HomeMy WebLinkAboutCOM 0150.045 1998-2000 4~YtY Of M,f~Y,,
J. CURTIS TYLER, III i ~,t,,,; Tel: (808) 961-8273
Councifinember yy]] Fax: (808) 969-3291
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COUNTY COUNCIL
County of Hawaii
Hawaii County BuitAing
25 Aupuni Street
April 27, 1999 Hila, Hatuaii 96720
MEMORANDUM
TO: James Y. Ar aki, Cha ncilmembers
FROM: J. Curtis Tyler hai
Human Serv es Fjco "t~i Committee
SUBJECT: Transmittal of A/Sexual Assault Su rt Senices Sitc Review Re rts
For your information, I am forwarding copies of two reports compiled by [hc Sex Abuse Treatment Center (SATC) of
Kapiolani Medical Center for Women and Children (KMCWC). Both reports were transmitted to the Hawaii County
Council's Committee on Human Services and Economic Development a[ my request. -
The first report, a written summation of the YWCA Hawaii Island Sexual Assault Support Service (SASS) program was
prepared by Gerald A Correa, M.D., a psychiatrist and clinical consultant to Kapiolani SATC. It was submitted to the
Department of Health, State of Hawaii on April 14, 1999.
The second report was prepared by Adriana Ramclli, M.S.W., Dircclor oC the Sex Abuse Treatment Center, and Allison
Lopes, Direcor of Gmnts and Contmas for Kapiolani Medical Center Their findings were compiled after several sift
monitoring visits to the SASS program and includes clinigl monitoring pcr(ormcd by Dr. Correa.
Since July 1, 1997, the state department of health has contracted KMCWC to provide statewide sexual assault trqunent and
community education services. KMCWC has subcontracted the YWCA of Hawaii Island to provide these services since
July I, 1997. That subcontract will expire June 30, 1999. KMC WC has decided to issue a Request for Proposal (RFP)
seeking qualif ed providers to furnish these services for the upcoming biennium period beginning July 1, 1999. Accordingly,
there is a possibility that an agency other than the YWCA will be subcontracted to provide sexual assault support services on
the Big Island in the very near future.
In light of the programrnatic and clinical deficiencies noted in the attached reports, coupled with the issuance of a RFP
seeking qualified prodders, I propose that the Council retain its present Cunding recommendation of SSQo00 for FY1999-
2000, with the provision that, upon submittal and review of an application for funds not to escced S50,1)D0, the Council may
re-appropriate funds to the provider selected by the state contractor, KMCWC, effective July I, 1999. In that way, the
Council can uphold its historical commitment to services for sexual assault victims and sustain effective liaison between the
provider and our police, prosecutor, nurse examiners, and children's advocacy centers in Hilo and Kona. 1 have submitted a
bill to amend Chapter 2, Article 25, Hawaii County Code, to provide clear authority for such intentional re-appropriation of
funds. It is scheduled for first reading in the Finance Committee mceting on May 26.
1 hope this information is helpful. 1 am grateful for your thoughtful attention to these materials. 'y
Attachments Comm. No. O' ~~5
cc: Legislative Auditor File No. u
Finance Director P ~u NQ ~L
Ref. Eo:
Ref. Date NAY 0 5 1999
77-6399 Nalani St., Suite 1-A Kailua-Kona, Hawaii 96740 Kona Telephone: (808) 326-5684 Fax: (808) 326-5697
April 12, 1999 KAPI`OLANI
MEDICAL CENTER z
Connie Kiriu (or Women ~ Children
Legislative Auditor
County of Hawaii
25 Aupuni Street
Hilo, HI 96720
Re: Statewide Sexual Assault Treatment and Community Health Promotion Services
Dear Ms. Kiriu:
The Sex Abuse Treatment Center (SATC) of the Kapi'olani Medical Center for Women
and Children (KMCWC) has served the community for the past twenty two years and
has received DOH funding since its inception in 1976. SATC is a provider of a
comprehensive range of crisis intervention, treatment and prevention education services
for sexual assault victims, their families, and the general public.
