied with the quality and variety of the treatment provided to me.
Always: 84%