Agenda 06/25/2013 Item #16D14n
6/25/2013 16.D.14.
EXECUTIVE SUMMARY
Recommendation to approve the First Amendment to Agreement with David Lawrence Mental
Health Center, Inc. (DLC) for substance abuse and mental health services, which will revise the
performance measurable goals contained in the Performance Outcome Report
OBJECTIVE: To provide behavior and substance abuse services to the Collier County
community.
CONSIDERATION: On December 11, 2012, item 16.1). 18 the Board approved a contract with
DLC for it to provide substance abuse and mental health services. As mandated by Sections
394.76 (9)(a) and (b), Florida Statutes, a commitment has been made to provide funding in the
amount of $1,154,200 to the DLC, a provider of behavioral health and substance abuse
programs. The contact is for a (1) year period, commencing on October 1, 2012 and terminating
on September 30, 2013, with three (3) additional (1) year renewal options.
Pursuant to the contract, DLC is required to submit quarterly Performance Outcome Report with
specific performance measures for each program. The purpose of this amendment is to revise the
contract specific performance measures relating to the each program in the Performance
Outcome Report for FY12 /13, Exhibit 3 of the contract. Currently, DLC provides the
Performance Outcome Reports, as required in the contract. However, the Performance Outcome
Report includes all clients that are served by DLC. The department has revised the performance
measures to reflect only those clients and services needing finance assistance.
FISCAL IMPACT: There is no fiscal impact associated with this Executive Summary.
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated
with this Executive Summary.
LEGAL CONSIDERATIONS: Section 394.76, Florida Statutes requires the County to
participate in the funding of alcohol and mental health services. The amount of the participation
shall be at least that amount which, when added to other available local matching funds, is
necessary to match state funds. This item is approved as to form and legality and requires a
majority vote for approval. - JAB
RECOMMENDATION: That the Board of County Commissioners approves the First
Amendment to Agreement with David Lawrence Mental Health Center, Inc., which will modify
the performance measurable goals contained in the Performance Outcome Report, Exhibit 3.
Prepared by: Lisa N. Carr, Grants Coordinator, Housing, Human and Veteran Services
Packet Page -987-
i'*N
6/25/2013 16.D.14.
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.16.D.16.D.14.
Item Summary: Recommendation to approve the First Amendment to Agreement with
David Lawrence Mental Health Center, Inc. (DLC) for substance abuse and mental health
services, which will revise the performance measurable goals contained in the Performance
Outcome Report.
Meeting Date: 6/25/2013
Prepared By
Name: CarrLisa
Title: SHIP Program Coordinator
6/7/2013 4:41:37 PM
Approved By
Name: GrantKimberley
Title: Interim Director, HHVS
Date: 6/11/2013 11:35:17 PM
Name: SonntagKristi
Date: 6/12/2013 10:33:36 AM
Name: AlonsoHailey
Title: Operations Analyst, Public Service Division
Date: 6/12/2013 11:43:05 AM
Name: Joshua Thomas
Title: Grants Support Specialist,
Date: 6/12/2013 12:11:26 PM
Name: CarnellSteve
Title: Director - Purchasing /General Services,Purchasing
Date: 6/12/2013 1:15:57 PM
Name: BelpedioJennifer
Title: Assistant County Attomey,County Attorney
Date: 6/13/2013 4:57:55 PM
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Name: KlatzkowJeff
Title: County Attorney
Date: 6/14/2013 8:54:37 AM
Name: FinnEd
Title: Senior Budget Analyst, OMB
Date: 6/14/2013 12:07:02 PM
Name: StanleyTherese
Title: Management/Budget Analyst, Senior,Office of Manage
Date: 6/14/2013 4:22:18 PM
Name: OchsLeo
Title: County Manager
Date: 6/15/2013 1:04:30 PM
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6/25/2013 16.D.14.
6/25/2013 16.D.14.
FIRST AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
DAVID LAWRENCE MENTAL HEALTH CENTER, INC.
This Amendment, is entered into this day of
2013, by and between David Lawrence Mental Health Center a private not - for - profit
corporation existing under the laws of the State of Florida, herein after referred to as
"David Lawrence Center" and Collier County, Florida, herein after to be referred to as
"COUNTY," collectively stated as the "Parties."
WHEREAS, on December 11, 2012, the County entered into an agreement with
David Lawrence Center for it to provide substance abuse and mental health services to
Collier County residents (hereinafter referred to as the "Agreement "); and
WHEREAS, the Parties desire to amend the Agreement by modifying the original
Exhibit 3, Performance Outcome Report.
NOW, THEREFORE, in consideration of foregoing Recitals, and other good and
valuable consideration, the receipt and sufficiency of which is hereby mutually
acknowledged, the Parties agree to amend the Agreement as follows:
1. Exhibit 3, Performance Outcome Report, is replaced with the attached Exhibit 3,
Performance Outcome Report.
2. All other terms and conditions of the Agreement remain in full force and effect.
This Amendment merges any prior written and oral understanding and
agreements, if any, between the parties with respect to the matters set forth
herein.
IN WITNESS WHEREOF, the Parties have executed this Amendment, on the date and
year first above written.
