Chemical Dependency Services In Monroe County, New York

Transcription

1 Chemical Dependency Services In Monroe County, New York CCSI Consolidated Fiscal Report Database Monroe County Community Chemical Dependency Services 2007 Year End Results AGENCIES INCLUDED: ACTION FOR A BETTER COMMUNITY, INC. CATHOLIC FAMILY CENTER CENTER FOR YOUTH SERVICES COORDINATED CARE SERVICES, INC DELPHI DRUG & ALCOHOL COUNCIL, INC EAST HOUSE CORP. HUTHER-DOYLE INSTITUTE MONROE COUNTY COMM. SVC ADMINISTRATION PARK RIDGE HOSPITAL PRCD, INC. PROVIDENCE HOUSING PUERTO RICAN YOUTH DEVELOPMENT ROCHESTER CITY SCHOOL DISTRICT ROCHESTER INSTITUTE OF TECHNOLOGY ROCHESTER GENERAL HOSPITAL ST. JOSEPH'S VILLA OF ROCHESTER THE HEALTH ASSOCIATION THRESHOLD UNIVERSITY OF ROCHESTER / STRONG MEMORIAL YWCA OF ROCHESTER & MONROE COUNTY Office of Mental Health Notations: The data reported herein are critically dependent on the accuracy and comprehensiveness of the data collection process at participating agencies. Financial data obtained from the NYS final claiming schedules and non funded service providers. For program and units of service definitions, please refer to the 2007 Consolidated Reporting and Claiming Manual. Note: For prevention programs, units of service are not required; therefore, the cost summary page is excluded from the report. Monroe County Mental Health community data does not include private practice.

2 INTRODUCTION The CCSI Consolidated Fiscal Report Series for Chemical Dependency Services is designed to provide a general overview of Monroe County s Alcoholism and Substance Abuse service delivery system in terms of total revenue. The web-based version of this report includes a selection of commonly requested breakdowns, including: Total Revenue by Chemical Dependency Service Category Monroe County Chemical Dependency System Overview Crisis Services revenues -- by revenue source, by agency Inpatient Services revenues -- by revenue source, by agency Treatment Support Services revenues -- by revenue source, by agency Services revenues -- by revenue source, by agency, unit cost Prevention Services revenues -- by revenue, by agency Residential Services revenues -- by revenue, by agency For definitions of key terms used in this report, please refer to the Appendix. Methods The data included in this report is from the CCSI Consolidated Fiscal Report (CFR) database. Financial data have been obtained from the NYS final claiming schedules submitted by Monroe County provider agencies. Definitions for programs and units of service can be found in the 2007 Consolidated Reporting and Claiming Manual. Please note that the database does not include information from private practice. Data Quality and Completeness It is important to note that information presented in this report is critically dependent on the accuracy and completeness of data collection practices at the contributing provider agencies. While this report may be useful in raising questions and identifying areas that merit further investigation, in many cases, more detailed follow-up analysis will be required. Additional Information: If you have questions about any of the data included in this report or would like to request a special analysis, please contact Dan Wright at dwright@cssi.org or Jason Kuby at jkuby@ccsi.org.

3 By Program Type Crisis 3,809,169 4,509,883 4,475,270 Inpatient 5,848,697 6,301,694 5,901,720 17,635,949 18,269,140 16,761,185 Prevention 2,890,332 2,695,303 2,693,610 Residential 8,448,650 8,117,565 8,621,634 Treatment Support 533, , ,008 Total 39,166,220 40,710,090 39,199,427 20,000,000 18,000,000 16,000,000 14,000,000 12,000,000 10,000,000 8,000,000 6,000, ,000,000 2,000,000 0 Crisis Inpatient Prevention Residential Treatment Support

