Performance Details

Department of Health and Social Services

Mission

To promote and protect the health and well-being of Alaskans. AS 47.05.101

Priority 1. Health & Wellness Across the Lifespan
Priority 2. Health Care Access, Delivery & Value
Priority 3. Safe & Responsible Individuals, Families & Communities

Core Services

  • Protect and promote the health of Alaskans.
  • Provide quality of life in a safe living environment for Alaskans.
  • Manage health care coverage for Alaskans in need.
  • Facilitate access to affordable health care for Alaskans.
  • Strengthen Alaska families.
  • Protect vulnerable Alaskans.
  • Promote personal responsibility and accountable decisions by Alaskans.

Arrow GraphicResults

Core Services
A: Department Result  Details >
A1: Protect and promote the health of Alaskans.  Details >
  • TARGET #1: Percentage of children 19 - 35 months of age who are fully immunized
  • TARGET #2: Cost to fully immunize a child 19 - 35 months of age
  • TARGET #3: Number of Alaskans experiencing unintentional injuries
  • TARGET #4: Cost of injury prevention program per capita
A2: Provide quality of life in a safe living environment for Alaskans.  Details >
  • TARGET #1: Percent of child abuse/neglect assessments (investigations) that are initiated within required timeframes
  • TARGET #2: Percent of assessments (investigations) completed timely
  • TARGET #3: Number of months Long Term Services and Supports recipients are able to remain in their home before institutional placement
  • TARGET #4: Average cost of Long Term Services and Supports per recipient
A3: Manage health care coverage for Alaskans in need.  Details >
  • TARGET #1: Percent of individuals served by the department with access to a regular primary care provider
  • TARGET #2: Cost to provide health care services per client
A4: Facilitate access to affordable health care for Alaskans.  Details >
  • TARGET #1: Percent of Medicaid eligibles who utilize Medicaid Services
  • TARGET #3: Number of providers participating in the Medicaid program
  • TARGET #4: Percent change in number of providers participating
A5: Strengthen Alaska families.  Details >
  • TARGET #1: Percent of individuals receiving employment related services from the department who achieve employment
  • TARGET #2: Cost of supported employment services per successful participant in Job Start or on-the-job training
  • TARGET #3: Percent of low-income Alaskans receiving supplemental nutrition benefits through the Food Stamp program
  • TARGET #5: Average time from receipt of initial application to eligibility determination
A6: Protect vulnerable Alaskans.  Details >
  • TARGET #1: Percent of children discharged from out-of-home care who are reunified with their parents
  • TARGET #2: Percent of children who re-enter out-of-home care within twelve months
  • TARGET #3: Percent of Alaska adults with substantiated reports of abuse or neglect
  • TARGET #5: Percent of background checks completed within established timeframes
  • TARGET #6: Cost of administering background check program
  • TARGET #7: Average time to complete final determination
A7: Promote personal responsibility and accountable decisions by Alaskans.  Details >
  • TARGET #1: Reduce the rate of recidivism for juveniles released from Division of Juvenile Justice Probation
  • TARGET #2: Cost per day for probation services based on average daily population
  • TARGET #3: Percentage of investigations that result in fraud determinations

Performance Detail


A: Result - Department Result

A1: Core Service - Protect and promote the health of Alaskans.
    
Target #1: Percentage of children 19 - 35 months of age who are fully immunized

Methodology: VacTrAK (Alaska's Immunization Information System)

Percent of Children 19 - 35 Months of Age Who are Fully Immunized
Fiscal Year Quarter 1
FY 2014-Qtr2
51.5%
FY 2014-Qtr1
49.1%
FY 2013-Qtr4
47.2%
FY 2013-Qtr3
43.8%
FY 2013-Qtr2
41.6%
FY 2013-Qtr1
40.5%
    
Target #2: Cost to fully immunize a child 19 - 35 months of age

Methodology: CDC federal pediatric vaccine contract price list and the state Immunization Program vaccine formulary

