Transcript Continuous Quality Improvement (CQI)

STATEWIDE CQI
Partnering to
Improve
Practice &
Outcomes
CQI VISION
 Establish an integrated statewide CQI structure that strengthens
the linkages between existing elements.
 Support the continued shift from a focus on Quality Assurance to
a holistic CQI approach.
 Fully engage public and private agencies in collaboration with
child welfare stakeholders and system partners in improvement
efforts.
 Provide data that is accessible and meaningful to child welfare
professionals in a variety of roles (practitioners, supervisors,
agency leaders, and courts) in order to inform decisions about
practice improvement.
 Sustain a culture of learning and improvement.
CQI: GOAL 1 OF THE CFSP
Objectives:
Ohio will strengthen its
child welfare statewide
Continuous Quality
Improvement (CQI)
system to drive practice
improvement resulting in
better outcomes for the
safety, permanency and
well-being of Ohio’s
children and families.
 Fur ther develop Ohio’s
statewide CQI infrastructure.
 Increase accessibility of
SACWIS data and improve data
integrity to suppor t CQI
activities.
 Fur ther integrate CQI into
Ohio’s Technical Assistance and
CPOE Review Processes.
 Apply CQI principles to improve
casework practice and
super vision.
 Implement innovative and
evidence-based or evidence informed child welfare practices
to improve safety, permanency
and well-being outcomes for
children and families.
PLANNED ACTIVITIES:
CQI FOUNDATION
CQI
InformationSharing
Platform
Expanded
CQI Advisory
Team
Written
Statewide
CQI
Framework
Updated and
UserFriendly
Data
PLANNED ACTIVITIES:
CQI ENHANCEMENTS
Improve data
entry and
integrity
through
integration of
SACWIS in
select OCWTP
trainings.
Establish CQI
Coaching
services
through
OCWTP.
Improve interrater
reliability
among CPOE
reviewers.
Develop and
pilot test a
multi-county
or regional
Peer Review
Process.
PLANNED ACTIVITIES:
PRACTICE IMPROVEMENT THROUGH CQI
Innovative
Practices
Focus on
CAPMIS
Fidelity to DR
Practice
Profiles
CQI & OHIO’S DIFFERENTIAL RESPONSE
PRACTICE PROFILES
 Provides a fully operational practice model (encompasses
both pathways – AR & TR)
 Sets behavioral, measureable and observable practice
expectations
 Increases our ability to achieve consistency among
practitioners
 Facilitates development of ef fective training protocols,
coaching strategies and fidelity assessments
 Helps assure that outcomes can be accurately interpreted
 Promotes continuous improvement strategies and data-driven
decision making
PRACTICE PROFILES EXAMPLE:
ENGAGING
Engaging: Effectively joining with the family to establish common goals concerning
child safety, well-being and permanency.
Ideal
Developmental
Unacceptable
Actively involves children
and parents or caregivers in
all aspects of the case by
using activities such as
scaling, life circles,
genograms, strengths and
needs exercises and
pointing out to the family
what is going well. Uses
these techniques with
family members individually
or together (e.g., child and
parent together) as
appropriate to the case
situation.
Uses engagement activities
or strategies inconsistently
throughout the life of the
case.
Avoids interactions with the
family; does not involve
family members in
assessment, case planning,
decision making or service
plan implementation. Does
not discuss progress or
point out family strengths.
WORKER SKILL SETS PROFILED
Engaging
Assessing
Partnering
Planning
Implementing
Evaluating
Advocating
Demonstrating Cultural &
Diversity Competence
Communicating
Collaborating
PRACTICE PROFILES CQI TOOLS
Currently in development or
envisioned:
 Caseworker Self- Assessment
Tools
 Supervisor Field Observation
Protocol & Checklist
 Supervisory Coaching Tools
 CQI Tools for Agency Leaders:
 Case Review Tool
 Implementation Quality Assessment
 Statewide Practice Fidelity
Measures
 Are these the right CQI activities
to help us impact outcomes for
children and families?
 What are we missing?
 What items in the plan could
have the most impact?
 What do we need to be cautious
about as we implement the plan?
HOW ARE WE
DOING SO
FAR?
Thank you for
participating
in the
conversation
today!
CONTACT INFORMATION
Carla Carpenter, MSSW
Bureau Chief, Federal and State Child Welfare Initiatives
Ohio Department of Job and Family Services
Of fice of Families and Children
P.O. Box 183204
Columbus, OH 43218-3204
614.752.0656
[email protected]