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Year End Report - Synod Residential Services, Inc.

Year End Report - Synod Residential Services, Inc.

Quality Assurance &

Quality Assurance & Improvement FY 2011 Year End Report measures included termination, demotion, loss of pay and written warnings. During the same period we provided 42,287 service days. 2 nd Indicator: Did a minimum of 90% of all program participants state they are treated with dignity and respect by SRS staff as expressed in the Client Satisfaction Survey? Conclusions: Yes. 92.9% of the 113 client respondents stated they are treated with dignity and respect by Synod staff. B. Synod will ensure a safe and adequate living environment while promoting the health and wellbeing of program participants. 1 st Indicator: Did the occurrence of client in-home injuries, relative to the number of service days provided, stay below .1%? Conclusions: Yes. The occurrence rate was 0.031%. 13 client injuries occurred in our residential programs. A root cause analysis is conducted on each incident to determine what steps may be taken to increase environmental safety. During the year we provided 42,287 service days to program participants. 1 incident occurred for every 3,253 service days provided. 2 nd Indicator: Did the occurrence of incidents involving assaults committed by clients, relative to the number of service days provided, stay below .1%? Conclusions: Yes. The occurrence rate for assaults was 0.095%. 40 acts of assault took place in our residential programs. This represents 1 incident for every 1,057 days of service. 3 rd Indicator: Did SRS prevent fatalities from accident or violence in its programs? Conclusions: Yes. There were zero deaths by accident or violence in the 2011 fiscal year. The graph below shows the number and type of incident, broken down by quarter. 25 20 15 10 5 0 1 1 5 6 11 10 15 Injuries Assaults Accidental deaths 4 0 0 0 0 22 21 19 19 Medication Errors 1st Quarter 2nd Quarter 3rd Quarter 4th Quarter N=134 Page 6 of 11

Quality Assurance & Improvement FY 2011 Year End Report 4th Indicator: Did staff succeed (80% of the time) in helping clients keep their medical, mental health, financial and legal appointments on time, as scheduled? Conclusions: Yes. Clients kept 92.6% of scheduled appointments with Synod staff assistance. The following graphs show the overall quarterly results for our residential programs and proportions of the types of appointments kept. Percentage of Appointments Kept, per Quarter 4th Quarter 3rd Quarter 2nd Quarter 1st Quarter 0.87 0.88 0.89 0.9 0.91 0.92 0.93 0.94 0.95 0.96 Types of Appointments Kept 2500 2000 1500 1000 500 0 2362 5 th Indicator: Were facilities and fleet vehicles safely maintained? 270 Medical Mental Health Financial or Benefit 32 3 Legal Other N=3007 Conclusions: Yes. 100% of the facilities and fleet vehicles passed safety inspections in January of 2011. 154 N=2821 Page 7 of 11

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