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]