Exhibit 24 - Monthly Reports.xlsx
XLSX spreadsheet 22 KB Posted
- Solicitation number
- BPM055260
- Issued by
- Baltimore City, Maryland
About this file
This document is a monthly reporting template for the Department of Public Defense Services (DPDS) Substance Use Disorder Treatment Services (Pre-Trial) program under Solicitation #BPM055260. The template establishes standardized reporting requirements for five facilities: BCBIC, CDF, MTC, YDC, and MRDCC. The monthly report captures comprehensive performance metrics including admissions, census data, treatment slot utilization, discharge outcomes, completion rates, urinalysis testing results, and staff roster information. Additionally, the template requires documentation of direct and indirect service hours, psychological referrals, Treatment Completion Units (TCUs) and Treatment Action Plans (TAPs) completed, non-programming days, peer recovery specialist referrals, and declined treatment cases. Each facility must submit detailed data on staffing levels, positions, full-time equivalent (FTE) allocations, and associated costs monthly.
The reporting structure includes a Monthly Facility Staffing Schedule that tracks required versus filled FTEs and hours by clinical position, with calculations for cost to achieve 100 percent staffing compliance. The template also requires monthly treatment lists documenting participant information including name, identification numbers, program assignment, institution, treatment dates, and assigned counselor details. Peer Recovery Specialist Referral Reports and Declined Treatment Reports provide supplemental tracking for participant engagement and treatment acceptance. The document does not contain pricing information, set-asides, funding amounts, or contract term details, as it functions solely as a reporting framework to monitor operational performance and resource utilization across the five substance use disorder treatment facilities serving pre-trial populations.
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Text version
End of Month Report
| DPDS - Substance Use Disorder Treatment Services (Pre-Trial) | ||||||
| Solicitation #: BPM055260 | ||||||
| Exhibit 24. Monthly Reports | ||||||
| End of Month Report | ||||||
| BCBIC | CDF | MTC | YDC | MRDCC | Total | |
| Performance Criteria | ||||||
| # Admissions | ||||||
| Highest Monthly Census | ||||||
| Average Daily Census | ||||||
| Treatment slot utilization | ||||||
| # Total Discharges | ||||||
| # Unsuccessful Discharges | ||||||
| Reasons for Unsuccessful Discharges | ||||||
| % Non-Compliant/Therapeutic Discharges | ||||||
| # Total Completions | ||||||
| % Completions | ||||||
| Cycle Completion Rate (How many were originally admitted to the completing cycle vs. how many actually completed) | n/a | n/a | n/a | n/a | n/a | |
| Total # of Urinalysis tests performed | ||||||
| Total # Positive Urinalysis Tests | ||||||
| Staff Roster | ||||||
| Current staffing | ||||||
| % Staffing | ||||||
| Year to date staff turnover % | 0% | 0% | 0% | |||
| Projected Direct Service Hours (This number is calculated by (avg. daily census) X (# of Progr. Days in Month Mon - Fri) X (3 Direct hrs.) | ||||||
| Actual Direct Service Hours | ||||||
| Projected Indirect Service Hours (This number is calculated by (avg. daily census) X (# of Days in Month) X (9 Indirect hrs.) | 0 | 0 | 0 | 0 | 0 | |
| Actual Indirect Service Hours | ||||||
| Number of referrals to Psych | ||||||
| Total TCU's Completed | 0 | 0 | 0 | 0 | 0 | |
| Total TAP's Completed | 0 | 0 | 0 | 0 | 0 | |
| # of Nonprogramming days |
MFSS
| DPDS - Substance Use Disorder Treatment Services (Pre-Trial) |
| Solicitation #: BPM055260 |
| Exhibit 24. Monthly Reports |
| Monthly Facility Staffing Schedule MFSS | ||||||||||||
| Month | Facility | Clinical Position | Required FTEs | Filled FTEs | FTE Var. | Required Hours | Filled Hours | Hours Difference | % Hours Filled | Less than 96% | Hourly Rate | Cost to Fill to 100% |
Monthly Treatment List
| DPDS- Substance Use Disorder Treatment Services (Pre-Trial) | ||||||||
| Solicitation #: BPM055260 | ||||||||
| Exhibit 24. Monthly Reports | ||||||||
| Monthly Treatment List Submissions | ||||||||
| Last Name | First Name | DOC Number | Program | Institution | Treatment Start Date | Treatment Completion Date | Discharge Date | Counselor/Vendor |
Peer Recovery Referrals
| DPDS - Substance Use Disorder Treatment Services (Pre-Trial) |
| Solicitation #: BPM055260 |
| Exhibit 24. Monthly Reports |
Peer Recovery Specialist Referral Report
| Month: |
| FROM: |
REFERENCE: Referrals to Peer Recovery Specialist
Last Name First Name SID # Facility Date Counselor Name Comments
Declined Treatment Reort
| DPDS - Substance Use Disorder Treatment Services (Pre-Trial) |
| Solicitation #: BPM055260 |
| Exhibit 24. Monthly Reports |
Declined Treatment Report
| Month: |
| FROM: |
REFERENCE: Declined Treatment Consent
Last Name First Name SID # Facility Date Counselor Name Comments
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