4 By Payor By Program Total Support = 39,199,427 Crisis Inpatient Treatment Support Prevention Residential Total Percent of Total 2006 Data Medicaid 1,412,823 4,550, ,601, ,232 19,185, ,079, Medicare 1, , , , ,195 1 Third Party 396,488 1,524,421 34,117 3,446, ,647 5,406, ,685, Deficit Funding 1,949, , ,746 1,225,814 2,142,443 4,493,938 10,966, ,363, Provider Subsidy 95,844 (1,194,140) 0 (1,794,581) 0 0 (2,892,877) (2,664,874) 9 Misc. Rev. 619,415 (87,731) 47, , ,167 3,502,817 5,598, ,319, Total 4,475,270 5,901, ,008 16,761,185 2,693,610 8,621,634 39,199, ,710,090-4 Percent of Total Comparative ,509,883 6,301, ,505 18,269,140 2,695,303 8,117,565 40,710,090 from Misc. Rev. Source of Revenue Revenue By Category Crisis Inpatient Treatment Support Prevention Residential Provider Subsidy Deficit Funding Third Party Medicare Medicaid

5 By Program By Payor Total Crisis Support = 4,475,270 Medicaid Medicare Third Party Deficit Funding Provider Subsidy Misc. Rev. Total Percent of Total 2006 Data Medically Supervised Withdrawal Services - Outpat 5,585 1,340 43,555 95, , Medically Supervised Withdrawal Services - Residential 1,407, ,933 1,949, ,882 4,328, ,509, Total 1,412,823 1, ,488 1,949,360 95, ,415 4,475, ,509, Percent of total Data 2,631, , , ,229 4,509,883 from Source of Revenue Revenue by Program Misc. Rev. Medically Supervised Withdrawal Services - Outpat Medically Supervised Withdrawal Services - Residential Provider Subsidy Deficit Funding 3 Third Party Medicare 97 Medicaid

6 By Program By Payor Total Crisis Support = 4,475,270 Medically Supervised Withdrawal Services - Outpat Medically Supervised Withdrawal Services - Residential Percent of Total 2006 Data Total PARK RIDGE HOSPITAL 146, , THE HEALTH ASSOCIATION 0 4,328,413 4,328, ,509,883-4 Total 146,857 4,328,413 4,475, ,509,883-1 Percent of Total Data 0 4,509,883 4,509,883 from THE HEALTH ASSOCIATION PARK RIDGE HOSPITAL 0 1,000,000 2,000,000 3,000,000 4,000,000 5,000,000 Medically Supervised Withdrawal Services - Outpat Medically Supervised Withdrawal Services - Residential

7 By Payor By Program Total Inpatient Support = 5,901,720 Medicaid Medicare Third Party Deficit Funding Provider Subsidy Misc. Rev. Total Percent of Total 2006 Data Residential Chemical Dependency Youth (Short-Term) 173, , , , Chemical Dependence Inpatient Rehab Services 4,376, ,917 1,524, ,546 (1,194,140) (89,798) 5,725, ,967,030-4 Total 4,550, ,917 1,524, ,546 (1,194,140) (87,731) 5,901, ,301,694-6 Percent of Total Comparative ,031, ,039 1,111,035 0 (951,478) 539,609 6,301,694 from Source of Revenue Revenue By Program Misc. Rev. Provider Subsidy Residential Chemical Dependency Youth (Short-Term) Chemical Dependence Inpatient Rehab Services 3 Deficit Funding Third Party Medicare Medicaid

8 Chemical Dependence Inpatient Rehabilitation Services Monroe County Chemical Dependency Services By Program By Provider Total Inpatient Support = 5,901,720 Residential Chemical Dependency Youth (Short-Term) Total of Total 2006 Data PARK RIDGE HOSPITAL 3,801,039 3,801, ,877,301-2 PRCD, INC.- MONROE COUNTY 175, , , THE HEALTH ASSOCIATION 1,924,873 1,924, ,089,729-8 Total 5,725, ,808 5,901, ,301,694-6 Percent of Total Comparative ,967, ,664 6,301,694 from THE HEALTH ASSOCIATION PRCD, INC.- MONROE COUNTY PARK RIDGE HOSPITAL 0 1,000,000 2,000,000 3,000,000 4,000,000 Chemical Dependence Inpatient Rehabilitation Services Residential Chemical Dependency Youth (Short-Term)