DAVID LAWRENCE CENTER:
By:
Name (print)
(Signature of authorized officer)
COLLIER COUNTY:
By: Georgia A. Hiller, Esg.
Name (print)
(Signature of authorized officer)
Chairwoman Board of County Commissioners
Title
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Approved as to form and legality
6/25/2013 16.D.14.
EXHIBIT 3
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Emergency Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2013
for time period 06 /01 /13- 9 /30 /13(revised)
SECTION ONE
To Be Completed and returned with contract
r
OUTCOME # 1:
Crisis Stabilization Unit
1. Outcome Statement including # or %: 468 admissions (10% increase from previous
year) will be processed to the Crisis Stabilization Unit during contract year.
2. List the Activities or Services provided by this program. The Crisis Stabilization Unit
provides short term, inpatient crisis stabilization and support for individuals or adults
who are either at risk of harming themselves or others due to a mental health crisis.
David Lawrence Center manages the only Baker Act receiving facility for Collier County
which includes emergency services and the Crisis Stabilization Unit.
3. How is outcome measured? List the tools /approaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers of CSU admissions.
END OF SECTION ONE
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6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Emergency Services
SECTION TWO
.Reporting Period:. Contract year — October:a, 2012 September 30,`2013
Due::,OUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 1:
Crisis Stabilization Unit
1. Outcome Statement including_# or %: 468 admissions (10% increase from previous year)
N)ill be processed to the Crisis Stabilization Unit during contract year.
2. From data collected during the term of the contract, provide the following information:
A. How many admissions were processed into this program during the specified time
period?
B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)? NIA
END OF SECTION TWO
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6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Emergency Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2013
for time period 06/01 /13- 9 /30 /13(revised)
SECTION ONE
To Be Completed and returned with contract
OUTCOME # 2:
Emergency Services Assessment Center
1. Outcome Statement including # or %: 992 assessments will be completed in the
Emergency Services Assessment Center during contract year.
2. List the Activities or Services provided by program. The Emergency Services
Assessment Center provides Psychiatric Evaluations and Clinical Assessments for
individuals or adults who in crisis. These assessments are completed within the scope of
the Baker Act. David Lawrence Center manages the only Baker Act receiving facility for
Collier County which includes emergency services and the Crisis Stabilization Unit.
3. How is outcome measured? List the tools /approaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers of assessments completed in the Emergency
Services Assessment Center.
END OF SECTION ONE LLA
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6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Emergency Services
SECTION TWO
Reporting Period: Contract year — October.1, 2012 September 30, 2013
Due :.QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 2:
Emergency Services Assessment Center
1. Outcome Statement including # or %; 992 assessments will be completed in the
Emergency Services Assessment Center during contract year.
2. From data collected during the term of the contract provide the following information:
A. How many assessments were completed in this program during the specified time
period?
n B. How many unduplicated clients were measured for this outcome during the time
period?
C. if answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
Same individuals are sometimes assessed more than one time during the reporting
period.
END OF SECTION TWO
Agencies are welcome to submit a 1/2 page narrative explanation. This could include
explanation regarding your actual versus target percentage and any comments
about the outcome results or the outcome process.
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6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Emergency Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2013
for time period 06 /01 /13- 9 /30 /13(revised)
SECTION ONE
To Be Completed and returned with contract
OUTCOME # 3:
Emergency Services Assessment Center
1. Outcome Statement includin #g or %: 305 individuals will be released from Baker Act
placement and diverted from inpatient Crisis Stabilization Unit admission during
contract period.
2. List the Activities or Services provided by this program. The Emergency Services
Assessment Center diverts provides Psychiatric Evaluations and Clinical Assessments for
individuals or adults who in crisis. These assessments are completed within the scope of
the Baker Act. Individuals may be held in an emergency services screening area
according to the regulations of the Baker Act and may be released following professional
evaluation that determines Baker Act criteria is no longer met. David Lawrence Center
manages the only Baker Act receiving facility for Collier County which includes
emergency services and the Crisis Stabilization Unit.
3. How is outcome measured? List the tools /approaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing Baker Act evaluation and release data.
END OF SECTION ONE
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6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Emergency Services
' :SECTION TWO
Reporting Period: Contract year —October 1, 2012 - September.30. 2013
Due: QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 3:
Emergency Services Assessment Center
1. Outcome Statement including # or %: 305 individuals will be released from Baker Act
placement and diverted from inpatient Crisis Stabilization Unit admission during
contract period.
2. From data collected during the term of the contract provide the following information:
A. How many individuals were released and diverted from Crisis Stabilization Unit
admission during the specified time period?
B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
END OF SECTION TWO _
Agencies are welcome to submit a 1/2 page narrative explanation. This could include
explanation regarding your actual versus target percentage and any comments
about the outcome results or the outcome process.
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6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Emergency Services
Section 1. ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2013
for time period 06/01/13= 9/30/13 (revised)
:SECTION ONE
To Be Completed and returned with contract
OUTCOME # 4:
Crisis Stabilization Unit
1. Outcome Statement including %: 85% or more of individuals discharged from the Crisis
Stabilization Unit (CSU) will not be readmitted during the 30 days following discharge.
