1. County Name Next Steps Meeting and Licensing Exit Conference Date

2. Next Steps Meeting/ Licensing Exit Conference Purpose: The Next Steps Meeting is designed to be a starting point for the county’s efforts to begin the CQI process of developing an action plan for enhancing case practice and system performance. Purpose of Licensing Exit Conference:

3. Continuous Quality Improvement (CQI) Effort Mission: “Pennsylvania’s Continuous Quality Improvement (CQI) effort is the vehicle that will sustain positive change for our child/youth and family outcomes...”

4. Compliance Quality Defining quality practice is a key component in shifting PA’s quality improvement efforts beyond compliance based requirements. If quality practice is not defined, it is too easy to fall back into a compliance based way of evaluating practice. “True CQI goes beyond basic compliance and focuses on continuous learning about practice and outcomes” (Casey Family Programs, 2005).

5. Key Components of CQI Effort Quality Service Review (QSR) and Licensing Review ◦ Onsite Review – Case Reviews, Focus Groups, Exit Conference ◦ Licensing Review ◦ Next Steps Meeting Establishment of a County’s “Sponsor Team” and “Improvement Team(s)” County Improvement Plan (CIP) Technical Assistance (TA) Collaborative

6. Quality Service Review (QSR) Onsite Review: Case Reviews In-depth review of small sample of cases - interviews with family team members Rating 23 indicators and providing rating rationale Oral presentations of QSR case-specific findings (team debriefings) Immediate feedback to caseworkers & supervisors on case-specific findings Focus Groups and Key Stakeholder Interviews Exit Conference Final Report

7. Licensing Review Review focused on themes of: Safety Assessment and Monitoring; Family Engagement Practice; Family Service Planning; Casework Visitation with Family; Permanency Activities; Placement Settings; Fostering Connection Activities; and Shared Case Responsibility

8. Period Under Review Quality Service Review Period Under Review Dates Licensing Period Under Review Dates

9. Case Sample QSR # In-Home # Out-of-Home Licensing Add Sample Size for each category (type and # of cases reviewed)

10. Areas of Strength QSRLicensing

11. Opportunities for Growth QSRLicensing

12. Sponsor Team and Improvement Team(s) Sponsor Team: ◦ Provides high-level oversight; ◦ Assures resources; and ◦ Sets expectations of the county’s continuous quality improvement efforts Improvement Team(s): ◦ Initiate and manage continuous improvement efforts and maintain hands-on responsibility for continuous improvement efforts

13. Plan of Correction 1. Who is Going to do What 2. When will it be Done by 3. How is it going to be Monitored

14. County Improvement Plan (CIP) The County Improvement Plan (CIP) outlines the priorities the County agency chooses to focus on to improve specific outcomes as a result of a comprehensive review of their practice. This review is not limited to the QSR findings, and may also include a review of additional data such as the County data packages provided by the State, quantitative measures produced by the county, as well as the results of other qualitative data.

15. Statewide TA Collaborative A cohesive group of Technical Assistance providers who work in collaboration with child welfare agencies to improve outcomes for children, youth, and families.

16. County-Specific TA Collaborative Collaborative members which could include: OCYF Regional Office SWAN CWRC ABA AOPC

17. Questions/Discussion/Next Steps… Questions Discussion Next Steps: Sponsor Team will meet County Improvement Plan will be developed and submitted in 120 days from the last day of the onsite QSR Improvement teams will take action and monitor the work outlined in the County Improvement Plan

18. Thank you for coming today and for all you do for the children, youth and families served by County Name CYS/DHS!