Agenda - 02-23-1981 - Laserfiche WebLink

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III. EVALUATION Family Planning Performance evaluation for the Orange County Health Department's Fan Planning Program, as documented by the performance evaluation reports of fiscal year 1979-1980 and fiscal year 1980-1981,continues to show a disappointing decrease in new participants in the program; decrease in tc persons receiving medical family planning services and total family planr medical visits. These indicators of course also affect the number of tc active patients. This latter number is therefore reported as less than t projected. However, the Health Department's target population for servic patients aged nineteen or less is on line with the expected performance a shows a definite increase in this age group's participation in the progra from the previous fiscal year. The patient continuation rate is 67%; the standard, 75%. During the first quarter of this current fiscal year, there have bee major disruptions in the clerical support provided to Orange County's Fain ° Planning Program. This is evidenced by the fact that the path flow from Orange County to the regional office has, on several occasions, been two, months behind. For one month of this fiscal year, in fact, no data at al was received until weeks after the expected submission dates. Our Staff': internal chart reviews have also determined that visit records are often in the chart and not forwarded at all to Raleigh. This of course results patient visits that are performed but never counted. Since the basis of i figures on the Performance Report are the visit records submitted to the State office of the Family Planning Program, it is clear that our first qt figures are under reported. Another major concern of staff has been the recent stringent enforcers of Orange County School District's policy not to allow students to leave school premises without parental permission. This has resulted in decreae clinic attendance from especially the Junior High and Middle Schools popu) Orange County initiated a major reorganization of family planning ste facilitate quelity assurance for the program and its activities; to attemT monitor and assure accurate, TIMELY data flow; and to initiate programmati changes with the aim of improved performance. Joyce Bulger, P. H. N. II has been given the responsibility for coordinating these activities. Through her leadership and with staff supp and participation the following actions have been taken: 1. Written policies and procedures for Family Planning Services have been reviewed and revised. 2. Two Family Planning Staff Meetings have been held to acquaint all staf with policies, procedures and expectations. • 3. Individual chart review is performed by clinical manager at the conclu: of each clinic session to assure adherence to protocols, accuracy and • timeliness of data flow. 4. Clinical indicator audits for documentation of rubella titer immunity, Family Planning counseling sessions, and follow-up of Class III Pap Sn performed by nursing supervisor as forwarded to regional office. , 5. Corrective actions by use of action plans initiated with staff to assur adequate follow-up of audit evaluations.