2. List the Activities or Services provided by this program. The Adult Crisis Stabilization
Unit provides short term, inpatient crisis stabilization and support for persons who are
either at risk of harming themselves or others due to a mental health crisis. The CSU is
the only Baker Act receiving facility for Collier County.
3. How is outcome measured? List the tools /approaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record database and presented
quarterly via internal reports capturing numbers and percentages of people re-
admitted within 30 days.
END OF SECTION ONE
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6/25/2013 16.D.14.
n PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Emergency Services
SECTION TWO
Reporting Period:. Contract year October, 1, 2012 - September 30, 2013
Due QUARTERLY
Can be submitted by mail, email or fax
OUTCOME #4:
Crisis Stabilization Unit
1. Outcome Statement including %: 85% or more of individuals discharged from the Crisis
Stabilization Unit (CSU) will not be readmitted during the 30 days following discharge.
2. From data collected during the term of the contract provide the following information:
A. How many unduplicated clients did the CSU admit during the specified time period?
n B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
D. How many of the unduplicated clients from B achieved the outcome during the time
period?
E. Outcome percentage (D divided by B):
END OF SECTION TWO
Agencies are welcome to submit a' /2 page narrative explanation. This could include
explanation regarding your actual versus target percentage and any comments
about the outcome results or the outcome process.
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6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Adult Medical Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2013
for time period 06 /01 /13- 9 /30 /13(revised)
SECTION ONE
To Be Completed and returned with contract
OUTCOME # 5:
Adult Medical Services
1. Outcome Statement including # or %: 708 individuals who do not have Medicaid or
Medicare coverage will be served in Adult Medical Services.
2. List the Activities or Services provided by this program. Medical Services include
Psychiatric Evaluations and Medication Management for persons who are experiencing
mental health problems that are serious and acute or related to a services and persistent
mental illness. Services also include nursing services in addition to coordination with
primary care physician.
3. How is outcome measured? List the tools /approaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers served.
END OF SECTION ONE
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PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Adult Medical Services
SECTION TWO
Reporting Period: Contract year — October 1, 2012 — September 30, 2013
Due: QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 5:
Adult Medical Services
1. Outcome Statement includin # or %: 708 individuals who do not have Medicaid or
Medicare coverage will be served in Adult Medical Services
2. From data collected during the term of the contract, provide the following information:
A. How many unduplicated clients did this program serve during the specified time
period?
n B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
END OF SECTION TWO
Agencies are welcome to submit a' /z page narrative explanation. This could include
explanation regarding your actual versus target percentage and any comments
about the outcome results or the outcome process.
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6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Adult Substance Abuse Outpatient and Adult Drug Court
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2013
for time period 06 /01 /13- 9 /30 /13(revised)
SECTION ONE
To Be Completed and returned with contract
OUTCOME # 6:
Adult Substance Abuse Outpatient and Adult Drug, Court
1. Outcome Statement including # or %: 262 individuals who do not have Medicaid or
Medicare coverage will be sewed in Adult Substance Abuse Outpatient Services and
Adult Drug Court.
2. List the Activities or Services provided by this program. Substance Abuse Outpatient
Services include group and individual therapy and may also include family therapy.
Different levels of group therapy are available based on the intensity of the substance
abuse or dependency. Treatment focuses on helping the individual accept his /her
addiction and support the individual in establishing a recovery lifestyle.
3. List the Activities or Services provided by this program. The Adult Drug Court Program
diverts offenders with substance abuse and drug related criminal activity from the
criminal justice system by offering them an opportunity to proactively deal with their
dependence rather than face punitive alternatives.
4. How are outcomes measured for Adult Substance Abuse Outpatient services and Adult
Drug court? List the tools /approaches /methods used to track or measure this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers served.
END OF SECTION ONE
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PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Adult Substance Abuse Outpatient Services
SECTION TWO
Reporting Period: Contract year — October l,, 2012 - September 30, 2013
Due .:,QUARTERLY.
Can be submitted by mail, email or fax
OUTCOME # 6:
Adult Substance Abuse Outpatient Services and Adult Drue Court
1. Outcome Statement includin #g or %: 262 individuals who do not have Medicaid or
Medicare coverage will be served in Adult Substance Abuse Outpatient Services and
Adult Drug Court.
2. From data collected during the term of the contract provide the following information:
A. How many unduplicated clients did this program serve during the specified time
period?
B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
END OF SECTION TWO
Agencies are welcome to submit a '/z page narrative explanation. This could include
explanation regarding your actual versus target percentage and any comments
about the outcome results or the outcome process.
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6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Detox Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2013
for time period 06 /01 /13- 9 /30 /13(revised)
'SECTION ONE
To Be Completed and returned with contract
OUTCOME # 7:
Detox Services
1. Outcome Statement including # or %: 359 admissions will be served in Detox Program.
2. List the Activities or Services provided by this program. The Detox program is a
voluntary, medically- managed program for individuals who are in need of detoxification
services utilizing American Society (oj) Addiction Medicine level III. 7d admission
criteria. �
3. How is outcome measured? List the tools /approaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers served.
END OF SECTION ONE
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'*—N,
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Detox Services
SECTION TWO
Reporting Period; Contract year - October 1, 2012 — September 30, 2013
Due: QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 7:
Detox Services
1. Outcome Statement includiny, # or %: 359 admissions will be served in Detox Program.
2. From data collected during the term of the contract, provide the following information:
A. How many unduplicated clients did this program serve during the specified time
period?