Effective July 1, 1997 the State of Hawaii, Department of Health entered into a contract
with KMCWC to provide statewide sexual assault treatment and community health
promotion services. This current contract pot only requires the statewide provision of
treatment and education services but also establishes the onset of the following
statewide developmental and implementation components:
• Sexual assault treatment and education needs assessment
• Standards of care and practice for sexual assault treatment services, and
• Standardized system of measuring the effectiveness of sexual assault
treatment and education services
KMCWC has subcontracted the YWCA of Hawaii Island to provide sexual assault
treatment and education services for the island of Hawaii since July 1, 1997. The
current contract is due to end Jure 30,1999.
DOH has informed KMCWC that we have been selected as the sole source provider of
statewide sexual assault services for the next biennium period beginning July 1, 1999.
In turn, KMCWC has decided to issue a Request for Proposal (RFP) publication for the
island of Hawaii, seeking qualified providers. Therefore, it has not been determined if
the current contract with the YWCA Hawaii Island and KMCWC will continue or be
terminated. It is our intent to publish the RFP in the last week of April 1999.
We appreciate the opportunity to provide this information. Should you have any
questions please do not hesitate to contact me at (808) 535-7507.
Sincerely,
Allison Lopes
Director, Grants and Contracts
1319 Punahou Sveet
Honolulu, Hawaii 96826
Telephone (BOB) 983-6000
KAPI'aLANI
MEDICAL SPECIALISTS
SATC Site Review
Big Island YWCA SASS Program
1'r and 2"d Quarter 1999 ,
I. Review of Program Oaerations:
The Sex As:~ault Support Service (SASS) of the Big Island YWCA is contracted by the
Kapi'olani Medical Center for Women and Children (KMCWC) in July, 1996 to provider
sexual assault services for the island of Hawaii. The range of services is to include
sexual assault treatment and community health promotion services to women, children,
and men throughout the island. Funding is through a contract with the State of Hawaii,
Department ~f Health with the master contractor being KMCWC and managed through
the KMCWC s Sex Abuse Treatment Center (SATC).
The scope o'` services within this contract include Crisis intervention services 24 hours a
day/ 7 days a week, 24 hours a day Crisis Phone Intakes and Hotline service, Crisis
Stabilization and Crisis Counseling and Legal Advocacy Services.
Following an investigational site visit by Kapi'olani's Director of Grants and Contracts
and Kapi'olEni's Director of the Sex Abuse and Treatment Center, it was determined
that there we re a number of serious contract non-compliance and program deficiencies.
Four of the major deficiencies, identified have requiring monitoring and on-going
consultation by this writer. They included 1) lack of any clinical supervision of SASS
program per:~onnel and activities, 2) continued use of Bachelor's level SASS personnel
to provide cl~unseling services, 3) reported service hours unsupported by the SASS
client tracking system documentation and 4) insufficient crisis intervention services and
clinical legal advocacy services hours to meet contracted scope of service.
A case by c(~se review of the YWCA SASS Clinical Program commenced on January
14, 1999 anti Is ongoing on a weekly basis. In addition to the review of clinical services
and clinical operations, on-going consultation and clinical supervision has been
provided to file entire staff of the YWCA SASS since the start of the review process.
General Cornments:
1. Since the departure of the Clinical/Program director in September 1996, there has
been no direct clinical or programmatic supervision of the staff. However, after
intervfew:~ with the current staff and reviews of the Ginical records, it appears that
there have been deficiencies in the areas of clinical and program supervision prior to
the past c'~irector's termination.
1319 Punahou Slraol. Gnz 5107
Honolulu, Hawall A(',g2(',
YWCA SA8s Program Review Telcphono (000) 5??-0178
Apri114,1999 rnx teas) 977-3080
1
2. For exariple, there is no documentation of regularly scheduled supervision of the
therapy :staff or crisis SASS on-call staff. Likewise, there is no documentation of
clinical o~ program oversight that should have determined that clinical assessments,
standardized rules of documentation (progress notes, encounter forms, etc.},
consistent chartlrecord keeping were grossly deficient.
