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 REPORT | Contract Year | |||||||||||||||
| AGENCY NAME: | ||||||||||||||||
| CONTRACT #: | ||||||||||||||||
| CONTACT NAME AND INFO: | ||||||||||||||||
| January | February | March | EOQ Totals | April | May | June | EOQ Totals | July | August | September | EOQ Totals | October | November | December | EOY Totals | |
| INQUIRIES AND ORIENTATIONS | ||||||||||||||||
| Number of clients referred | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Number of clients served | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Number of clients provided culturally relevant, gender responsive and linguistically appropriate service. | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| STAFFING | ||||||||||||||||
| Beginning Number of staff | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| New staff licensed each month (+) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Specialists/Consultants utlized (+) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Staff Terminated (voluntary or involuntary) (-) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Total Case Files | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| APPOINTMENTS | ||||||||||||||||
| Number of Scheduled appointments | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Number of No Contact (referrals) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Number of completed appointments | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| REPORTS | ||||||||||||||||
| Number of Reports completed | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Number of written reports submitted within fifteen (15) days | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Number of new individual treatment plans within 30 day | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Number of Treatment Plans updated | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Court Testimony | ||||||||||||||||
| Number of Court Testimony request | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Number of Court Testimony attended | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Number of Court Testimony attended on time | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| UNUSUAL INCIDENTS | ||||||||||||||||
| Number of Unusual Incident Reports (UIR) | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| Number of Unusual Incident reports submitted to appropriate Department within 24 hours of incident | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
9/22/2015
File details come from the government source that posted it. Updated .