Performance Details
Mission
To promote and protect the health and well-being of Alaskans. AS 47.05.101
Core Services
- Vulnerable Populations
- Substance Abuse
- Long-Term Care
- Health and Wellness
- Health Care Reform
 Results
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Core Services
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| A: Alaskans live free from the negative impacts of alcohol and drug use. Details > |
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| A1: Public Awareness and Understanding Details > |
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Results |
Core Services
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| B: The physical health of Alaskans is optimized. Details > |
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| B1: Prevention and Health Promotion Details > |
| B3: Screening, Diagnosis and Treatment Details > |
| B5: Emergency Response Planning and Preparedness Details > |
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Results |
Core Services
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| C: The mental health of Alaskans is optimized. Details > |
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| C1: Public Awareness and Understanding Details > |
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Results |
Core Services
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| D: Alaskans have access to health care. Details > |
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| D2: Health care service delivery system (See also Health and Wellness - Access.) Details > |
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Results |
Core Services
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| E: Alaskans receive the long-term care they need. Details > |
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| E4: Long-term care facility and program safety Details > | |
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Results |
Core Services
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| F: Vulnerable Alaskans have a safe living environment. Details > |
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| F3: Access to supports and services Details > | |
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Performance Detail
| A:
Result - Alaskans live free from the negative impacts of alcohol and drug use. |
| A1:
Core Service - Public Awareness and Understanding |
| A2:
Core Service - Prevention |
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Target #1: The Pioneer Homes will keep the resident fall rate below 6.0 for every 1000 bed-days of care.
Methodology: The fall rate is a measurement of risk and indicates how many falls can be expected for every 1000 bed days of care. (Falls/bed daysX1000=rate)
Comparing fall rates among different Long Term Care programs is difficult because of varying fall definitions, methods to report data and differences in settings and resident populations, and the lack of risk adjustment. The most reliable and useful approach for any organization is an examination of its own quality indicator data over time -- with the ultimate goal of reducing and eliminating all preventable falls.
(Data source: Alaska Pioneer Homes)
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Falls
| Fiscal Year |
Quarter 1 |
Quarter 2 |
Quarter 3 |
Quarter 4 |
YTD Total |
| FY 2013 |
5.3
|
0
|
0
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0
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5.3
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| FY 2012 |
6.3
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5.6
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5.2
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4.5
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5.40
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| FY 2011 |
4.7
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5.9
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6.0
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4.8
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5.35
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| FY 2010 |
5.9
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5.7
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5.5
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4.4
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5.37
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| FY 2009 |
6.9
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5.5
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4.8
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5.4
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5.65
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| A3:
Core Service - Early Intervention |
| A4:
Core Service - Crisis Intervention |
| A5:
Core Service - Access |
| A6:
Core Service - Treatment |
| A7:
Core Service - Recovery |
| B:
Result - The physical health of Alaskans is optimized. |
| B1:
Core Service - Prevention and Health Promotion |
| B2:
Core Service - Disease Control |
| B3:
Core Service - Screening, Diagnosis and Treatment |
| B4:
Core Service - Access |
| B5:
Core Service - Emergency Response Planning and Preparedness |
| B6:
Core Service - Environmental Health Impacts |
| C:
Result - The mental health of Alaskans is optimized. |
| C1:
Core Service - Public Awareness and Understanding |
| C2:
Core Service - Prevention |
| C3:
Core Service - Early Intervention |
| C4:
Core Service - Crisis Intervention |
| C5:
Core Service - Access |
| C6:
Core Service - Treatment (See also A3.) |
| C7:
Core Service - Recovery |
| D:
Result - Alaskans have access to health care. |
| D1:
Core Service - Health care workforce |
| D2:
Core Service - Health care service delivery system (See also Health and Wellness - Access.) |
| D3:
Core Service - Affordability |
| D4:
Core Service - Quality |
| D5:
Core Service - Health care facilities |
| E:
Result - Alaskans receive the long-term care they need. |
| E1:
Core Service - Long Term Care Service Array |
| E2:
Core Service - Quality |
| E3:
Core Service - Access |
| E4:
Core Service - Long-term care facility and program safety |
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Target #1: The medication error rate for the Pioneer Homes will be less than 5%.
Methodology: The medication error rate is calculated by taking the number of medication errors per quarter divided by the total number of medications dispensed in the same quarter x 100.