3. The hiring of a new Program Director in January1999 has been fortunate. However,
this Program Director has been hampered by a lack of a comprehensive
understanding of the clinlcal and administrative obligations of the SA7C contract.
This has bean measurably improved over recent weeks.
A. The hiring of an under-qualified therapist for the Kona office, with acknowledgement
of the S4SS staff that this was known has hampered the success of the SASS
program and has significantly diminished SASS's ability to be an effective member
of the pr~vlder community in the area of sexual assault treatment. Because of the
departunj of the previous clinlcal/Program director, this therapist was not
supervis~:d, given adequate orientation and training that is required for that position.
The therapist has been terminated as of March 12, 1999 which again leaves West
Hawaii without a clinical therapist end decreases the number of SASS crisis workers
available for on-call responsibilities.
5. These dfrflclencies have impacted both the name and reputation of the YWCA in the
area of :.ex Assault services to the degree that referral agencies (such as the Kona
police of9cers, Child Advocacy Center and Child Protective Services have directed
their referrals to other agencies.
6. The SA: S staff has been eager to accept direction, structure and supervision and
have made gains in regponding to the consultations and directions given them by
SA7C personnel.
II. Review of clinlcal Records:
Charge slip: for the 1`r Quarter, 1999 were tallied, as the agency's spreadsheets are
lost. The Y\VCA figures reported for the 1`r Quarter 1999 reflect services provided paid
for by Kapi'ulani SATC funds only. For the 2"tl Quarter, 1999, a total of 39 charts were
reviewed from both the Hilo and Kona offices (33 from Hilo and 6 from Kona) which
were all the charts available to me for this audit. This total number of cases consisted
of all clients seen between July1, 1998 and December 31, 1998.
General Comments:
The overall ~:ondition of the clinical records were alarmingly deficient in all areas:
1. There was no consistent manner of documenting who was the identified
client. For example, one chart could contain 1,2 or more names of family
m ambers, often with different lest names.
2. Idantificatlon numbers were inconsistently assigned, as multiple family
m ambers had the same ID numbers, only with an alpha letter inconsistently
aclded on.
YWCA SASS Program Ravlew
April 14,1999
2
3. Thus, Consents for Treatment ar~d Rights and Responsibilities were
in~:onsistently completed as it w•as unclear how many clients were being seen
per clinical record.
4. Buth client and therapist often signed consents for "Authorization for Release
of Information", but these forms were incomplete, s.g., no designation of who
wFis tc be the receiving party.
5. A cumber of charts were incompletely assembled, although the cases were
ongoing. '
6. Charts were not consistently stored in a single, secured file cabinet. Some
charts where kept by the therapist in her office, and some charts were taken
ofl'the premises to be worked on at therapist's home. Clinical notes were
kept on therapist's home computer and therefore not filed in the client's charts
in a timely manner.
7. Closed charts were filed NOT by client name, but by initial date of service.
This made the ability to locate a particular client's chart problematic et best.
8. Tt a vast majority of clinical records lacked adequate identification of the client
or each page of the clinical record.
9. Fr3quently, personal /biographical data were lacking.
10. Some entries were not completely dated (i.e., no year was given on an entire
pn~gress note sheet.)
11. A ~'ew of the provider signatures were difficult to decipher. ,
12. Pragress notes by the cunent therapists were done by hand on paper, then
transferred to a word processing document and printed sequentially on the
same sheets of paper, giving the impression that notes were written in
conglomerate, not after each session. This could have serious implications if
re.:ords were to be subpoenaed by the courts. In addition, due to a
therapist's home computer going 'down', there are a number of clinical charts
wi•:hout any progress notes or treatment plans.
Clinical review:
1. The vast majority of all charts had NO initial assessment, but for a one
paragraph description of a client's history.
2. If ~r psychological assessment form was included in the chart (which was
rare), there was no assessment that was completed with a signature and
date.
