Performance Targets, Metrics & Improvement Objectives Sample Clauses

Performance Targets, Metrics & Improvement Objectives. 1. Timeliness and Access The CONTRACTOR will monitor its compliance with the timeliness and access requirements as set forth in Code of Federal Regulations (CFR) 42, Section 438. The CONTRACTOR must adhere to these requirements for all geographic areas within Santa Clara County and adhere to the State standards for time and distance requirements. Based on population density, the CONTRACTOR must provide behavioral health services within ten (10) working days. Services must be accessible within fifteen (15) miles or thirty (30) minutes from a beneficiary’s residence. Service Type Timely Access Standards (from request to appointment) Time & Distance Standards (from beneficiary’s place of residence) Outpatient Mental Health Services Within 10 business days 15 miles or 30 minutes Psychiatry Within 15 business days 15 miles or 30 minutes Outpatient Drug Medi-Cal Organized Delivery System (DMC-ODS Substance Use Disorder (SUD) Services Within 10 business days 15 miles or 30 minutes DMC-ODS Opioid Treatment Programs Within 3 business days 15 miles or 30 minutes Hospital N/A 15 miles or 30 minutes Pharmacy Prior authorization: 24 hours Emergency supply: 72 hours 10 miles or 30 minutes 2. Engagement in Services (Timeliness/Access) a. Performance Objective: Decrease the number of business days from the date of request to an appointment being offered for mental health services to ten (10) days. b. Performance Objective: Decrease the percent of open client no shows to 25%. 3. Successful Discharges (Quality) Performance Objective: Increase the percent of successful discharges to 60%. 4. Acute Care Readmissions (Quality) a. Targeted System Performance: No more than 5% of clients receiving inpatient hospital services are readmitted within thirty (30) days. b. Metric: Number and percentage of clients discharging from acute care services who are readmitted within thirty (30) days for any reason. c. Improvement Objective: Reduce the percentage of clients receiving inpatient hospital services who are readmitted within thirty (30) days to no more than 7%. 5. Service Delivery (Capacity) a. The CONTRACTOR shall provide services to specific populations identified in Section III: Target Population of this Exhibit. b. The CONTRACTOR shall provide services to the number of client/caseload listed in Exhibit (FY20) 1 Caseloads of this AGREEEMENT. c. The CONTRACTOR shall provide the number of units of service (UOS) reflected in the budget(s) exhibit for this program. d. The CONTRACTOR s...