9 By Program By Payor Total Treatment Support = 746,008 Medicaid Medicare Third Party Deficit Funding Non- Funded Misc. Rev. Total Percent of Total 2006 Data Case Management , , , Local Governmental Unit (LGU) Administration , , , , Vocational Rehabilitation , , , , , Total , , , , , Percent of Total Comparative , , , ,505 from Source of Revenue Medicaid Medicare Third Party Deficit Funding 0 Non-Funded 0 0 Misc. Rev. 6 5 Revenue By Program Case Management Local Governmental Unit (LGU) Administration Vocational Rehabilitation

10 By Program By Provider Total Treatment Support = 746,008 Case Management Local Governmental Unit (LGU) Administration Vocational Rehab Total Percent of Total 2006 Data CATHOLIC FAMILY CENTER 48, COORDINATED CARE SERVICES 75,137 75, , EAST HOUSE CORP. 57, , , , MONROE COUNTY COMM. SVC. ADMINISTRATION 330, , , PROVIDENCE HOUSING IN ROCHESTER 38,553 38, , Total 171, , , , , Percent of Total Data 216, , , ,505 from PROVIDENCE HOUSING IN ROCHESTER MONROE COUNTY COMM. SVC. ADMINISTRATION EAST HOUSE CORP. COORDINATED CARE SERVICES 0 50, , , , , , ,000 Case Management Local Governmental Unit (LGU) Administration Vocational Rehab

11 By Payor By Program Total Support = 16,761,185 Medicaid Medicare Third Party Deficit Funding Provider Subsidy Misc. Rev. Total Percent of Total 2006 Data Compulsive Gambling Treatment ,713 52, , ,204-2 Enhanced Medically Supervised , , , Intake, Outreach & Referral Units , , , ,609 4 Medically Supervised 11,907, ,550 3,446, ,454 (1,821,887) 562,780 15,039, ,925, Chemical Dependence for Youth 137, , , , , Rehabilitation Services 556,791 0 (7,777) , , , Total 12,601, ,550 3,446,764 1,225,814 (1,794,581) 965,806 16,761, ,269,140-8 Percent of Total Comparative ,398, ,156 4,941,533 1,321,867 (1,716,827) (1,032,254) 18,269,140 from Misc. Rev. Provider Subsidy Deficit Funding Source of Revenue Revenue By Program Compulsive Gambling Treatment Enhanced Medically Supervised Intake, Outreach & Referral Units Medically Supervised Chemical Dependence for Youth Rehabilitation Services Third Party Medicare Medicaid

12 Compulsive Gambling Treatment Monroe County Chemical Dependency Services Enhanced Medically Supervised By Program By Provider Total Support = 16,761,185 Intake, Outreach & Referral Units Medically Supervised Chemical Dependence for Youth Rehab Services Total Percent of Total 2006 Data ACTION FOR A BETTER COMMUNITY INC. 609, , CATHOLIC FAMILY CENTER 1,825, ,061 2,415, ,620,390-8 DELPHI DRUG & ALCOHOL COUNCIL, Inc 512, , , HUTHER-DOYLE INSTITUTE 225,168 1,726,145 1,951, ,932,434 1 PARK RIDGE HOSPITAL 219,759 6,293,677 6,513, ,114,569 7 ROCHESTER GENERAL HOSPITAL 983, , ,513, ST JOSEPH'S VILLA OF ROCHESTER 217, , , THE HEALTH ASSOCIATION 299, ,372 1,712,071 2,180, ,256,145-3 UNIVERSITY OF ROCHESTER/STRONG MEMORIAL HOSP. 1,376,611 1,376, ,357,981 1 CONIFER PARK 1,569, YWCA OF ROCHESTER AND MONROE COUNTY 317, Total 299, , ,759 15,039, , ,061 16,761, ,269,140-8 Percent of Total Comparative , ,609 16,925, , ,915 18,269,140 from UNIVERSITY OF ROCHESTER/STRONG MEMORIAL HOSP. THE HEALTH ASSOCIATION ST JOSEPH'S VILLA OF ROCHESTER ROCHESTER GENERAL HOSPITAL PARK RIDGE HOSPITAL HUTHER-DOYLE INSTITUTE DELPHI DRUG & ALCOHOL COUNCIL, Inc CATHOLIC FAMILY CENTER ACTION FOR A BETTER COMMUNITY INC. 0 1,000,000 2,000,000 3,000,000 4,000,000 5,000,000 6,000,000 7,000,000 Compulsive Gambling Treatment Enhanced Medically Supervised Intake, Outreach & Referral Units Medically Supervised Chemical Dependence for Youth Rehab Services