3. Nu formal 5 Axis DSM-IV diagnosis was ever present in any of the clinical
re~:ords
4. Although stipulated in the RFP, there was no evidence of GAF scores done
on any client; the use of the MPSS for adults and CRI for clients 7-17years
oici were rarely done or completed and none were scored with some
StEilement about relevance of the scores obtained.
5. There was only ONE completed treatment plan in any of the charts reviewed.
6. This one treatment plan was signed only by the therapist of record without
clinical oversight by a licensed social worker, clinical psychologist or
psychiatrist in evidence.
YWCA SA88 Proprsm R~vi~w
April 74,1999
3
1
7. 6~3cause of the total lack of a multidisciplinary treatment plan (initial or
review), there were a total lack of documentation of treatment goals related to
a DSM-IV diagnosis.
8. Likewise, there was neither documentation of a problem list, time frames for
goals to be achieved nor problems to be resolved nor documentation of any
ccrosideration of termination of treatment.
9. Progress notes frequently described in adequate detail the current history of
the client. However, there was a noticeable lack of documentation of the
therapist's assessment of the current condition of neither the client nor any
concrete plans for the client or tt~e therapist for the next session.
10.A review of the few termination summaries revealed a significant lack of
d}agnosis; progress of stated gaats, condition of the client on discharge nor
recommendations and disposition.
Billing Documentation:
1. B~nsed on the YWCA SASS database, the following findings were noted:
A. There Is a major discrepancy between whet is documented and what is
reported AND what is expected (based on 2 therapists at 0.75 FTE;
expected clinical hours = 18 hours/week face-to-face time.)
B. There was a consistent error of charging case management" for time
spent writing progress notes.
C. The data base was difficult to interpret due to a poor database structure
(e.g., using first name and last name of client in one cell, making it difficult
to tally by client)
2. Charge slips are consistently turned in past the 48-hour deadline; they were
often incomplete and often difficult to match client with service provided. In
addition, a number of charge slips were often 'adjusted' by a therapist after
bating turned into the office for tallying, resulting in confusion as to what
cr urges were or were not entered.
Items not met as part of the RPP Stipulations:
1. NO Clinical Initial Intake documenting past Mental Health and/or
Substance Abuse history, Psychosocial functioning, current use of
community resources. (page 26)
2. Outcome and Performance Measures:
A. Global Assessment of Functioning (GAF) scores and measure of
Improvement or change
B. Modified PTSD Symptom Scale (MPSS) scores and measure of
Improvement or change
C. Ch(Id Recovery Index {CRI) scores and measure of improvement or
change
D. Accurate tallies of clients' health insurance information
3. Utilization of the submitted YWCA SASS Quality Assurance Plan (QAP)
Forms
YWCA 8A83 Program Review
Apr11 14,1999
4
A. Listed forms that are claimed to be utilized are nowhere in evidence
nor is there evidence that the QAP is even followed:
1) SASS Al -Frequency, Duration and Regularity of Support
Specialist Supervision
2) SASS A2 -Frequency, Duration and Regularity of SART Member
Supervision
3) SASS B1 -Content of Support Specialist Supervision
4) SASS B7 -Content of SART Member Supervision '
5) SASS C1 -Observation of SART Hospital Attendance
6) SASS D1 -SASS Chart Review
7) SASS E1 -Intake and Assessment Chart Review
8) SASS F1 -Clinical Supervision Form
Conclusion:: and Recommendations:
There is Seri pus concern for the viability of the YWCA SASS program on the island of
Hewali. The deficiencies noted above are severe, and their severity was only magnified
by the previc us clinical/program director's departure in September 1998.
The marked deficiency in the expected amount of crisis counseling services and legal
advocacy se vices by the therapist(s), coupled with the very poor documentation, lack of
clinical asse:rsments, case formulation and treatment planning suggests that the SASS
program as I': currently exists is not equipped to provide basic mental health counseling
services on fm on-going basis.
The SASS crisis team, that provides 24-hour call crisis intervention services (telephone)
and Forensic examination support, appears to be doing a good job. Documentation
was again in~:onsistent and unstructured, but that has Improved w/ clinical supervision
and training in the appropriate manner in which to document the team members'
activities.