B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
END OF SECTION TWO
Agencies are welcome to submit a 1/2 page narrative explanation. This could include
explanation regarding your actual versus target percentage and any comments
about the outcome results or the outcome process.
Packet Page -1004-
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Immokalee Medical Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2013
for time period 06/01/13- 9/30/13 (revised)
SECTION ONE
To Be Completed and returned with contract
OUTCOME # S
Immokalee Medical Services
1. Outcome Statement including # or %: 43 individuals who do not have Medicaid or
Medicare coverage will be served in Immokalee Medical Services.
2. List the Activities or Services provided by this program. Medical Services provided in the
Immokalee Community that include Psychiatric Evaluations and Medication
Management for persons who are experiencing mental health problems that are serious
and acute or related to a services and persistent mental illness. Services also include
nursing services in addition to coordination with primary care physician.
3. How is outcome measured? List the tools /approaches/methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers served.
END OF SECTION ONE
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n
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Immokalee Medical Services
SECTION TWO
Reporting Period: Contract year - October. J1 20,12. September 30, 2013
Due: QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # S:
Immokalee Medical Services
1. Outcome Statement including # or %: 43 individuals who do not have Medicaid or
Medicare coverage will be served in Immokalee Medical Services
2. From data collected during the term of the contract provide the following information:
A. How many unduplicated clients did this program serve during the specified time
period?
B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
END OF SECTION TWO I
Agencies are welcome to submit a 1/2 page narrative explanation. This could include
explanation regarding your actual versus target percentage and any comments
about the outcome results or the outcome process.
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6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Immokalee Outpatient Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2013
for time period 06 /01 /13- 9 /30 /13(revised)
SECTION ONE
To Be Completed and returned with contract
OUTCOME # 9:
Immokalee Outpatient Services
1. Outcome Statement including # or %: 54 individuals who do not have Medicaid or
Medicare coverage will be served in Immokalee Outpatient Services.
2. List the Activities or Services provided by this program, hnmokalee Outpatient services
include substance abuse and mental health services designed to promote emotional
health and well - being. Mental Health Services include assessment, individual and group
treatment services and case management services for persons who are experiencing
mental health problems that are serious and acute or related to a severe and persistent
mental illness. Substance Abuse Outpatient Services include group and individual
therapy and may also include family therapy. Different levels of group therapy are
available based on the intensity of the substance abuse or dependency.
3. How is outcome measured? List the tools /approaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers served.
END OF SECTION ONE
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PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Immokalee Outpatient Services
SECTION TWO
Reporting Period: Contract,year. — October 1, 2012 — September 30, 2013 .
Due QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 9:
Immokalee Outpatient Services
1. Outcome Statement including # or %: 54 individuals who do not have Medicaid or
Medicare coverage will be served in Immokalee Outpatient Services
2. From data collected during the term of the contract provide the followingyinformation:
A. How many unduplicated clients did this program serve during the specified time
period?
B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
END OF SECTION TWO
Agencies are welcome to submit a 1/2 page narrative explanation. This could include
explanation regarding your actual versus target percentage and any comments
about the outcome results or the outcome process.
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PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Childrens Medical Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2013
for time period 06 /01 /13- 9 /30 /13(revised)
SECTION ONE
To Be Completed and returned with contract
OUTCOME # 10:
Childrens Medical Services
1. Outcome Statement includipZ # or %: 80 children who do not have Medicaid or
Medicare coverage will be served in Childrens Medical Services.
2. List the Activities or Services provided by this program. Medical Services include
Psychiatric Evaluations and Medication Management for persons who are experiencing
mental health problems that are serious and acute or related to a services and persistent
mental illness. Services also include nursing services in addition to coordination with
primary care physician.
3. How is outcome measured? List the tools /approaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers served.
END OF SECTION ONE 1
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PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Childrens Medical Services
SECTION TWO
Reporting Period: Contract year — October 1, 2012 — September 30, 2013 .
Due: QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 10:
Childrens Medical Services
1. Outcome Statement including# or %: 80 children who do not have Medicaid or
Medicare coverage will be served in Childrens Medical Services.
2. From data collected during the term of the contract provide the following information:
A. How many unduplicated clients did this program serve during the specified time
period?
/0—*N B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
END OF SECTION TWO
Agencies are welcome to submit a 1/2 page narrative explanation. This could include
explanation regarding your actual versus target percentage and any comments
about the outcome results or the outcome process.
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PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Childrens Urgent Care Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2013
for time period 06 /01 /13- 9 /30 /13(revised)
SECTION ONE
To Be Completed and returned with contract
OUTCOME # 11:
Childrens Urgent Care Services
1. Outcome Statement including # or %; 103 children who do not have Medicaid or
Medicare coverage will be served in Children Urgent Care Services.
