Exhibit I Quarterly Data Report.xlsx

XLSX spreadsheet 13 KB Posted

Attached to
Master Agreement AZ|CTR064201
Contract number
CTR064201
Issued by
Arizona

About this file

This document is a Quarterly Data Report template (Exhibit I) designed for tracking performance metrics for a government service contract. The template is structured to capture monthly and quarterly data across multiple operational categories, with spaces to record details for an unspecified agency and contract number. The document appears to be a standardized reporting form dated September 22, 2015, intended to track detailed performance indicators such as client services, staffing, appointments, reports, court testimony, and unusual incidents.

The template is comprehensive, featuring sections for tracking quantitative metrics including number of clients referred and served, staff changes, scheduled and completed appointments, report submissions, court testimony, and incident reporting. However, in this specific document, all numerical fields are populated with zeros, suggesting it is a blank template rather than a completed report. The form is designed to provide a structured method for an organization to document and report its service delivery performance on a quarterly basis, with granular tracking of key performance indicators across different operational domains.

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Text version

Quarterly Data Report

EXHIBIT D
QUARTERLY DATA REPORTContract Year
AGENCY NAME:
CONTRACT #:
CONTACT NAME AND INFO:
JanuaryFebruaryMarchEOQ TotalsAprilMayJuneEOQ TotalsJulyAugustSeptemberEOQ TotalsOctoberNovemberDecemberEOY Totals
INQUIRIES AND ORIENTATIONS
Number of clients referred0000000000000000
Number of clients served0000000000000000
Number of clients provided culturally relevant, gender responsive and linguistically appropriate service.0000000000000000
STAFFING
Beginning Number of staff0000000000000000
New staff licensed each month (+)0000000000000000
Specialists/Consultants utlized (+)0000000000000000
Staff Terminated (voluntary or involuntary) (-)0000000000000000
Total Case Files0000000000000000
APPOINTMENTS
Number of Scheduled appointments0000000000000000
Number of No Contact (referrals)0000000000000000
Number of completed appointments0000000000000000
REPORTS
Number of Reports completed0000000000000000
Number of written reports submitted within fifteen (15) days0000000000000000
Number of new individual treatment plans within 30 day0000000000000000
Number of Treatment Plans updated0000000000000000
Court Testimony
Number of Court Testimony request0000000000000000
Number of Court Testimony attended0000000000000000
Number of Court Testimony attended on time0000000000000000
UNUSUAL INCIDENTS
Number of Unusual Incident Reports (UIR)0000000000000000
Number of Unusual Incident reports submitted to appropriate Department within 24 hours of incident0000000000000000

9/22/2015

File details come from the government source that posted it. Updated .