13 By Program Type By Provider - Volume & Unit Costs Total Support = 16,761,185 Compulsive Gambling Treatment Enhanced Medically Supervised Intake, Outreach & Referral Units Medically Supervised Chemical Dependence for Youth Rehab Services Total ACTION FOR A BETTER COMMUNITY INC. 609, ,801 CATHOLIC FAMILY CENTER 1,825, ,061 2,415,719 DELPHI DRUG & ALCOHOL COUNCIL, Inc 512, ,389 HUTHER-DOYLE INSTITUTE 225,168 1,726,145 1,951,313 PARK RIDGE HOSPITAL 219,759 6,293,677 6,513,436 ROCHESTER GENERAL HOSPITAL 983, ,152 ST JOSEPH'S VILLA OF ROCHESTER 217, ,773 THE HEALTH ASSOCIATION 299, ,372 1,712,071 2,180,991 UNIVERSITY OF ROCHESTER/STRONG MEMORIAL HOSP. 1,376,611 1,376,611 Total 299, , ,759 15,039, , ,061 16,761,185 Total Support Volume = 247,608 Compulsive Gambling Treatment Enhanced Medically Supervised Intake, Outreach & Referral Units Medically Supervised Chemical Dependence for Youth Rehab Services Total ACTION FOR A BETTER COMMUNITY INC. 10,545 10,545 CATHOLIC FAMILY CENTER 27,471 9,131 36,602 DELPHI DRUG & ALCOHOL COUNCIL, Inc 6,830 6,830 HUTHER-DOYLE INSTITUTE 3,828 35,739 39,567 PARK RIDGE HOSPITAL N/A 82,659 82,659 ROCHESTER GENERAL HOSPITAL 13,442 13,442 ST JOSEPH'S VILLA OF ROCHESTER 1,514 1,514 THE HEALTH ASSOCIATION N/A N/A 38,479 38,479 UNIVERSITY OF ROCHESTER/STRONG MEMORIAL HOSP. 17,970 17,970 Total 0 3, ,135 1,514 9, ,608 Unit Cost Summary Enhanced Medically Supervised Units Compulsive Gambling Treatment Intake, Outreach & Referral Medically Supervised Chemical Dependence for Youth Rehab Services ACTION FOR A BETTER COMMUNITY INC. $57.83 CATHOLIC FAMILY CENTER $66.46 $64.62 DELPHI DRUG & ALCOHOL COUNCIL, Inc $75.02 HUTHER-DOYLE INSTITUTE $58.82 $48.30 PARK RIDGE HOSPITAL N/A $76.14 ROCHESTER GENERAL HOSPITAL $73.14 ST JOSEPH'S VILLA OF ROCHESTER $ THE HEALTH ASSOCIATION N/A N/A $44.49 UNIVERSITY OF ROCHESTER/STRONG MEMORIAL HOSP. $76.61 Average N/A $ N/A $64.51 $ $64.62

14 By Payor By Program Total Prevention Support = 2,693,610 Medicaid Medicare Third Party Deficit Funding Provider Subsidy Misc. Rev. Total Percent of Total 2006 Data Chemical Dependence Prevention Services ,062, ,254 2,611, ,577,543 1 Compulsive Gambling Education, Assessment/Referral Services ,026 1,913 81, , Total ,142, ,167 2,693, ,695,303 0 Percent of Total Comparative ,092,408 3, ,464 2,695,303 from Source of Revenue Medicaid Medicare Third Party Deficit Funding Provider Subsidy Misc. Rev. Revenue by Program Chemical Dependence Prevention Services Compulsive Gambling Education, Assessment/Referral Services