Therefore, the following recommendations take into account the SATC contract's end
date of 6/30/!9:
1. Rework filing system, client identification system to ensure discreet ident~cation
numberrs, discreet client files for both clinical and legal confidentiality reasons
2. Implernent previous recommendations made to Program Manager regarding:
a. FAX confidentiality both Kona and Hilo offices. Both fax machines are shared
by other programs (one with a Teen Court office in Kona) and are NOT
confidential. (Done 4/98)
b. ID Name tags for all personnel having contact with public
c. Us~3 of single scheduling book to document appointments and no-shows
d. Us~~ of single scheduling book to reconcile charge slips
e. Enforce mandatory attendance at monthly team meetings for SASS crisis
workers and have sign-in sheets to document compliance
YWCA BASS Program Raviaw
April 14,1999
5
1
f. implement office accountability for ensuring timely response to messages
g. Enforce standards of practice regarding progress note documentation
(including evaluations, indlvldual progress notes), billlnra ttmeframes
h. Enforce timely completion of psychological assessments, treatment planning
dccumentation and discharge s4mmary documentation
3. Redu;e total therapist FTt3 time to 0.5FTE to address the actual amount of
cilnicrd raervicea aulually dnllvered
4. Stron sly consider alliance with an island-wide clinical therapy group to handle all
crisis psychotherapy and consolidate efforts to provide 24-hour crisis calls and
forernac examination support anti ler~al advncacy services
5. Implement "OFFICE PROCEDURES". See Appendix "C".
Respectfully submitted,
~ ~'r-vi.u.-,
C3erald A. Correa, M.17.
Child, Adolescent and Adult Psychiatrist
Medical Dirsctor, Kapl'olani Behavioral tioallh Care Plans
Clinical Con>ultant, Kapl'olanl SAYC and Cr'C
YWCA SASS Program RevlNv
April 1q,1009
8
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APPENDIX C
BIG ISLAND YWCA -SASS
Office procedures: Client contacts and documentation
1. All cl ants are required to have individual charts with appropriate consents and •
authorizations signed and in each chart.
2. ALL DOCUMENTS (progress notes, phone reports, crisis stabilization reports,
etc) acre to be completely signed and dated by the caregiver. Any subsequent
conts~cts and/or activities are to be documented on a progress note.
3. ALL DOCUMENTS are to have the client's full name and ID number on each
page (and each side if form is 2-sided).
Q. It is E:VERYONE's responsibilities to ensure that each client record is complete
and up to date. '
a. All entries are fo be dated end signed each time a contact or activity is
performed.
b. All appointments are to be recorded in the SASS APPOINTMENT BOOK
and will be the official document for which all activities and billings will be
reconciled.
c. Each staffs (therapist or crisis intervention worker) schedule of available
appointment hours are to be rnarked in the SASS APPOINTMENT BOOK
in order for the clerical staff to be able to schedule appointments.
d. All meetings, off-site appointments etc. are to be documented in the SASS
APPOINTMENT BOOK to avoid errors in scheduling of clients.
e. These schedules are to be kept up to date and should reflect at least 2-3
weeks in advance.
f. At the end of each dav, tho SASS worker is to reconcile the day's
appointments and record on the SASS APPOINTMENT BOOK what
actually occurred:
1) Each client listed on the SASS APPOINTMENT BOOK for that day
should be 'checked off' by the clerk when the client arrives fora
scheduled appointment.
2) The therapist or crises worker puts by each client's name what
actually occurred:
The convention will be "1"for full session," 1/2" for half-session,
"NS° for no show, "RS" for rescheduled, "NC° for no charge.
g. A progress note for each contact will reflect the above designations where
appropriate. For example, if the client is a "NO SHOW ,that occurrence
should be documented in the progress notes.
h. A completed charge slip is to be turned in to clerk within 48 hours of '
completed appointment. There are NO EXCEPTIONS.
