Indicator. Home and Community Care • Reduce wait time for home care (improve access) • More days at home (including end of life care) Percent of Palliative Care Patients discharged from hospital with home support Sustainability and Quality • Improve patient satisfaction • Reduce unnecessary readmissions Overall Satisfaction with Health Care in the Community SCHEDULE 6: INTEGRATED REPORTING General Obligations
Indicator. Get Healthy Information and Coaching Service - Get Healthy in Pregnancy Referrals (% variance) Individual - See Data Supplement <90% of target ≥90% and <100% of target ≥100% of target Outcome 1 Indicator Children fully immunised at one year of age (%) 95 <90 ≥90 and <95 ≥95 Hospital Drug and Alcohol Consultation Liaison - number of consultations (% increase) Maintain or increase from previous year ≥10% decrease on previous year Up to <10% decrease on previous year Maintain or increase from previous year Hepatitis C Antiviral Treatment Initiation – Direct acting by District residents: Variance (%) Individual - See Data Supplement <98% ≥98% and <100% ≥100% Aboriginal paediatric patients undergoing Otitis Media procedures (number) Individual – See Data Supplement Less than target N/A Equal to or greater than specified target Domestic Violence Routine Screening – Routine Screens conducted (%) 70 <60 ≥60 and <70 ≥70 NSW Health First 2000 Days Implementation Strategy - Delivery of the 1-4 week health check (%) 85 <75 ≥75 and <85 ≥85 and <100 Sustaining NSW Families Programs - Applicable LHDs only - see Data Supplement: Families completing the program when child reached 2 years of age (%) 50 <45 ≥45 and <50 ≥50 Families enrolled and continuing in the program (%) 65 <55 ≥55 and <65 ≥65 Mental Health Peer Workforce Employment – Full time equivalents (FTEs) (number) Individual – See Data Supplement Less than target N/A Equal to or greater than target 3 People are healthy and well Performance Thresholds Measure Target Not Performing 🗶 Under Performing 🡦 Performing ✓ Outcome 1 Indicator BreastScreen participation rates (%) Women aged 50-69 years 55 <45 ≥45 and <55 ≥55 Women aged 70-74 years 55 <45 ≥45 and <55 ≥55 4 Our staff are engaged and well supported Measure Target Performance Thresholds Not Performing 🗶 Under Performing 🡦 Performing ✓ Workplace Culture - People Matter Survey Culture Index- Variation from previous survey (%) ≥-1 ≤-5 >-5 and <-1 ≥-1 Staff Performance Reviews - Within the last 12 months (%) 100 <85 ≥85 and <90 ≥90
Indicator i Lost Time Frequency Rate (LTFR) – Measures the number of lost time injuries for every one million hours worked by employees. This is calculated on a rolling 12 month basis which is cumulative and then annualised for the period.
Indicator. Overall Expense Ratio Definition: Overall Expense Ratio = The sum of the Administrative Expense Ratio and the Medical Expense Ratio. Administrative Expense Ratio = Administrative Expenses minus Franchise Fees divided by Total Revenue minus Franchise Fees. Medical Expense Ratio = Medical Expenses divided by Total Revenue minus Franchise Fees. Standard: Overall Expense Ratio not to exceed 100% as determined from the annual Financial Statement submitted to ODI and ODJFS. Penalty for noncompliance: Failure to meet any standard on 2.a., 2.b., or 2.c. above will result in ODJFS requiring the MCP to complete a corrective action plan (CAP) and specifying the date by which compliance must be demonstrated. Failure to meet the standard or otherwise comply with the CAP by the specified date will result in a new membership freeze unless ODJFS determines that the deficiency does not potentially jeopardize access to or quality of care or affect the MCP’s ability to meet administrative requirements (e.g., prompt pay requirements). Justifiable reasons for noncompliance may include one-time events (e.g., MCP investment in information system products). If the financial statement is not submitted to ODI by the due date, the MCP continues to be obligated to submit the report to ODJFS by ODI’s originally specified due date unless the MCP requests and is granted an extension by ODJFS. Failure to submit complete quarterly and annual Financial Statements on a timely basis will be deemed a failure to meet the standards and will be subject to the noncompliance penalties listed for indicators 2.a., 2.b., and 2.c., including the imposition of a new membership freeze. The new membership freeze will take effect at the first of the month following the month in which the determination was made that the MCP was non-compliant for failing to submit financial reports timely. In addition, ODJFS will review two liquidity indicators if a plan demonstrates potential problems in meeting related administrative requirements or the standards listed above. The two standards, 2.d and 2.e, reflect ODJFS’ expected level of performance. At this time, ODJFS has not established penalties for noncompliance with these standards; however, ODJFS will consider the MCP’s performance regarding the liquidity measures, in addition to indicators 2.a., 2.b., and 2.c., in determining whether to impose a new membership freeze, as outlined above, or to not issue or renew a contract with an MCP. The source for each indica...
Indicator. Administrative Expense Ratio Definition: Administrative Expense Ratio = Administrative Expenses minus Franchise Fees divided by Total Revenue minus Franchise Fees Standard: Administrative Expense Ratio not to exceed 15%, as determined from the annual Financial Statement submitted to ODI and ODJFS.
Indicator. Net Worth as measured by Net Worth Per Member Definition: Net Worth = Total Admitted Assets minus Total Liabilities divided by Total Members across all lines of business Standard: For the financial report that covers calendar year 2007, a minimum net worth per member of $155.00, as determined from the annual Financial Statement submitted to ODI and the ODJFS. The Net Worth Per Member (NWPM) standard is the Medicaid Managed Care Capitation amount paid to the MCP during the preceding calendar year, excluding the at-risk amount, expressed as a per-member per-month figure, multiplied by the applicable proportion below:
Indicator. Net Worth as measured by Net Worth Per Member Definition: Net Worth = Total Admitted Assets minus Total Liabilities divided by Total Members across all lines of business
Indicator. Increased opportunities as measured through a description of the increase in the number and nature of programs offered to improve access to Affordable Housing and address needs. 2019/20: No new programs or initiatives were created to improve access to Affordable Housing and address needs. Indicator: The number of households able to remain living in urban revitalization areas as a result of being able to access sound, suitable and sustainable housing. 2019/20: No new households are able to remain living in urban revitalization areas as a result of being able to access sound, suitable and sustainable housing.
Indicator. Improved attendance rates and decreased tardiness rates for Aboriginal students. TARGET Attendance/Punctuality Target: 95% (K-12).
Indicator. Increased number of Aboriginal students receiving recognition in areas such as academics, athletics, citizenship, leadership, and fine arts. TARGET Baseline targets will be developed in 2013/2014 and incremental improvements will be tracked over five years.