15 Total Prevention Support = 2,693,610 Chemical Dependence Prevention Services By Program By Provider Compulsive Gambling Education, Assessment / Referral Services Total Percent of Total 2006 Data CATHOLIC FAMILY CENTER 269, , ,286-3 CENTER F/YOUTH SERVICES, INC. 899, , ,794 9 DELPHI DRUG & ALCOHOL COUNCIL, Inc 324, , ,607-1 PUERTO RICAN YTH DEV & RESOURCE CTR 109, , , ROCHESTER CSD 26,688 26, ,375 1 ROCHESTER INSTITUTE OF TECHNOLOGY - SAISD 200, , , ST JOSEPH'S VILLA OF ROCHESTER 120, , ,629 3 THE HEALTH ASSOCIATION 384,978 81, , ,280 8 THRESHOLD CTR F/ALTERN YOUTH SVC INC. 275, , ,035 4 UNITY HEALTH - PARK RIDGE HOSPITAL, INC. 49, Total 2,611,671 81,939 2,693, ,695,303 0 Percent of Total Comparative ,577, ,760 2,695,303 from THRESHOLD CTR F/ALTERN YOUTH SVC INC. THE HEALTH ASSOCIATION ST JOSEPH'S VILLA OF ROCHESTER ROCHESTER INSTITUTE OF TECHNOLOGY - ROCHESTER CSD PUERTO RICAN YTH DEV & RESOURCE CTR DELPHI DRUG & ALCOHOL COUNCIL, Inc CENTER F/YOUTH SERVICES, INC. CATHOLIC FAMILY CENTER 0 200, , , ,000 1,000,000 Chemical Dependence Prevention Services Compulsive Gambling Education, Assessment / Referral Services

16 By Payor By Program Total Residential Support = 8,621,634 Medicaid Medicare Third Party Deficit Funding Provider Subsidy Misc. Rev. Total Percent of Total 2006 Data Community Residential ,915, ,500,265 3,415, ,170,146 8 Intensive Residential 0 4,647 1,001, ,514 1,541, ,526,413 1 Residential Chemical Dependency Youth (Long-Term) ,020, ,439 1,253, ,829, Residential Rehabilitation Services for Youth (RRSY) 620, , , , Supportive Living , ,157,176 1,628, ,591,644 2 Total 620, ,647 4,493, ,502,817 8,621, ,117,565 6 Percent of Total Comparative , ,739 4,330, ,562,821 8,117,565 from Revenue By Program Community Residential Intensive Residential Residential Chemical Dependency Youth (Long-Term) Residential Rehabilitation Services for Youth (RRSY) Supportive Living Source of Revenue Medicaid Medicare Third Party Deficit Funding Provider Subsidy Misc. Rev

17 By Program By Provider Total Residential Support = 8,621,634 Residential Chemical Dependency Youth (Long- Term) Residential Rehabilitation Services for Youth (RRSY) Community Residential Intensive Residential Supportive Living Total Percent of Total 2006 Data CATHOLIC FAMILY CENTER 1,541,354 1,541, ,526,413 1 EAST HOUSE CORP. 1,644, ,631 2,454, ,483,665-1 PRCD, INC.- MONROE COUNTY 527, , ,576 1,572, ,303, ST JOSEPH'S VILLA OF ROCHESTER 751, , , ,007,264-2 THE HEALTH ASSOCIATION 1,243, ,152 1,557, ,286, Y W C A OF ROCHESTER & MONROE COUNTY, INC. 505, , ,991-1 Total 3,415,981 1,541,354 1,253, ,193 1,628,978 8,621, ,117,565 6 Percent of Total Comparative ,170,146 1,526,413 1,829,362 1,591,644 8,117,565 from Y W C A OF ROCHESTER & MONROE COUNTY, INC. THE HEALTH ASSOCIATION ST JOSEPH'S VILLA OF ROCHESTER PRCD, INC.- MONROE COUNTY EAST HOUSE CORP. CATHOLIC FAMILY CENTER 0 500,000 1,000,000 1,500,000 2,000,000 2,500,000 Community Residential Residential Chemical Dependency Youth (Long-Term) Supportive Living Intensive Residential Residential Rehabilitation Services for Youth (RRSY)