Cost to Fully Immunize a Child 19 - 35 Months of Age
Year Quarter 1
2014
$1,058.70
2013
$1,022.47
    
Target #3: Number of Alaskans experiencing unintentional injuries

Methodology: Number of Unintentional Injury and Poisoning Hospitalizations/Transfers from Alaska Trauma Registry


Overall Crude Unintentional Injury Rate of All in Need (per 100,000 persons)
Year Quarter 1
2012
3,290
-0.15%
2011
3,295
-1.29%
2010
3,338
    
Target #4: Cost of injury prevention program per capita

Methodology: Budget numbers are tracked on an onging basis, however July 15th of each year is the soonest we are able to capture the previous fiscal year's expenditures in their entirety.

Total Per Capita Cost of Public Health Injury Prevention Programs (in 000s)
Fiscal Year Quarter 1
FY 2013
$0.7
FY 2012
$0.7
FY 2011
$0.8

A2: Core Service - Provide quality of life in a safe living environment for Alaskans.
    
Target #1: Percent of child abuse/neglect assessments (investigations) that are initiated within required timeframes

Methodology: Of all initial assessments completed in the report period, the percent that were initiated within the following timeframes: (one combined rate is reported)
< = 1 day for Priority 1 reports
< = 3 days for Priority 2 reports
< = 7 days for Prioirty 3 reports
Numerator: Number of assessments in the denominator that were initiated timely
Denominator: Total number of initial assessments completed in the report period that were not closed without finding.


Percent of Child Abuse/Neglect Assessments (Investigations) that are Initiated within Required Timeframes
Fiscal Year Quarter 1 Quarter 2 Quarter 3 Quarter 4 YTD Total
FY 2015
51.2%
0
0
0
51.2%
FY 2014
55.5%
54.7%
49.5%
50.9%
52.6%
FY 2013
53.6%
60.1%
58.6%
61.2%
58.1%
FY 2012
54.8%
54.5%
50.4%
48.9%
51.1%
    
Target #2: Percent of assessments (investigations) completed timely

Methodology: Of all initial assessments completed in the report period, the percent that were completed within 45 days

Numerator: Of the assessments in the denominator, the number that were completed within 45 days
Denominator: The total number of initial assessments completed during the report period


Percent of Assessments (Investigations) Completed Timely
Fiscal Year Quarter 1 Quarter 2 Quarter 3 Quarter 4 YTD Total
FY 2015
0
0
0
0
17.8%
FY 2014
20.2%
20.2%
14.4%
18.1%
18.1%
FY 2013
20.5%
23.4%
19.1%
24.2%
20.8%
FY 2012
20.2%
23.1%
14.4%
12.5%
16.6%
    
Target #3: Number of months Long Term Services and Supports recipients are able to remain in their home before institutional placement

Methodology: This performance measure is calculated by averaging the age of all the Medicaid long term services and supports recipients who were placed in an institution during a fiscal year and then converting the age into months. Recipients’ age is calculated by the computing the difference between their date of birth and the initial date of institutional placement (i.e., first date of service at the long term care facility). There are four categories of service that indicate institutional placement (010 – Short Term LTC Services; 011 – SNF Nursing Home; 012 – ICF Nursing Home; 013 – ICF/MR Service). This Division utilizes MMIS Enterprise and Cognos to query long term care billing claims. It is important to note that providers have a year to bill from the date of service, which may bias the overall number of months.

Number of Months Long Term Services and Supports Recipients are able to Remain in their Home before Institutional Placement
Fiscal Year Number of Months
FY 2014
879.12
+0.88%
FY 2013
871.44
+0.35%
FY 2012
868.36
+0.28%
FY 2011
865.92
+0.77%
FY 2010
859.32
+0.41%
FY 2009
855.84
    
Target #4: Average cost of Long Term Services and Supports per recipient

Methodology: This performance measure is calculated by taking the average cost of long term care services rendered during the fiscal year per Medicaid recipient. There are four categories of service that indicate the use of long term care services (010 – Short Term LTC Services; 011 – SNF Nursing Home; 012 – ICF Nursing Home; 013 – ICF/MR Service). This Division utilizes MMIS Enterprise and Cognos to query long term care billing claims. It is important to note that providers have a year to bill from the date of service, which may bias the overall average.