2. List the Activities or Services provided by this prouam. Childrens Urgent Care Services
consist of activities aimed at providing centrally accessed quality clinical assessments as
well as diverse and brief treatment to the children of Collier County. Treatment services
include crisis intervention, individual treatment, group treatment and family treatment in
the areas of mental health and substance abuse /dependency.
3. How is outcome measured? List the tools /approaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers served.
END OF SECTION ONE
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6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Childrens Urgent Care Services
SECTION TWO
Reporting Period: Contract year — October; 1, 2012 — September. 30, 2013
Due :QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 11:
Childrens Urgent Care Services
1. Outcome Statement including # or %: 103 children who do not have Medicaid or
Medicare coverage will be served in Children Urgent Care Services.
2. From data collected during the term of the contract provide the following information:
A. How many unduplicated clients did this program serve during the specified time
period?
B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
END OF SECTION TWO
Agencies are welcome to submit a 1/2 page narrative explanation. This could include
explanation regarding your actual versus target percentage and any comments
about the outcome results or the outcome process.
Packet Page -1012-
6/25/2013 16.D.14.
EXHIBIT 3 Formatted: centered
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Emergency Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2013
for time period 10/01/12- 9/30/13
SECTION ONE
To Be Completed and returned with contract
OUTCOME # 1:
Crisis Stabilization Unit
1. Outcome Statement including # or %: 4(t �8 admissions (10% increase from previous _ Deleted: f zoo
yea) will be processed to the Crisis Stabilization Unit during contract year.
2. List the Activities or Services provided by this program. The Crisis Stabilization Unit
provides short term, inpatient crisis stabilization and support for individuals or adults
who are either at risk of harming themselves or others due to a mental health crisis.
David Lawrence Center manages the only Baker Act receiving facility for Collier County
which includes emergency services and the Crisis Stabilization Unit.
3. How is outcome measured? List the tools /approaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers of CSU admissions.
END OF SECTION ONE
Packet Page -1013-
/0-•
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Emergency Services
SECTION TWO
Reporting Period: Contract year — October 1, 2012 — September 30, 2013
Due: QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 1:
Crisis Stabilization Unit
1. Outcome Statement including # or %: 468 admissions (10% increase from previous year) ,, - -{ oeieted:1200
will be processed to the Crisis Stabilization Unit during contract year.
2. From data collected during the tern of the contract, provide the following information:
A. How many admissions were processed into this program during the specified time
period?
B. How many unduplicated clients were measured for this outcome during the time
period?
C. if answers A and B are different, explain why (sampling, outcome population
definition, etc.)? N/A
END OF SECTION TWO
Agencies are welcome to submit a'' /z page narrative explanation. This could include explanation
regarding your actual versus target percentage and any comments about the outcome results or
the outcome process.
Packet Page -1014-
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Emergency Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2012
for time period 10/01/12- 9/30/13
SECTION ONE
To Be Completed and returned with contract
OUTCOME # 2:
Emergency Services Assessment Center
1. Outcome Statement including # or %: 222 assessments will be completed in the Deleted: r.asr J
Emergency Services Assessment Center during contract year.
2. List the Activities or Services provided by this program. The Emergency Services
Assessment Center provides Psychiatric Evaluations and Clinical Assessments for
individuals or adults who in crisis. These assessments are completed within the scope of
the Baker Act. David Lawrence Center manages the only Baker Act receiving facility for
Collier County which includes emergency services and the Crisis Stabilization Unit.
3. How is outcome measured? List the tools /approaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers of assessments completed in the Emergency
Services Assessment Center.
END OF SECTION ONE
Packet Page -1015-
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Emergency Services
SECTION TWO
Reporting Period: Contract year— October 1, 2012 —September 30, 2013
Due: QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 2:
Emergency Services Assessment Center
1. Outcome Statement including # or %: 992 assessments will be completed in the Deleted: LILI
Emergency Services Assessment Center during contract year.
2. From data collected during the term of the contract, provide the following information:
A. How many assessments were completed in this program during the specified time
period?
B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
Same individuals are sometimes assessed more than one time during the reporting
period.
END OF SECTION TWO
Agencies are welcome to submit a'' /x page narrative explanation. This could include explanation
regarding your actual versus target percentage and any comments about the outcome results or
the outcome process.
Packet Page -1016-
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Emergency Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2012
for time period 10/01/12- 9/30/13
SECTION ONE
To Be Completed and returned with contract
OUTCOME # 3:
Emergency Services Assessment Center
1. Outcome Statement including # or %: �Qj individuals will be released from Baker Act —{ Deleted:
placement and diverted from inpatient Crisis Stabilization Unit admission during
contract period.
2. List the Activities or Services provided by this pro The Emergency Services
Assessment Center diverts provides Psychiatric Evaluations and Clinical Assessments for r�
individuals or adults who in crisis. These assessments are completed within the scope of
the Baker Act. Individuals may be held in an emergency services screening area
according to the regulations of the Baker Act and may be released following professional
evaluation that determines Baker Act criteria is no longer met. David Lawrence Center
manages the only Baker Act receiving facility for Collier County which includes
emergency services and the Crisis Stabilization Unit.
3. How is outcome measured? List the tools /approaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing Baker Act evaluation and release data.