18 Term Definition Definitions To Support CFR Report Series OMH Support Programs Emergency Programs Inpatient Programs Programs Residential Programs Admin / Other Programs OASAS Crisis Programs Inpatient Programs Programs Prevention Programs Residential Programs Treatment support Office of Mental Health Provide for the development, implementation, and monitoring of a person's individualized service plan. Provide help to clients diagnosed with severe and persistent mental illness to live independently as possible in the community and to help children with serious emotional problems remain with their families Provide rapid psychiatric and/or medical evaluation and ensure safety of individuals who present a risk to themselves or others. Provide acute stabilization and intensive treatment and rehabilitation with 24-hour care in a controlled environment. Provide symptom reduction, treatment, and rehabilitation in an ambulatory setting. Provide housing and related services. Comprised of other programs including LGU Administration, demonstration projects, and other programs indirectly affecting consumers. Office of Alcoholism and Substance Abuse Services Comprised of Medically Supervised Withdrawal Services programs both residential and outpatient. Services provided under the supervision and direction of a licensed physician. Provide a safe setting to provide intensive evaluation, treatment and rehabilitation services with 24-hour care in a controlled environment Provide multi-disciplinary clinical services for persons with abuse problems and for family members or significant others who have been impaired by another persons use of substances.. Provide strategies and activities directed at decreasing the risk and maintaining or increasing the protective factors at the individual and community levels. Provide for persons who are unable to maintain abstinence or participate in treatment without the structure of a 24-hour residential setting. Case Management included which provides for the development, implentation, and monitoring of a person's individualized service plan. Also comprised of other programs including LGU Administration, demonstration projects, and other programs indirectly affecting consumers. OPWDD Day Services Programs Family Support Services Programs HCBS Programs Programs Residential Programs Service Coordination Programs Admin / Other Term Office For People With Developmental Disabilities Provide daytime activities that provide a combination of diagnostic, active therapeutic treatment, habilitative, and prevocational services to persons with a developmental disability. Provide family-directed, statewide system of comprehensive services which are to enhance a family's ability to provide in-home care to their family members with a developmental disability. Home and Community Based Services.Provide a combination of both traditional medical services (i.e. dental services, skilled nursing services) as well as non-medical services (i.e. respite, case management, environmental modifications). HCBS includes Group Day Habilitation Services, Supervised IRA, and Residential Habilitation Services(At home). Provide long-term habilitative services, such as medical, physical therapy, speech therapy, rehabilitation counseling, etc. Provide housing and related services. Provide for the development, implementation, and monitoring of a person's individualized service plan. Comprised of other programs including LGU Administration, demonstration projects, and other programs indirectly affecting consumers. Definition Revenue Sources Medicaid A jointly-funded, Federal, State and County health insurance program for certain low-income people. Also includes revenue associated with COPS and CSP initiatives. Medicare A health insurance program for people 65 years of age and older and some disabled people under 65 years of age. 3rd Party Includes the self-insured and group health care programs administered by third party agencies. Deficit Funding State, County & Voluntary support pursuant to Mental Hygiene Law Art and Misc. Revenue Other program Income (i.e. SSI/SSA, Participant Fees, State/Federal Grants, Article 28 DSH) Provider Subsidy Difference between Eligible Expense and Income. Usually supported with exempt income, fund raising or non-mental hygiene revenue. Other Definitions: Eligible Expense Income COPs DSH CSP Those expenditures incurred in accordance with approved budget, reasonable and necessary for provision of service. Funds available from any source as payment for costs associated with provision of services. Comprehensive Programs - promulgated as a result of the savings initiative enacted in State budget which replaces State and local aid with Medicaid in eligible outpatient mental health programs. Disproportionate Share - promulgated as a result of the savings initiative enacted in State budget which replaces State and local aid with DSH funding in Article 28 voluntary hospitals. Community Support Programs - promulgated as a result of savings initiative enacted in budget which replaces State and local aid with Medicaid in community support programs.