Average Cost of Long Term Services and Supports per Recipient
Fiscal Year Average cost
FY 2014
$118,406
FY 2013
$122,330
FY 2012
$111,788
FY 2011
$102,251
FY 2010
$85,284
FY 2009
$78,421

A3: Core Service - Manage health care coverage for Alaskans in need.
    
Target #1: Percent of individuals served by the department with access to a regular primary care provider

Methodology: Cognos decision support system (starting 7-1-2014; STARS decision support system (7-1-2013) Note: The Division of Health Care Services makes every effort to ensure that reported numbers are as accurate as possible. However, due to possible defects in the new Health Enterprise Medicaid Management Information System, claims processing system (including converted historical records), the data provided in this report is to be considered a draft and may be updated in future iterations.



Percent of Individuals Accessing Primary Care Providers FY2010-2014
Fiscal Year Percent
FY 2014
67.06
-7.63%
FY 2013
72.6
-3.46%
FY 2012
75.2
-0.13%
FY 2011
75.3
-1.31%
FY 2010
76.3

Analysis of results and challenges: There has been a steady decline in the percent of individuals accessing primary care providers from FY2010 to FY2014. In FY2010 76.6% of Medicaid eligible individuals accessed primary care providers. By FY14 that number had declined to 67.06%.
    
Target #2: Cost to provide health care services per client

Methodology: Cognos decision support system (starting 7/1/2014); STARS decision support system (7/1/2013) Note: The Division of Health Care Services makes every effort to ensure that reported numbers are as accurate as possible. However, due to possible defects in the new Health Enterprise Medicaid Management Information System, claims processing system (including converted historical records), the data provided in this report is to be considered a draft and may be updated in future iterations.



Cost to Provide Health Care Services per Client FY2010-2014 (In Dollars)
Fiscal Year Cost per Client
FY 2014
695.59
-30.02%
FY 2013
994.02
-0.07%
FY 2012
994.71
-1.92%
FY 2011
1,014.14
+2.62%
FY 2010
988.20

Analysis of results and challenges: The cost to provide health care services per client was at its highest in FY2011, $1,014.14. For fiscal years 2012 and 2013, the cost remained steady at around $994.00. For FY2014 the cost declined to $695.59. This is a difference of $318.55 compared to FY2011.

A4: Core Service - Facilitate access to affordable health care for Alaskans.
    
Target #1: Percent of Medicaid eligibles who utilize Medicaid Services

Methodology: Cognos decision support system (starting 7/1/2014); STARS decision support system (7/1/2013) Note: The Division of Health Care Services makes every effort to ensure that reported numbers are as accurate as possible. However, due to possible defects in the new Health Enterprise Medicaid Management Information System, claims processing system (including converted historical records), the data provided in this report is to be considered a draft and may be updated in future iterations.



Percent of Medicaid Eligibles Utilizing Medicaid Services FY2010-2014
Fiscal Year Percent
FY 2014
90.66
-5.52%
FY 2013
95.96
+0.87%
FY 2012
95.13
+11.83%
FY 2011
85.07
+0.05%
FY 2010
85.03

Analysis of results and challenges: The percent of Medicaid eligibles utilizing Medicaid services increased from FY2010 to FY2014 by about 5%. Fiscal years 2012 and 2013 had peak utilization of 95% before the percentage decreased to 90% in FY14.
    
Target #2: Cost per recipient

Methodology: Cognos decision support system (starting 7/1/2014); STARS decision support system (7/1/2013) Note: The Division of Health Care Services makes every effort to ensure that reported numbers are as accurate as possible. However, due to possible defects in the new Health Enterprise Medicaid Management Information System, claims processing system (including converted historical records), the data provided in this report is to be considered a draft and may be updated in future iterations.