END OF SECTION ONE
Packet Page -1017-
/-1-
10\
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Emergency Services
SECTION TWO
Reporting Period: Contract year — October 1, 2012 — September 30, 2013
Due QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 3:
Emergency Services Assessment Center
1. Outcome Statement including # or %: 3� 0_S individuals will be released from Baker Act Deleted; 3 0
placement and diverted fom inpatient Crisis Stabilization Unit admission during
contract period.
2. From data collected during the term of the contract, provide the following information:
A. How many individuals were released and diverted from Crisis Stabilization Unit
admission during the specified time period?
B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
END OF SECTION TWO
Agencies are welcome to submit a 1/2 page narrative explanation. This could include
explanation regarding your actual versus target percentage and any comments
about the outcome results or the outcome process.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Emergency Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2012
Packet Page -1018-
6/25/2013 16.D.14.
for time period 10/01/12- 9/30/13
SECTION ONE
To Be Completed and returned with contract
OUTCOME # 4:
Crisis Stabilization Unit
1. Outcome Statement including %: 85% or more of individuals discharged from the Crisis
Stabilization Unit (CSU) will not be readmitted during the 30 days following discharge.
2. List the Activities or Services provided by this program. The Adult Crisis Stabilization
Unit provides short term, inpatient crisis stabilization and support for persons who are
either at risk of harming themselves or others due to a mental health crisis. The CSU is
the only Baker Act receivingfacilitvfor Collier County.
3. How is outcome measured? List the tools /annroaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record database and presented
quarterly via internal reports capturing numbers and percentages of people re-
admitted within 30 days.
END OF SECTION ONE
Packet Page -1019-
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Emergency Services
SECTION TWO
Reporting Period: Contract year — October 1, 2012— September 30, 2013
Due: QUARTERLY
Can be submitted by mail, email or fax
OUTCOME #4:
Crisis Stabilization Unit
1. Outcome Statement including %: 85% or more of individuals discharged f om the Crisis
Stabilization Unit (CSU) will not be readmitted during the 30 days following discharge.
2. From data collected during the term of the contract. provide the following information:
A. How many unduplicated clients did the CSU admit during the specified time period?
10"N B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
D. How many of the unduplicated clients from B achieved the outcome during the time
period?
E. Outcome percentage (D divided by B):
END OF SECTION TWO
Agencies are welcome to submit a'' /2 page narrative explanation. This could include explanation
regarding your actual versus target percentage and any comments about the outcome results or
the outcome process.
Packet Page -1020-
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Adult Medical Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2012
for time period 10/01/12- 9/30/13
SECTION ONE
To Be Completed and returned with contract
OUTCOME # 5:
Adult Medical Services
1. Outcome Statement including # or %: 1(l8 individuals who do_not_have Medicaid or , - Deleted: L44
Medicare coverage will be served in Adult Medical Services.
2. List the Activities or Services provided by this program. Medical Services include
Psychiatric Evaluations and Medication Management for persons who are experiencing
mental health problems that are serious and acute or related to a services and persistent
mental illness. Services also include nursing services in addition to coordination with
primmy care physician.
3. How is outcome measured? List the tools /approaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers served.
END OF SECTION ONE
Packet Page -1021-
Al-N,
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Adult Medical Services
SECTION TWO
Reporting Period: Contract year — October 1, 2012 — September 30, 2013
Due: QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 5:
Adult Medical Services
1. Outcome Statement including # or %: 708individuals who do not have Medicaid or - Deleted: txaa )
Medicare coverage will be served in Adult Medical Services
2. From data collected during the term of the contract, provide the following information:
A. How many unduplicated clients did this program serve during the specified time
period?
B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
END OF SECTION TWO
Agencies are welcome to submit a' /z page narrative explanation. This could include explanation
regarding your actual versus target percentage and any comments about the outcome results or
the outcome process.
Packet Page -1022-
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Adult Substance Abuse Outpatient
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2012
for time period 10/01/12- 9/30/13
SECTION ONE
To Be Completed and returned with contract
OUTCOME # 6:
Adult Substance Abuse Outpatient and Adult Drug Court
1. Outcome Statement including # or %: ,262 individuals who do not have Medicaid or Deleted: yi
Medicare coverage will be served in Adult Substance Abuse Outpatient Services.
2. List the Activities or Services Provided by this program. Substance Abuse Outpatient Formatted: Font: Times New Roman
Services include group and individual therapy and may also include family therapy. Different
levels ofgroup therapy are available based on the intensity of the substance abuse or
dependency. Treatment focuses on helping the individual accept his/her addiction and support
the individual in establishing a recovery lifestyle
diverts of/endery with substance abuse and drug related criminal activity born the
criminal justice system bi, offering them an opportunity to proactiveiv, deal with their
dependence rather than face punitive alternatives.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers served.
