Transcript Slide 1
The TINS Project: Growing Talents, Interests and Natural Supports Using Rapid Cycle Process Improvement A Culturally Competent & Participatory Change Model Jennifer Parmalee, Dir of Children & Youth Services Onondaga County [email protected] Mat Roosa Dir of Planning and QI Onondaga County mroosa@@ongov.net Tashia Thomas Dir of Cultural and Linguistic Competence On Care tthomas @ccsi.org Judith Hight Dir of CQI On Care [email protected] Background: Community providers trained in Wraparound Talents, Interests, Natural Supports (TINS) not found in service plans. Focus on Waiver ◦ If they can do it… ◦ Rich data ◦ Early adopters Don’t Pull the Weeds… Plant The Seeds. Onondaga County Over 450,000 residents Syracuse, NY, Pop: 139,000 250 miles northwest of NYC Community Profile: Onondaga County 4% City of Syracuse 3% 8% White 11% 5% Black White Hispanic 29% Asian Black Hispanic 56% Asian 81% Waiver Profile: Onondaga County City of Syracuse White 13% 25% White 0% 30% 3% Asian Bi-Racial Black Hispanic Black Hispanic 23% 31% 0% Asian 6% Bi-Racial 25% Rapid Cycle Process Improvement PDSA Pre-Change Steps STEP 1: Choosing a Goal STEP 2: Choosing a Change STEP 3: Planning to Measure Progress Change Steps STEP 4: Plan the Change STEP 5: Do the Change STEP 6: Study the Results Step 8: Multiple PDSA Cycles (as needed) STEP 7: Act on the Data & Lessons Learned For more info: www.NIATx.net www.ihi.org Post-Change Steps STEP 9: Sustaining the Change STEP 10: Spreading the Change Adapted from *Langley, et al *NIATX workbook *IHI System of Care & Rapid Cycle PI Values Alignment Family Driven & Youth Guided Participatory & Inclusive Culturally and Linguistically Competent Includes recipients and ground level staff in the development of change projects A grass roots, bottom up model that engages all key stake holders A team-based approach TINS & Cultural & Linguistic Competence:Values Alignment TINS aligns with the family. TINS Focuses on the youth’s/family’s definition of success, based on culture, values, interests, strengths. TINS pushes worker to seek to understand, value, and partner with natural supports, as defined by the youth/family. Outcomes-Results of Waiver TINS project: Evidence of TINS 100% 100% 88% 93% 80% 60% 40% 20% 1% 0% 2010 2011 Percent of plans that have TINS in Assessment 100% Percent of Goals/Objectives w/ TINS listed Outcomes-Results of Waiver TINS project: cont. Met Goal at Discharge 67% 60% 47% 40% 39% 20% 0% 2009 2010 * Represents approx $160,000 in annual savings from 2010 to 2011 2011 Future plans TINS project, Round 2 More than just waiver Including youth and families in change teams From contemplation to action: (TINS not only in service plans, but in objectives and goals) Low cost/No cost Building internal capacity Jennifer Parmalee, Dir of Children & Youth Services Onondaga County [email protected] Mat Roosa Dir of Planning and QI Onondaga County mroosa@@ongov.net Tashia Thomas Dir of Cultural and Linguistic Competence On Care tthomas @ccsi.org Judith Hight Dir of CQI On Care [email protected]