Cost per Recipient (Based on Medicaid Eligibles That Utilize Services)
Fiscal Year Cost per Recipient
FY 2014
9,310
-1.43%
FY 2013
9,445
-2.29%
FY 2012
9,666
-7.76%
FY 2011
10,479
-2.29%
FY 2010
10,725

Analysis of results and challenges: The cost per Medicaid recipient has steadily declined from FY2010 to FY2014. In FY2010 the cost per Medicaid recipient was $10,725. By FY2014 that cost had declined to $9,310, a difference of $1,415.
    
Target #3: Number of providers participating in the Medicaid program

Methodology: Cognos, Note: The Division of Health Care Services makes every effort to ensure that reported numbers are as accurate as possible. However, due to possible defects in the new Health Enterprise Medicaid Management Information System, claims processing system (including converted historical records), the data provided in this report is to be considered a draft and may be updated in future iterations.



Number of Providers Participating in the Medicaid Program
Fiscal Year Number of Providers
FY 2014
3,572
+6.44%
FY 2013
3,356
-8.63%
FY 2012
3,673
-4.72%
FY 2011
3,855
-15.61%
FY 2010
4,568

Analysis of results and challenges: The number of participating Medicaid providers steadily declined from fiscal years 2010 to 2013. There was a slight increase from FY2013 to FY2014. But, overall there has been a decline in the number of participating Medicaid providers from FY2010 to FY2014 by about 1,000 providers.
    
Target #4: Percent change in number of providers participating

Methodology: Cognos, Note: The Division of Health Care Services makes every effort to ensure that reported numbers are as accurate as possible. However, due to possible defects in the new Health Enterprise Medicaid Management Information System, claims processing system (including converted historical records), the data provided in this report is to be considered a draft and may be updated in future iterations.



Percentage Change in Participating Medicaid Providers FY2010-2014
Fiscal Year Percent Change
FY 2014
6.4
-174.42%
FY 2013
-8.6
+82.98%
FY 2012
-4.7
-69.87%
FY 2011
-15.6
-37.1%
FY 2010
-24.8

Analysis of results and challenges: The Medicaid program had fewer participating providers from FY2010 to FY2013. From FY2013 to FY2014 the Medicaid program had an increase of about 200 providers. Therefore, the percentage change from FY2013 went from negative to positive to reflect this increase.

A5: Core Service - Strengthen Alaska families.
    
Target #1: Percent of individuals receiving employment related services from the department who achieve employment

Methodology: Numerator: Number of adults in the Temporary Assistance Program who have earned income; Denominator: Number of adults in the Temporary Assistance Program who are work eligible.

Source:


Percent of Adults on Temporary Assistance with Earned Income
Year YTD Total
2014
35.75%
2013
37.9%
2012
36.8%
2011
38.3%
2010
36.1%
2009
36.6%
2008
43.2%
2007
45.3%
    
Target #2: Cost of supported employment services per successful participant in Job Start or on-the-job training


Costs of Supportive Services for Clients on Temporary Assistance
Year YTD Total
2014
$985.97
2013
$973.76
2012
$627.42
    
Target #3: Percent of low-income Alaskans receiving supplemental nutrition benefits through the Food Stamp program


Percent of Low-income Alaskans Receiving Supplemental Nutrition Assistance Program Benefits
Year YTD Total
2012
87.0%
2011
86.2%
2010
80.3%
2009
80.9%
2008
72.9%
    
Target #4: Accuracy rate for open Food Stamp cases


Accuracy Rate for Open Supplemental Nutrition Assistance Program Cases
Year YTD Total
2013
98.8%
2012
99%
2011
99.3%
2010
98.3%
2009
96.3%
2008
92.6%
2007
96.1%
    
Target #5: Average time from receipt of initial application to eligibility determination


Percent of Supplemental Nutrition Assistance Program Applications Processed Timely
Year YTD Total
2014
88.4%
2013
92%
2012
96.7%
2011
96.1%
2010
89.3%
2009
88%
2008
90.3%

A6: Core Service - Protect vulnerable Alaskans.
    