END OF SECTION ONE
Packet Page -1023-
Formatted: Font: (Default) Times New Roman
Formatted: Normal, Indent: Left: 0.38 ", No
bullets or numbering
Deleted: < # >How is outcome measured? List
the tools/approaches /methods used to track or
measure this outcome .¶
1.0-N
�*N
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Adult Substance Abuse Outpatient Services
SECTION TWO
Reporting Period: Contract year— October 1, 2012 —September 30, 2013
Due: QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 6:
Adult Substance Abuse Outpatient Services
1. Outcome Statement including # or %: �A2 individuals who do not have Medicaid o_r - Deleted:
Medicare coverage will be served in Adult Substance Abuse Outpatient Services.
2. From data collected during the term of the contract, provide the following information:
A. How many unduplicated clients did this program serve during the specified time
period?
B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
END OF SECTION TWO
Agencies are welcome to submit a `h page narrative explanation. This could include explanation
regarding your actual versus target percentage and any comments about the outcome results or
the outcome process.
Packet Page -1024-
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Detox Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2012
for time period 10/01/12- 9/30/13
SECTION ONE
To Be Completed and returned with contract
OUTCOME # 7:
Detox Services
1. Outcome Statement including # or %: 35.9 admissions will be served in Detox Program. , j Deleted:
2. List the Activities or Services provided by this program. The Detox program
is a voluntary, medically- managed program for individuals who are in need
of detoxification services utilizing American Society (of) Addiction Medicine
level III, 7d admission criteria. .�
3. How is outcome measured? List the tools /approaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers served.
END OF SECTION ONE
Packet Page -1025-
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Detox Services
SECTION TWO
Reporting Period: Contract year — October 1, 2012 — September 30, 2013
Due: QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 7:
Detox Services
1. Outcome Statement including # or %: 59 admissions will be served in Detox Program_; . Deleted: ago
2. From data collected during the term of the contract, provide the following information:
A. How many unduplicated clients did this program serve during the specified time
period? _
B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
END OF SECTION TWO
Agencies are welcome to submit a/2 page narrative explanation. This could include explanation
regarding your actual versus target percentage and any comments about the outcome results or
the outcome process.
Packet Page -1026-
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: !Adult Drug Court Program
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2012
for time period 10/01/12- 9/30/13
SECTION ONE
To Be Completed and returned with contract
END OF SECTION ONE
Packet Page -1027-
6/25/2013 16.D.14.
Comment[ic1]: Adult Drug Court Program
is combined withAdult Substance Abuse
Outpatient - Outcome #6
Comment [lc2]t Adult Drug Court Program
was combined with Adult Substance
Abuse Outpatient-Outcome #6.
Deleted: OoTCOME # &I
Adult Drug Court Program ¶
a# ,Outcome Statement including # or %: 63
individuals who do not have Medicaid or
Medicare coverage will be served in Adult Drug
Court program. I
< #>List the Activities or Services provided by
this orocram. The Adult Drug Court
Program diverts offenders with
substance abuse and drug related
criminal activity from the criminal
justice system by offering them an
opportunity to proactively deal with
their dependence rather than face
punitive alternatives. ¶
< # >How is outcome measured? List the
tools /anoroacheslmethods used to track or
measure this outcome.¶
Outcome information is tracked via electronic
medical record and presented quarterly via
internal reports capturing numbers served.
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Adult Drug Court
SECTION TWO
Reporting Period: Contract year — October 1, 2012 — September 30, 2013
Due: QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 8:
Adult Drug Court Program
1. Outcome Statement including # or %: 63 individuals who do not have Medicaid or
Medicare coverage will be served in Adult Drug Court program.
2. From data collected during the term of the contract, provide the following information:
A. How many unduplicated clients did this program serve during the specified time
period?
AO—IN B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
END OF SECTION TWO
Agencies are welcome to submit a %2 page narrative explanation. This could include explanation
regarding your actual versus target percentage and any comments about the outcome results or
the outcome process.
Packet Page -1028-
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Immokalee Medical Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2012
for time period 10/01/12- 9/30/13
SECTION ONE
To Be Completed and returned with contract
OUTCOME # $: ; — Deleted: v-
Immokalee Medical Services
1. Outcome Statement including # or %: 43 individuals who do not have Medicaid or ,— Deieted: Y J
Medicare coverage will be served in Immokalee Medical Services.
2. List the Activities or Services provided by this program. Medical Services provided in the
Immokalee Community that include Psychiatric Evaluations and Medication
Management for persons who are experiencing mental health problems that are serious
and acute or related to a services and persistent mental illness. Services also include
nursing services in addition to coordination with primary care physician.
3. How is outcome measured? List the tools /annroaches/methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers served.
END OF SECTION ONE
Packet Page -1029-
/1-1N
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Immokalee Medical Services
SECTION TWO
Reporting Period: Contract year — October 1, 2012 — September 30, 2013
Due: QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # $ _ _ ,. - -� Deleted: 9
Immokalee Medical Services
1. Outcome Statement including # or %: ,93 individuals who do not have Medicaid or - Deleted: L3
Medicare coverage will be served in Immokalee Medical Services
2. From data collected during the term of the contract, provide the following information:
A. How many unduplicated clients did this program serve during the specified time
period?
B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
END OF SECTION TWO
Agencies are welcome to submit a/2 page narrative explanation. This could include explanation
regarding your actual versus target percentage and any comments about the outcome results or
the outcome process.
