CQI Reviewer Training Power Point
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Transcript CQI Reviewer Training Power Point
CONTINUOUS
QUALITY
IMPROVEMENT
(CQI)
CQI Case Review Training Rev 7/11
CQI is a standard of practice
designed to achieve the
following…
Assure each child and family member receives
the most effective and best quality services
Provide necessary feedback for design and
delivery of services
Identify needs for training, policy
development, and system improvements
Assure services meet state and federal
standards
CQI Case Review Training Rev 7/11
Overview of CQI
Components
CQI Case Review Training Rev 7/11
INTERNAL REVIEW
EXTERNAL REVIEW
CASE REVIEW
CQI Case Review Training Rev 7/11
INTERNAL REVIEW
FOCUS reports
90-day Concurrent Planning Reviews
27-day reviews (Region 3)
Case staffings/Supervisory reviews
FOCUS alerts
Fatality reviews
CQI Case Review Training Rev 7/11
EXTERNAL REVIEW
5 year Comprehensive Child and
Family Services Plan/Annual Report
Input/feedback from community
partners
Judicial reviews
Title IV-E Plan
Constituent complaints
CQI Case Review Training Rev 7/11
CASE REVIEW
Standardized (federal) instrument
Random sampling of cases
Reviewer teams
Mandatory training for reviewers
Second level reviewer
Immediate worker feedback
Interviews
Line staff and sups as reviewers
CQI Case Review Training Rev 7/11
Case Review Team
Regional Chief(s) of Social
Work
Case Reviewers
Community partners such as Casey
Family Programs, University
Partners, KCS panel members
Second Level Reviewers
CQI Case Review Training Rev 7/11
CASE SELECTION
CQI Case Review Training Rev 7/11
Only open cases will be reviewed
Half of the cases will be in- home
cases, open for at least 60 days
Half of the cases will be children
in out-of-home placement
Reviewers will use information
from FOCUS and the nonelectronic case file
CQI Case Review Training Rev 7/11
CQI Case Review Toolkit
Case Rating Form
(electronic or hard copy)
Case Rating Summary
Examples of questions
for interviews
Rating tip sheets
CQI Case Review Training Rev 7/11
Before the Review
Training is mandatory!!!
Be familiar with the case review
instrument.
Arrange coverage for your
cases.
Get a good night’s rest when
possible.
CQI Case Review Training Rev 7/11
During the Review
Manage your time effectively
Eat healthy and regularly to stay sharp
Complete one case before going on to
another when possible
Leave your “stickies” on – they are only
removed by second level reviewers
CQI Case Review Training Rev 7/11
During the Review
Re-check your work before submitting
for second level review
Be prepared to work early and late
Practice the Principles of Partnership
During the case review, ratings will be
collected as they are completed.
Be sure to complete the strengths,
weaknesses, systemic and training issues
CQI Case Review Training Rev 7/11
After the Review
You may be able to leave the
review when cleared by the
second level reviewer
Information about cases is to be
shared only on a “need to know”
basis.
CQI Case Review Training Rev 7/11
INTERVIEWS
CQI Case Review Training Rev 7/11
What to ask in interviews
How involved in case planning
Frequency and quality of worker
visits
Needs identified and services to
address those needs provided
Respected, listened to, valued
Fill in spots where info is missing
See Interview question tip sheet
for additional suggestions.
CQI Case Review Training Rev 7/11
Time to Practice
CQI Case Review Training Rev 7/11
SAFETY
OUTCOME S1: Children are first and
foremost protected from CA/N
ITEM
1 – Timeliness of Investigation
ITEM
2 – Recurrence of Maltreatment
CQI Case Review Training Rev 7/11
SAFETY
OUTCOME S2: Children are safety
maintained in their home whenever possible
ITEM
3 – In-home services to prevent
removal
ITEM
4 – Risk of Harm
CQI Case Review Training Rev 7/11
CQI Case Review Training Rev 7/11
Permanency
OUTCOME P1: Children have permanency
and stability in living situation
Item 5 – Foster care re-entry
Item 6 – Placement stability
Item 7 – Permanency goal for child
Item 8 – Reunification or guardianship
Item 9 - Adoption
Item 10 – Other Planned Permanent Living
Arrangement
CQI Case Review Training Rev 7/11
Permanency
OUTCOME P2: The continuity of family
relationships and connections is preserved
Item11 – Proximity of placement
Item 12 – Placement with siblings
Item 13 – Visiting with parents and sibs
Item 14 – Preserving connections
Item 15 – Relative placement
Item 16 – Relationship of child in care with
parents.
CQI Case Review Training Rev 7/11
CQI Case Review Training Rev 7/11
Well-Being
OUTCOME WB 1: Families have enhanced
capacity to provide for their children’s
needs
Item 17 – Needs and services
Item 18 – Child and family involvement in
case planning
Item 19 – Caseworker visits with child
Item 20 – Caseworker visits with parents
CQI Case Review Training Rev 7/11
CQI Case Review Training Rev 7/11
Well-Being
OUTCOME WB 2: Children receive
services to meet educational needs
Item
child
21 – Educational needs of the
CQI Case Review Training Rev 7/11
Well-Being
OUTCOME WB 3: Children receive
services to meet physical and mental
health needs
Item
22 – Physical health of the child
Item
23 – Mental/behavioral health of
the child
CQI Case Review Training Rev 7/11
Results
When all case reviews are completed, the
review team will enter the data from the
summaries onto an Excel spreadsheet so
that results will be available immediately.
They will also review and summarize the
Strengths, Areas Needing Improvement,
Systemic and Training Issues identified
by the reviewers.
CQI Case Review Training Rev 7/11
Feedback to Social Worker
and Supervisor
CQI Case Review Training Rev 7/11
Case reviewers will provide feedback to
the social worker whose case has been
reviewed together with the worker’s
supervisor.
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Providing effective
feedback
Maintain a strength based
perspective – what was done right?
What is working?
Be kind, firm, and courageous in giving
feedback
Being as specific as possible is always
the most useful feedback
CQI Case Review Training Rev 7/11
CQI Exit Meeting
PURPOSE of the exit meeting is to give
feedback to the region on the results of
their case review.
WHO should attend? All regional staff
including supervisory and management
staff, case reviewers when possible,
second level reviewers and anyone else who
may be interested
CQI Case Review Training Rev 7/11
WHAT - Regional Chief of Social
Work will present a summary of
findings to the group including
identified strengths, systemic issues,
areas needing improvement and
training issues.
CQI Case Review Training Rev 7/11
Following the case
review
The regional management team will review
the results including the practice
strengths, ANI’s, and systemic issues as a
group. They will also review other sources
of data related to issues found in the case
review. All together, this information
should lead to a discussion of improvement
planning.
CQI Case Review Training Rev 7/11
Continuous Quality Improvement
Monitor Plan
Implement Plan
Measure change
Plan Development
Establish baseline
Evaluate Practice
Improvement and
Outcome
Achievement
Assessment and
Data Analysis
Re-assess
CQI Case Review Training Rev 7/11
You have completed
your training….
CQI Case Review Training Rev 7/11
and
CQI Case Review Training Rev 7/11