Target #1: Percent of children discharged from out-of-home care who are reunified with their parents

Methodology: Of all children discharged during the year who had been in out-of-home care for at least eight days, the percent that were discharged to reunification

Numerator: Of the children in the denominator, the number whose last discharge of the year had a discharge reason of reunification
Denominator: The unique number of children placed out-of-home for at least eight days who were discharged during the year


Percent of Children Discharged from Out-of-Home Care who are Reunified with their Parents
Fiscal Year YTD Total
FFY 2013
48.9%
FFY 2012
47.9%
FFY 2011
48.5%
FFY 2010
50.8%
    
Target #2: Percent of children who re-enter out-of-home care within twelve months

Methodology: Of all children discharged from foster care to reunification in the 12-month period prior to the year shown, the percent that re-entered foster care in less then 12 months from the date of discharge.

Numerator: The number of children in the denominator who re-entered out of home care in less than 12 months from the date of discharge
Denominator: The unique number of children discharged to reunification in the preceding year


Percent of Children who Re-enter Out-of-home Care within Twelve Months
Fiscal Year YTD Total
FFY 2013
7.0%
FFY 2012
10.5%
FFY 2011
9.3%
FFY 2010
8.3%
    
Target #3: Percent of Alaska adults with substantiated reports of abuse or neglect

Methodology: This performance measure is calculated by taking the percentage of Alaskan adults with at least one report of harm having at least one substantiated allegation. The percentage is calculated by taking the unduplicated count of adults who had at least one report of harm filed for them with at least one allegation determined to be substantiated at the conclusion of the Adult Protective Service investigation over the estimated population of Alaska for the year being targeted. There are two important caveats to the methodology used to calculate this performance measure: first, The population estimates are taken from the U.S. Census, and it encompasses the entire population of Alaska, not just adults. Secondly, the number of adults with substantiated reports of harm is subject to change at any given point in time, because investigations can take a weeks and months to close. Both of these caveats can potentially bias the overall percentage. The Division utilizes its database system, DS3 (Division of Senior and Disabilities Services Database System), to store and monitor all data pertaining to Adult Protective Services.

Percent of Alaska Adults with Substantiated Reports of Abuse or Neglect
Fiscal Year Percent substantiated
FY 2014
.07%
FY 2013
.08%
FY 2012
.10%
FY 2011
.12%
FY 2010
.08%
FY 2009
.07%
    
Target #4: Average time to initiate an investigation

Methodology: This performance measure is calculated by averaging the number of business days it takes Adult Protective Service investigations to conduct the initial face-to-face contact with the alleged victim of abuse, neglect, or exploitation once the report of harm is received by the Division of Senior and Disabilities Services. The Division strives to conduct the initial face-to-face visit within 10 business days of receiving the report of harm. The Division utilizes its database system, DS3 (Division of Senior and Disabilities Services Database System), to store and monitor all data pertaining to Adult Protective Services.

Average number of Business Days to Initiate an Investigation
Fiscal Year Average days to initiate
FY 2014
5
+25%
FY 2013
4
0%
FY 2012
4
-20%
FY 2011
5
-28.57%
FY 2010
7
-22.22%
FY 2009
9
    
Target #5: Percent of background checks completed within established timeframes

Methodology: Background Check Program

Percentage of Applications Moved to Provisional (Working Status) Within 30 Days
Fiscal Year Percent
FY 2014
100.0
0%
FY 2013
100.0

Analysis of results and challenges: The percent of background checks completed within established timeframes is 100% for fiscal years 2013 and 2014. Completed within established timeframes refers to applications moved to provisional working status within 30 days.
    
Target #6: Cost of administering background check program

Methodology: Background Check Program, Health Care Services Administration

Cost of Administering Background Check Program FY2012-2014
Fiscal Year Cost of Program
FY 2014
2,169,761
-5.74%
FY 2013
2,301,959
+3.43%
FY 2012
2,225,667

Analysis of results and challenges: The cost of administering the background check program from FY2012 to FY2014 has been just over $2,000,000 for each year, with a peak cost in FY2013 of $2,301,959.
    