YWCA SASS Program Revlsw
April 14,1999
8
APPENDIX C
BIG ISLAND YWCA -SASS
(continued)
i. The charge slip will be reconciled with the SASS APPOINTMENT BOOK
by the clerk. Any discrepancies will be returned for immediate
correction(s).
5. ALL D9ESSAGES (SASS office andlor answering service) are to be recorded on '
the SASS MESSAGE LOG (automatic carbon) with complete names, time and
date of call and message.
6. ALL f;ECORDS are to be stored in the file cabinets at all times. No charts are to
be taken outside the facility. '
7. All phone reports or crisis stabllizatian cases that require follow-up contacts
and/or initial appointment(s) are to be logged in with time and date given to
therapist for scheduling. Follow-up with therapist by clerk will be within 24 hours
there~~fter, t
i
YWCA SASS Program Ravlew
April 14,1999
10
YWCA Sexual Assault Support Service-Hawaii
4/6199
Analysis of fiscal year 1999 quarter 1 and quarter 2 (Q1 & Q2) expenditure and program
reports for the general funds contract.
Note: The unit cost indicated for the quarterly tables are calculated by dividing the ,
agency's fi>cal expenditure by units confirmed by master contractor (MC).
I. Cr s I rtervention Services
Target for r]1 and Q2:
• 50% of annual service units (890): 445
50% of annual expenditure ($67,717): $33,858.50
• Unit co ~t as calculated for fiscal year: $76.09
gUARTER 1;-Report of expenditures (personnel cost-salaries,& wages) ' .
as ¢ubmitted by agency and projected targets as calculated by master ,
contractor.
Staff FTE % time Total Hours Target Billable
charged to (24 hr. service) {60% direct service)
contrast
Gibson .10 NA
Rusnak .OB NA
O'Brien .11 NA
Enri ues .OS NA
SART On• .33 NA
call
NA
TOTAL .86 NA
Q1 TOTALS
Units Reported Units Confirmed Agency Fiscal Unit Cost
B A enc b MC Ex enditure for Service
140.07 Not able to $12,082 $86.26
confirm' -
'YWCA HI no! able fo provide KMCWC w(th documentation to confirm.
1
QUARTER t -Report of expenditures (personnel cost-salaries & wages)
as submittr:d by agency and projected targets as calculated by master
contractor '
Staff FTE % time Total Hours Target Billable
charged to (24 hr. service) (BO% direct service)
contract
Gibson .10 NA
Rusnak .O6 NA
O'Brien .11 NA
Enrl ues .05 NA
SART On- .33 NA
Cell
TOTAL .65 ~ NA
Q2 TOTALS ,
Units Repcrted Units Confirmed Agency Fiscal Unit Cost
B A enc b MC Ex enditure for Service
84.79 48.27 $12,082 $250.30
Q1 8 Q2 SUMMARY -Crisis Intervention Services ~
Target Units Units Variance Agency Fiscal Unit Cost
Units Reported By Confirmed Expenditure for
A enc b MC Service
445 224.86 188.34' -256,66 $24,164 $128.30
(at 42% of (71% budget)
tar et bud et
"YWCA HI not a6/e to provide KMCWC with documentation to confirm Q7,
ref/acted z t reported amount.
Total units provided 188.34 Lb program's unit cost of $76.09=$14,330.79
2
ID >t):=~~-°,>`-.'S.i. HFr lt. ~ 1. i~,~~ ~
II. Clinicallletlal advocacy aervlces
Targets for 01 & 02:
• 50% ar Heal service units (863):431.50
• 50 % a lnual fiscal expenditure ($82,G76): $41,338
• Unit co:~t as calculated for fiscal year: 595.80
p (p ties & wages) ,
QUARTER'I -,Report of ex enditures ersunnel cost-sala
es submittt~d b a enc 'arid pro acted tar ets as calculated b master contractor
Stall FTE % tlme Total Hours Target Blliabla 90% AtlJusted
charged to (5281hrs) (60% direct Holidayl
contract servlce Vacation
Enriques .11 58.08 34.85 31.36
Gibson 14 73.92 44.35 39.92
Rusnak .05 26.40 15.84 14.26
TOTAL .30 158.40 95.04 85.54
01"TOTALS
Units Repcrted Units Confirmed Agency Fiscal Unit Cost
B A enc b MC Expenditure for Service
78.99 161.97" $13,929 $176.34
`KMCWC ivas told by YWCA H/ that only 78.99 clinical hours were funded by
KMCWC contract, and that the balance was funded by YWCA VOCA contract.
