Life Enrichment Center Performance Measurement Plan 2019 - 2023

Category Objective Measure Applied To Data Source Gathered Goal Annual Extenuating or
& Frequency By Result Influencing
Factors
90% Goal
90 % of the persons served will achieve All persons served Met Due to COVID in 2020, goals
Provide services that meet the Quality 2019- 100%
their individualized service goals from 7-1-19 to 10% Progress were either suspended or
desires and needs of persons DDP Quarterly and Enhancement 2020- 100%
established during ISP. 6-30-23 made discontinued due to
served. Annual Review Officer 2021- TBD
____________________________ ______________ _________ sheltering in place and
_______________________ _____________ ____________
individuals with
All Persons compromised immune
Persons served in the Creative Person served in the community Contracts & Performing Arts 3 new systems.
Performing Arts program will increase Participating in CE performance
Expressions Program will show Agreements Coordinator ______________________
Performing Arts Lockerly, Kudzu,
case their talents in a variety of their opportunities for community Reviewed venues
Participant Results

Program Community
Effectiveness

community venues. performances by one (1) a year over the Quarterly secured by CE Spring 2020 concert was
_______________ Baptist
next three (3) years. 6-30-23 cancelled due to COVID.
______________________________ _____________ _________ CEC Fall 2020 Concert was
_____________
Something Spruced Artist and/or Black 3 new artist 2019 Oconee pre-recorded and presented
Agreements and Visual Arts
& White Gallery photographers will venues Artist Exhibit @ via ZOOM.
Partnerships Coordinator
increase their opportunity to showcase Current Something secured by Allied Arts- CEC Spring and Fall 2021
and sell their work in one (1) new venue Spruced Artist and 6-30-23 Photography concert was performed live
Annual Review at New City Church at the
a year over the next three 3 years. B&W Gallery 2020- Cancelled
Mill. See flyers for details
Photographers 2021 “The Vault” _______________________
Baseline: Deeproots Festival 2019 photography The following events were
Annually, No limits Art Show 2018 opening @ cancelled in 2020 due to
Biennial, GAWD Annually 2019, Black Lockerly COVID: Deeproots, No
and White Gallery Blackbird Cafe 2018 See Something Limits, GAWD and Black and
Biennial White Gallery
Spruced Annual
Report for all
2021-Deeproots cancelled
results

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Life Enrichment Center Performance Measurement Plan 2019 - 2023
2019 – No new August 2020, DBHDD cut
Provide services in a timely Individuals who Region 2 has approved All applicants Individual Service Quality consumers state funding to 5 of the

Performance
individuals we serve her at
Efficiency

manner for services and who have received their awarded funding as Plan Records Enhancement Ongoing 2020- (3) all
the LEC. Staff has worked
System
Prior Authorization letter will be notified noted in prior Officer notified w/in
diligently with families and
within 24hrs and begin transitioning approval letter. 24hrs
the division to get their
into services 2021 (1) New funds reinstated. As 10/21,
enrollment & 3 has received Medicaid
3 re-enrollments waiver funding.

Category Objective Measure Applied To Data Source & Gathered Goal Annual Extenuating or
Frequency By Result Influencing
Factors
Participant Results

Persons Served living in their 2019-2020 2020 COVID Pandemic

natural homes will be afforded March forced the LEC to not
All persons served Tracking Sheet Direct Care 100%
Access

opportunities for extended 100% of reasonable request for early allow early drop off but
living in their (Daily)
service hours to accommodate drop off and late pickup will be still affords individuals
natural home. (7) Early Drop
early drop-off and late pick-up; ac2019commodated. late pick up.
offs
not to exceed 7:15 am drop-off - (4) Late pick
4:00pm pick-up. ups
Persons
Served

Persons served will be given All persons served Annual ISP ISP Coordinator 100% 2019- 100%
100% of consumers input will be COVID has impacted
input into their daily activities to Quarterly Reviews Activity Director 2020- 100%
incorporated into their day-to-day everyone in some form or
ensure satisfaction with services Daily Tracking DDP 2021- TBD
activities and services. fashion.
Satisfaction

and a person-centered approach. sheets Direct Care Staff

Community Partnership

Georgia College Department of GCSU Interns Handshake Spring, GCSU Career 85% rating of 2019-2021 COVID forced the LEC to
Community Health and Exercise 85% of the students rate the LEC very Summer and Fall Center Very Good to (15) interns provide internship
Science student interns are good to outstanding in overall Internship Surveys Outstanding 100% experiences from in-
satisfied with the level of support impression of internship site and satisfaction person to a technology
and commitment the LEC gives to supervision. driven approach from
their partnership. March of 2020 until
Spring 2021

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Life Enrichment Center Performance Measurement Plan 2019 - 2023

Category Objective Measure Applied To Data Source & Gathered Goal Annual Extenuating or
Frequency By Result Influencing Factors
1) All staff receive competency-
based training when hired as
well as annual training. Annual
training was impacted by
COVID during 2020. Staff
1) Training received COVID Health & Safety
1) Evidence of completion of 2019 – 100%
competency-based training. Protocols training at the time
Staff Retention and Competence

