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Prepared by VisualResearch, Inc. 10/17/08, 804.794.3144 1 Virginia Department of Health Professions Core Competency: Board Performance Measured October.

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Presentation on theme: "Prepared by VisualResearch, Inc. 10/17/08, 804.794.3144 1 Virginia Department of Health Professions Core Competency: Board Performance Measured October."— Presentation transcript:

1 Prepared by VisualResearch, Inc. 10/17/08, Virginia Department of Health Professions Core Competency: Board Performance Measured October 22, 2008 Neal Kauder, President, VisualResearch, Inc.

2 Prepared by VisualResearch, Inc. 10/17/08, Two Major Projects Underway 1.Agency-wide Performance Measurement 2.Sanctioning Reference Points (SRPs)

3 Prepared by VisualResearch, Inc. 10/17/08,

4 4 Agency-wide Performance Measurement

5 Prepared by VisualResearch, Inc. 10/17/08, Agency-wide Performance Measurement

6 Prepared by VisualResearch, Inc. 10/17/08, Agency-wide Performance Measurement

7 Prepared by VisualResearch, Inc. 10/17/08, Agency-wide Performance Measurement

8 Prepared by VisualResearch, Inc. 10/17/08, Agency-wide Performance Measurement

9 Prepared by VisualResearch, Inc. 10/17/08, Data will be interactively visual and accessible (downloadable in Excel) Board of Medicine Agency-wide Performance Measurement

10 Prepared by VisualResearch, Inc. 10/17/08, Data will be interactively visual and accessible (downloadable in Excel) PDF file linked to Excel files that automatically open – we can implement in the short-term, quickly (L2K reporting to come....) All files on a shared drive – accessible by many or restricted access A “dashboard” approach Management can gauge performance in a paperless, easy to understand visual format. Can also print on PC printers if desired. Agency-wide Performance Measurement

11 Prepared by VisualResearch, Inc. 10/17/08, Other Performance measure work: Narrowing case category codes for more valid and reliable recording of patient care vs. non-patient case 2 KPM measures by stage – enforcement vs. board Recommendations related to old case standards Examining impact of new agency policies on performance Recidivism concept to be explored as an internal management tool Agency-wide Performance Measurement

12 Prepared by VisualResearch, Inc. 10/17/08, Recidivism as possible internal management measure... Multiple measures of recidivism possible Measure which respondents return after a violation and sanction are handed down How long to recidivate, and for what type of “case” – similar to original case? Agency-wide Performance Measurement

13 Prepared by VisualResearch, Inc. 10/17/08, Purpose “…to provide an empirical, systematic analysis of board sanctions for offenses and, based upon this systematic analysis, to derive reference points for board members and an educational tool for respondents and the public” Virginia Board of Health Professions, Work plan, Spring 2001 Sanctioning Reference Points

14 Prepared by VisualResearch, Inc. 10/17/08, SRPs are: Data driven, historically based worksheets that assess factors that predict sanction outcomes Factors include those board members and staff indicate are important Designed so similarly situated respondents receive similar sanctions Designed to be modified as history changes, not static Voluntary; reasons for departing are recorded Sanctioning Reference Points

15 Prepared by VisualResearch, Inc. 10/17/08, Medicine sample worksheet Adopted August 2004 Sparrow Sanctioning Reference Points

16 Prepared by VisualResearch, Inc. 10/17/08, * * November 6 th, 2008 – Veterinary Board will be considering adjusting SRP worksheet to include CE as possible sanction at the lowest thresholds. This is consistent with other boards more recent practice as well. SRP Agreement Rates (through October 1, 2008) Sanctioning Reference Points

17 Prepared by VisualResearch, Inc. 10/17/08, SRP Example of Departure Reasons Cited Mitigating (less harsh than SRP result): Isolated incident Closing practice/ No longer practicing No patient involvement Sincerity/ Remorse Corrective action take Actions were not the cause of injury Aggravating (more harsh than SRP result): Drug Abuse/ Diversion No call/ No show Repeat SOC issues Sexual abuse with patient harm Severity of allegation Denial of addiction problem Multiple allegations Failed drug screens Sanctioning Reference Points

18 Prepared by VisualResearch, Inc. 10/17/08, Optometry was the first Board to incorporate CCAs into the SRP system... Sanctioning Reference Points

19 Prepared by VisualResearch, Inc. 10/17/08, Sanctioning Reference Points

20 Prepared by VisualResearch, Inc. 10/17/08, Remaining Boards: Behavioral sciences Psychology and Social Work have approved draft WS Meeting with Counseling Nov. 14 Move forward to draft SRP manual Train Board members and staff on use Physical Therapy, Long-Term Care, Audiology & Speech Pathology Reviewed limited number of cases Interviewed board members that hear cases Preparing draft data collection instrument Collect data, draft worksheet Sanctioning Reference Points

21 Prepared by VisualResearch, Inc. 10/17/08, Evaluating the Effectiveness of Sanctioning Reference Points Primary Outcomes 1.Consistency 2.Proportionality 3.Neutrality 4.Board and staff satisfaction Secondary Outcomes: 1.Transferability of SRP system 2.Case processing time 3.Violation, CCA, or Consent Order rates change Possible outcomes to measure: Sanctioning Reference Points

22 Prepared by VisualResearch, Inc. 10/17/08, That’s all! Questions or comments?


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