QUARTER a - Reporl Ot expenditures (personnel cost-salaries & Wages),
as submitted b ages and pro'ected to ets as calculated b master contractor
9taH FTE % tlme Total Hours Target Blilable 90% AdJusted
charged to (5281hrs) (80% direct Holidayl
contract servlce Vacation
Enri ues .11 58.08 34.85 31.36
Gibson .14 73.92 44.35 39.92
Rusnak .05 26.4D 15.84 14.26
TOTAL .30 158.40 95.04 85.54
Q2 TOTALS,, ,
Units Reported Units Confirmed Agency Fiscal Unit Cost
B A enc b MC Expenditure for Service
242.OC 131.09 $13,930 $106.26
3
Q1 8 Q2 SUMMARY - CllnicaULega1 Adv:,cacy Services
Target Unlta Units Variance Agency Fiscal Unit Coat
Units Rzported isy Confirmed Expenditure
A enc b MC for Service
431.50 320.99 210.08" -221.42 $27,859 $132.61
(at 49% of (97% budget)
tar et bud et)
'KMCWC was told by YWCA HI that only 78.99 clinical hours were funded by
KMCWC contract, and that the balance was funded by YWCA VOCA contracf.
Total units vrovided 210.08 @ programs unit cost o($95.80=$20,125.66
III. Comm unity Health Promotion Services
Targets fo r q1 8 D2:
50% of annual service units (166) 83.00
0 50% of annual fiscal expenditure ($10,572): $5,286
° Unit co'>t calculated for fiscal year: $63.69
QUARTER%I,• Repoli of ezpenilitures (personnel Cost-salaries & wages):
as submitted b aenc -and ro acted tar ets as calculatetl b master contractor;
Staff FTE % time Total Hours Target Billable 90% Adjusted
charged to (5281hrs) (80% direct Holiday!
contract service Vacation
Gibson .01 5.28 3.17 2.85
Eceves 05 26.40 15.84 14.26
Enri ues .07 36.96 22.18 19.96
TOTAL .13 88.84 41.19 37.07
q1 TOTAL8 ,
Units Repcrted Units Confirmed Agency Fiscal Unit Cost
t3 A enc b MC Ex enditure for Service
28.25 Not able to $2,053 $78,21
confirm'
`YWCA Hl not a61e to provide KMCWC with documentation to confirm.
gUARTER .t -Report of expenditures (personnel cost-salaries & wages)
as submitted b a -enc and ro acted tar ets as calculated 6master contraotor~
Stall FTE °!o time Total Hours Target Billable 90% Adjusted
charged to (5281hrs) (60% direct Holiday!
contract service Vacation
Gibson .01 5.28 3.17 2.85
Eceves .05 26.40 18.84 14.26
Enri ues .07 36.96 22.16 19.98
TOTAL .13 88.84 41.19 37.07
4
1 L V _ _ _ _ _ _ n _ _ , - - - - -
Q2 TOTALS
Units Repoted Units Confirmed Agency Fiscal Unit Cost
B A enc b MC Expenditure for Service
70.50 70.50 $2,053 $29.12
t17 & Q2 3 UMMARY - Communit Health Promotlon'Servlces
Target Units Units Variance Agency Flacal Unit Cost
Units Reported By Confirmed by Expenditure for
A enc MC Service
83 98.75 96.75' +13.75 $4,106 $42.44
(at 117% of (77% budget)
ter et bud et)
"YWCA HI not able to provide KMCWC with documentation to confirm Q1,
reflected at reported amount.
Total units provided 96.75@ program's unit cost of $63.69=$6,162.01
S