Target #7: Average time to complete final determination

Methodology: Background Check Program

Average Time to Complete Final Determination - Background Check Unit FY2012-2014 (In Days)
Fiscal Year Number of Days
FY 2014
2.0
0%
FY 2013
2.0
-60%
FY 2012
5.0

Analysis of results and challenges: The average time it takes to complete a final background check determination once all information has been received has decreased from 5 days in FY2012 to just 2 days in fiscal years 2013 and 2014.

A7: Core Service - Promote personal responsibility and accountable decisions by Alaskans.
    
Target #1: Reduce the rate of recidivism for juveniles released from Division of Juvenile Justice Probation

Methodology: For juveniles to be counted as recidivists in the data above, adjudication and conviction information on offenses that were committed 24 months after release from probation supervision must have been entered in the division’s Juvenile Offender Management Information System or the Alaska Public Safety Information Network by July 3, 2014. The analysis also excludes youth who were ordered to an Alaskan juvenile treatment facility any time prior to their supervision end date, as these youth are included in the analysis for our juvenile treatment facilities, below. Non-criminal motor vehicle, Fish & Game, tobacco, and alcohol violations are not counted as re-offenses. Adjudications and convictions received outside Alaska also are excluded from this analysis.


FFY2010-FFY2014 Recidivism Rate for Juveniles Released from Division of Juvenile Justice Probation
Fiscal Year Recidivism Rate
FY 2014
45.5%
FY 2013
43.0%
FY 2012
40.7%
FY 2011
42.1%
FY 2010
42.8%

Analysis of results and challenges: This measure examines reoffense rates for juveniles who received probation supervision while either remaining at home or in a nonsecure custodial placement. These youths typically have committed less serious offenses and have demonstrated less chronic criminal behavior than youth who have been committed to a juvenile treatment facility.

Research has identified the factors that result in delinquent behavior. These are a history of offenses and involvement in the juvenile justice system, and challenges in these life areas: family circumstances/parenting; education/employment; peer relations; substance abuse; leisure/recreation; personality/behavior; and attitudes/orientation. The division has embarked on a number of efforts to improve our understanding of these factors and to reduce the risks and needs that result in juvenile recidivism.
    
Target #2: Cost per day for probation services based on average daily population

Methodology: The cost per day for the Probation core service is calculated by taking the cost for each probation region and then allocating to each region portions of Director's Office and Delinquency Prevention components, and Youth Court expenditures. The population of youth receiving probation services is based on the number of juveniles with open supervision or intake records in the fiscal year. The total number of youth receiving probation services for the year is divided by 365 to come up with an average daily population.



FY2012-FY2014 Cost per Day for Probation Services Based on Average Daily Population
Fiscal Year Cost Per Day
FY 2014
$40.91
FY 2013
$33.91
FY 2012
$33.43

Analysis of results and challenges: The cost to provide probation services to a youth in Alaska has remained fairly stable over the past three years. Changes in the number of youth referred to the division from year to year is the largest factor in creating fluctuations in the cost per day for probation services. Declines in referrals over the past three years result in the division being able to allocate more attention and services to individual youth, which increases the cost of probation services per youth.

Costs to provide probation services vary slightly depending on the regions in which these services are provided. For example, probation services in regions with many rural communities generally are more expensive than those in urban regions because of increased costs for travel, supplies, and other resources.

    
Target #3: Percentage of investigations that result in fraud determinations


Percent of Investigations that Result in Fraud Determinations
Year YTD Total
2014
55%
2013
74%
2012
60%
2011
58%
2010
56%
2009
37%
2008
42%
2007
34%
    
Target #4: Program savings per fraud investigator


Program Savings Per Fraud Investigator
Year YTD Total
2014
$561,759
2013
$840,354
2012
$452,304
2011
$394,905
2010
$287,738
2009
$204,041
2008
$226,404
2007
$209,087

 

Current as of November 21, 2014