2020 – 85% of Center reopening or as they

Staff is adequately trained and has 2) Evidence that employee All Personnel and Personnel Records Business Office
returned to work during 2020.
required credentials. educational achievements meet Contract Personnel Manager 100% Staff receive ongoing training in
2) Education
Effectiveness

Trained and effective staff will be hired
and retained.
contractual and LEC minimum
requirements.
Staff members will remain at the
agency and turnover rate will be
low.
(Annually and at Hire) Medication & Protocols for
100%
each individual served. CPI, CPR
and defensive driver training is
provided as needed.
2) Verification is obtained for
all educational degrees when
required for the position.
All Personnel Personnel Records Business Office Turnover Turnover rate for DSP’s is
Manager ≤ 25% Rate typically very high; 51.3% in
2019 – 31% 2018.* We actively seek to
(Annually) Turnover
improve this by offering more
2020 – 85%
competitive pay and benefits.
However, due to the financial
impact of COVID, there are no
available resources to

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Life Enrichment Center Performance Measurement Plan 2019 - 2023
implement this.
Due to the impact of COVID,
and the necessary reduction in
the number of participants
receiving services, a drastic
reduction in staff was required
in 2020.
Staff members will know how to Personnel Training All staff receive competency-
Individuals served will be free from based training in recognizing
prevent, detect and report Records Business Office
abuse, neglect, mistreatment and 100% and reporting abuse and
allegations of abuse, neglect, All Personnel Manager 100% neglect of Individuals with
exploitation.
mistreatment and exploitation. Post Training Tests I/DD.

March 2020 resulted in a

major reduction of force
that required all remaining
Health &
Critical Incident Reports
Health and Safety

staff to take on the

1) Staff Members are trained in Safety
and analyses responsibilities of the full
Services are provided in a manner that health and safety procedures. Coordinator, 2019-2020
Staff Training Records program. Informal staff
supports the health, safety and welfare 2) Critical incidents are reviewed Health & 100%
Safety Committee Goal: meetings were held multiple
of persons/families served. and include corrective action All Services Safety 2021 TBD
Minutes 100% times per week to evaluate
and/or prevention of recurrent Committee,
(Quarterly) and address any and all
incidents. QDDP
health and safety issues
resulting from COVID and
ensuring compliance with
CDC.
Quality Assurance Quality
Internal quality assurance reviews
All records of Reports Enhancement
System Performance

are conducted on person served

Programs and Services are reviewed for persons served __________________ Officer No finding in
records
quality by internal and external _______________ Financial Audits or __________ 100% audits 2019-
systems. External quality assurance All LEC Financial Reports Business 2021
reviews Annual Result in zero Records Operations
findings. (Annually) Director
Agency risk is low for incidence of Overall Risk Assessment is Overall Agency Annual Risk Assessment Business 100% 2019-2021
Efficien

potential events that threaten the maintained as low risk. Incident Reports Operations No claims
cy

stability of the organization. Insurance Claims Director

(Annually)

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Life Enrichment Center Performance Measurement Plan 2019 - 2023
Expenses are managed consistent with
revenue to maintain fiscal
responsibility.
Employees will effectively utilize
technology and other resources in the
Employees
Due to the COVID Pandemic,
the LEC’s revenue and
A budget is prepared annually in Quality expenses have both been
order to project an estimation of Enhancement unpredictable and unreliable.
revenue and expenses. It is Monthly and year-end Officer We sought and received PPP
All Programs and
reevaluated each month to financial statements. __________ 85% loans and developed
Services LEC@Home to provide satellite
identify issues before they occur (Annually) Business
and to review and revise as Operations services to those sheltering in
needed. Director place. In addition, we have
written grants, held fundraisers
and received donations.
Appropriate technology and All employees of Technology Support Compliance 100% The LEC strives to provide
resources will be available to The LEC Plan for Business with Tech tech support and resources

performance of their jobs. assist employees in their jobs. Employee Operations Plan for all staff to perform daily
(Annually) Director documentation and log into
____________ 85% run programs through LEC.
Executive Satisfaction
Director

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Life Enrichment Center Performance Measurement Plan 2019 - 2023
March 2020 resulted in a
major reduction of force
that required all remaining
staff to take on the
responsibilities of the full
program. Informal staff
meetings were held multiple
times per week to evaluate
and address these new
challenges. These staff
members maintained their
Employees are satisfied in their job roles and responsibilities
placement. Individuals who Region 2 within the organization to
has approved for services and who have Business Office the best of their ability even
Satisfaction

received their Prior Authorization letter 2019 -2023 Employee

Employee rating 85 % of the
will be notified within 24hrs and begin
employees surveyed will indicate
transitioning into services
overall satisfaction with job.
Manager amid tremendous stress and
All employees of Satisfaction Survey 2019 -Goal
___________ pressures outside of work
The LEC (Annually) 85% met
Executive life, including such things as
Director personal health failures,
unexpected loss of family,
fear of contracting COVID-
19, and actually contracting
the disease. All of this
brought the staff closer
together as a unit, and
support for each other was
prevalent in day-to-day
operations, decreasing the
appropriate need for staff
surveys to understand how
they feel about the
business.