Packet Page -1030-
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Immokalee Outpatient Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2012
for time period 10/01/12- 9/30/13
SECTION ONE
To Be Completed and returned with contract
OUTCOME # 9• Meted: LO
Immokalee Outpatient Services
1. Outcome Statement including # or %: ,54 individuals who do not have Medicaid or —{ Deleted: 147
Medicare coverage will be served in Immokalee Outpatient Services.
2. List the Activities or Services provided by this program. Immokalee Outpatient services
include substance abuse and mental health services designed to promote emotional
health and well - being. Mental Health Services include assessment, individual and group
treatment services and case management services .for persons who are experiencing
mental health problems that are serious and acute or related to a severe and persistent
mental illness. Substance Abuse Outpatient Services include group and individual
therapy and may also include family therapy. Different levels of group therapy are
available based on the intensity of the substance abuse or dependency.
3. How is outcome measured? List the tools /approaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers served.
END OF SECTION ONE
Packet Page -1031-
11�,
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Immokalee Outpatient Services
SECTION TWO
Reporting Period: Contract year— October 1, 2012 —September 30, 2013
Due: QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 9; —{ Deleted: to
Immokalee Outpatient Services
1. Outcome Statement including # or %: L4 individuals who do not have Medicaid or Deleted: L47 )
Medicare coverage will be served in Immokalee Outpatient Services
2. From data collected during the term of the contract, provide the following information:
A. How many unduplicated clients did this program serve during the specified time
period?
B. How many unduplicated clients were measured for this outcome during the time
period?
C. if answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
END OF SECTION TWO
Agencies are welcome to submit a'' /2 page narrative explanation. This could include explanation
regarding your actual versus target percentage and any comments about the outcome results or
the outcome process.
Packet Page -1032-
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Childrens Medical Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2012
for time period 10/01/12- 9/30/13
SECTION ONE
To Be Completed and returned with contract
OUTCOME # 10,
Childrens Medical Services
1. Outcome Statement including # or %: 524 children who do not have Medicaid or
Medicare coverage will be sewed in Childrens Medical Services.
2. List the Activities or Services provided by this program. Medical Services include
Psychiatric Evaluations and Medication Management for persons who are experiencing
mental health problems that are serious and acute or related to a services and persistent
mental illness. Services also include nursing services in addition to coordination with
primary care physician.
3. How is outcome measured? List the tools /approaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers served.
END OF SECTION ONE
Packet Page -1033-
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Childrens Medical Services
SECTION TWO
Reporting Period: Contract year — October 1, 2012 — September 30, 2013
Due: QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 10. _ _ ,; { Deleted: 1
Childrens Medical Services
1. Outcome Statement including # or %: 524 children who do not have Medicaid or
Medicare coverage will be sewed in Children Medical Services.
2. From data collected during the term of the contract, provide the following information:
A. How many unduplicated clients did this program serve during the specified time
period?
B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
END OF SECTION TWO
Agencies are welcome to submit a'' /2 page narrative explanation. This could include explanation
regarding your actual versus target percentage and any comments about the outcome results or
the outcome process.
Packet Page -1034-
6/25/2013 16.D.14.
6/25/2013 16.D.14.
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Childrens Urgent Care Services
Section 1 ONLY to be completed at time of contract execution.
Section 2 to be completed for full term of the contract due October 31, 2012
for time period 10/01/12- 9/30/13
SECTION ONE
To Be Completed and returned with contract
OUTCOME # U: — = Deleted: ?
Childrens Ureent Care Services
1. Outcome Statement includinjz # or %: 422 children who do not have Medicaid or
Medicare coverage will be served in Children Urgent Care Services.
2. List the Activities or Services provided by this program. Children Urgent Care Services
consist of activities aimed at providing centrally accessed qualitv clinical assessments as
well as diverse and brief treatment to the children of Collier County. Treatment services
include crisis intervention, individual treatment, group treatment and family treatment in
the areas of mental health and substance abuse /dependency.
3. How is outcome measured? List the tools /approaches /methods used to track or measure
this outcome.
Outcome information is tracked via electronic medical record and presented quarterly
via internal reports capturing numbers served.
END OF SECTION ONE
�—s'
Packet Page -1035-
PERFORMANCE OUTCOME REPORT
Provider Name: David Lawrence Center
Program: Childrens Urgent Care Services
SECTION TWO
Reporting Period: Contract year — October 1, 2012 — September 30, 2013
Due: QUARTERLY
Can be submitted by mail, email or fax
OUTCOME # 11; { Deleted: 2
Childrens Urgent Care Services
1. Outcome Statement including # or %: 422 children who do not have Medicaid or
Medicare coverage will be served in Children Urgent Care Services.
2. From data collected during the term of the contract, provide the following information:
A. How many unduplicated clients did this program serve during the specified time
period?
/O�\ B. How many unduplicated clients were measured for this outcome during the time
period?
C. If answers A and B are different, explain why (sampling, outcome population
definition, etc.)?
END OF SECTION TWO
Agencies are welcome to submit a/2 page narrative explanation. This could include explanation
regarding your actual versus target percentage and any comments about the outcome results or
the outcome process.
Packet Page -1036-
6/25/2013 16.D.14.