(data source: The Alaska Pioneer Homes)
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Fiscal Year Medication Error Rate
| Year |
Qtr 1 |
Qtr 2 |
Qtr 3 |
Qtr 4 |
YTD Total |
| 2013 |
0.04%
|
0
|
0
|
0
|
0
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| 2012 |
0.09%
|
0.07%
|
0.08%
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0.06%
|
0.075%
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| 2011 |
0.10%
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0.07%
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0.07%
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0.14%
|
0.10%
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| 2010 |
0.13%
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0.10%
|
0.12%
|
0.09%
|
0.11%
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| 2009 |
0.15%
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0.10%
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0.13%
|
0.14%
|
0.13%
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| 2008 |
0.16%
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0.13%
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0.15%
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0.12%
|
0.14%
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| 2007 |
0.19%
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0.22%
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0.15%
|
0.14%
|
0.18%
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| 2006 |
0.19%
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0.15%
|
0.16%
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0.12%
|
0.17%
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| 2005 |
0.08%
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0.09%
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0.09%
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0.14%
|
0.10%
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| 2004 |
0.07%
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0.11%
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0.06%
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0.07%
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0.08%
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| 2003 |
0.10%
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0.11%
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0.09%
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0.15%
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0.11%
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| 2002 |
0.07%
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0.08%
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0.04%
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0.05%
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0.06%
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Analysis of results and challenges: The Centers for Medicare and Medicaid Services (CMS), which licenses nursing facilities throughout the United States, considers a five percent medication error rate acceptable. (CMS Guidance Document August 31, 2007)
The Alaska Pioneer Home system collects medication information at the individual Alaska Pioneer Home level and aggregates the numbers for reporting at the division level. All care processes are vulnerable to error, yet several studies have found that medication-related activities are the most frequent type of adverse event. Medication administration errors are the traditional focus of incident reporting programs because they are often the types of events that identify a failure in other processes in the system. A wrong medication may be administered because it was prescribed, transcribed, or dispensed incorrectly. The division uses a system-wide risk reporting program that tracks medication errors, and allows the collected data to be reported and trended for use in identifying risks. Trending the cause of the error tends to provide the most useful information in designing strategies for preventing future errors.
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Target #2: Sentinel events will not increase
Methodology: *New sentinel event rate: Beginning with FY 2010 the Pioneer Homes changed its methodology. The new sentinel event rate is determined by dividing the number of sentinel events by the number of resident bed days x 1000 (expected sentinel events for every 1000 bed days of care). Previously, the sentinel event rate was the percentage of sentinel events in relation to falls (sentinel events/falls x 100 = %). The new rate enables the Alaska Pioneer Homes to compare our rates to the the Joint Commission (JCAHO) standard of 2.6.
There is no national standard for sentinel events due to falls.JCAHO does not track sentinel events based on a percent of falls. JCAHO tracks sentinel events compared to the population of a Home. The JCAHO average is 2.6 for sentinel events compared to the total bed days/population of a Home.
Sentinel events are tracked by the Pioneer Homes to ensure that sentinel events are adequately analyzed and undesirable trends or decreases in performance are addressed and mitigated.
(Data Source: Alaska Pioneer Homes)
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Sentinel Event Rate
| Fiscal Year |
Quarter 1 |
Quarter 2 |
Quarter 3 |
Quarter 4 |
YTD Total |
| FY 2012 |
0.000
|
0.122
|
0.004
|
0.007
|
0.032
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| FY 2011 |
0.066
|
0.053
|
0.023
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0.000
|
0.036
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| FY 2010 |
0.175
|
0.154
|
0.058
|
0.209
|
0.149
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| FY 2009 |
1.3%
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2.3%
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3.4%
|
3.8%
|
2.7%
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| FY 2008 |
1.5%
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1.3%
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2.0%
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2.1%
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1.7%
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| FY 2007 |
3.5%
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1.2%
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2.0%
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4.9%
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2.9%
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| FY 2006 |
0.6%
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2.7%
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1.3%
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1.1%
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1.4%
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Analysis of results and challenges: Increasing age and acuity levels of Pioneer Homes residents creates a challenge in reducing adverse events that result in serious injury. By properly utilizing the strength of trending and tracking information available in the division's risk analysis program, the Homes are able to identify times, places, individual staff and conditions that hold inherent risk. Action plans to address risk help the Homes prevent errors, reduce the number of serious injury events, and reduce the severity of injury.
Related links:
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| E5:
Core Service - Long-term care workforce |
| F:
Result - Vulnerable Alaskans have a safe living environment. |
| F1:
Core Service - Service coordination |
| F2:
Core Service - Prevention |
| F3:
Core Service - Access to supports and services |
| |
Target #1: 96% of new food stamp applications are processed within 30 days.
Percentage of new food stamp applications that meet federal time requirements
| Fiscal Year |
Quarter 1 |
Quarter 2 |
Quarter 3 |
Quarter 4 |
YTD Total |
| FY 2012 |
96.8%
|
97.2%
|
96.8%
|
96.7%
|
96.7%
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| FY 2011 |
85.2%
|
95.3%
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95.2%
|
96.1%
|
96.1%
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| FY 2010 |
86.0%
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86.8%
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87.3%
|
89.3%
|
89.3%
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| FY 2009 |
88.9%
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89.2%
|
86.9%
|
85.8%
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85.8%
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| FY 2008 |
94.8%
|
92.2%
|
89.6%
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90.3%
|
90.3%
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| FY 2007 |
97.2%
|
97.3%
|
97.2%
|
97.1%
|
97.1%
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Analysis of results and challenges: Timely benefits ensure clients have their benefits when they need them. Untimely benefits cause budget issues for clients and impact their ability to gain self-sufficiency. An issue affecting timeliness is the balance that eligibility workers must strike between timely and accurate benefit delivery.
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| F4:
Core Service - Quality services |
| F5:
Core Service - Social service workforce |
| F6:
Core Service - Crisis intervention |
| F7:
Core Service - Early intervention |
Current as of November 2, 2012
