Determination of Out of the Box Performance Measures

  1. A. Number of Clients Served at the provider level = a + b where:

    a= Total number of clients on all Service Invoice Line Items/Roster Line Items that are related to the provider

    b= Total number of clients on all 'Active' placement records for the provider for all the provider offerings which are paid based on placement.

    B. Number of Clients Served for a service= a + b where:

    a= Total number of clients on all Service Invoice Line Items/Roster Line Items, for the service.

    b= Total number of clients on all 'Active' placement records for the provider service which is paid based on placement.

  2. Number of Incidents = Total number of 'Open' and 'Closed' incidents against the provider.
  3. Number of Investigations = Total number of investigations against the provider.
  4. Value of a performance measure that is dependent on service evaluation is determined as follows:

    a. If the Output for the performance measure is 'Percentage', Actual Value = (number of service delivery evaluations that have outcome set to 'Success' for the provider or provider service/total number of service delivery evaluations for that provider or provider service)*100.

    b. If the Output of the performance measure is set to 'Number', Actual Value = number of service delivery evaluations that have outcome set to 'Success' for the provider or provider service, wherein the outcome is that determined for the set of service evaluation criteria defined for the performance measure.

  5. Rate of achievement of successful outcomes= (number of service deliveries for the provider/ provider service that have Outcome Achieved set to 'Attained'/number of service deliveries for the provider/provider service that have Outcome Achieved set to either 'Attained' or 'Not Attained')*100.
  6. Average cost per successful outcome achieved for a provider/provider service= Total cost of payments made against all service deliveries for the provider or provider service/number of service deliveries for the provider or provider service for which outcome is 'attained'.
  7. Number of Incidents Requiring Investigations = Total number of 'Closed' incidents against the provider which has a closure reason of "Referred for Investigation".
  8. A. Total Cost of Services Delivered for the provider= a+b where

    a =Total Payments against all service invoice line items/roster line items/Flat Rate Contract for the provider

    b =Total Payments against all the placement records for the provider for all the provider offerings which are paid based on placement.

    B. Total Cost of Services Delivered for a service = a+b where

    a =Total Payments against all service invoice line items/roster line items/Flat Rate Contract for the provider service

    b =Total Payments against all the placement records for that service.

  9. Flat-rate Contract Payment = Total Payments against all flat-rate contracts for the provider or provider service.
  10. A. Utilization Contract Payments for a provider = Total payments, against all the service invoice line items/roster line items, for the overlapping period between the contract and the service invoice line items/roster line items for the provider for all the provider offerings included on the contract + Total payments, against all placements for the provider and all the provider offerings included on the contract which are paid based on placement, for the overlapping period between the contract and the placements.

    B. Utilization Contract Payments for a service = Total payments, against all the service invoice line items/roster line items, for the overlapping period between the contract and the service invoice line items/roster line items for the provider service + Total payments, against all placements for the provider service included on the contract which are paid based on placement, for the overlapping period between the contract and the placements.

  11. A. Total number of units delivered = a+b where

    a=Total number of units on all the 'Complete' service invoice line items and/or roster line items for the provider

    b=The duration of the placement in days so far on all the 'Active' placement records for all the provider offerings which is paid based on placement for the period and the units of measure for which is 'place' for the provider.

    B. Total number of units delivered = a + b where

    a=Total number of units on all the 'Complete' service invoice line item and/or roster line items for the provider service

    b=The duration of the placement in days so far on all the 'Active' placement records for the provider service which is paid based on placement for the period and the units of measure for which is 'place'.

  12. Average Cost Per Unit of Service = (A)+(B)/(C)+(D) where:

    (A) =Total Payments against all service invoice line items/roster line items/Flat Rate Contract for the provider offering

    (B)=Total Payments against all the placement records for the provider offering which is paid based on placement

    (C)=Total number of units on all 'Complete' service invoice line items/roster line items for the provider offering

    (D)=The duration of the placement in days so far on all the placement records for the provider offering which is paid based on placement for the period and the units of measure for which is 'place'.