1. Office of Developmental Programs Quality Assessment & Improvement for HCBS Services SELF ASSESSMENTS
June 23, 2017  11:00 AM
June 26, 2017  1:00 PM
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2. WELCOME!
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3. Everyday Lives: Values in Action
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4. ODP Goals for QA&I
Measure progress toward systems improvement based on Everyday Lives: Values in Action ISAC recommendations
Gather timely & useable data to manage the ODP system performance
Use data to manage the service delivery system with a continuous quality approach
Demonstrate AE outcomes with operating agreement
Collect data for Waiver performance measures
Prepare SCOs and Providers to comply with 6100 regulations
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5. QA&I Review Cycle
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6. Self Assessment
AEs, SCOs and Providers are expected to conduct a self-assessment of their performance annually*
The focus is on the provision of services and supports to individuals based on key quality metrics and implementation of “Everyday Lives: Values in Action”
The self-assessment tool will mirror the QA&I tool so that a snapshot of performance is obtained prior to the onsite review
Subsequently, the self-assessment will be used to inform and build quality improvement activities for the remainder of the QA&I cycle for each entity
* For 2017, Self Assessments are due August 31
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7. Self Assessment & Review Cycle
Full Review
Interim Review
Self Assessment
Desk Review
Onsite Review
Comprehensive Report
Corrective Action & Quality Improvement
Technical Assistance
Self Assessment
Corrective Action & Quality Improvement
Technical Assistance
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8. QA&I Questions Tied to Everyday Lives: Values in Action
Focus on determining the individual’s experience with services and supports
Emphasis on:
Quality Improvement
Person Centered Planning
Person Centered Service Delivery
Person Centered Outcomes
Health & Safety
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9. QA&I Exploratory Questions
Series of questions related to ODP selected priorities for improvement
Opportunity for AEs, SCOs and Providers to prepare for expectations related to the new regulations or priorities for improvement
Opportunity for ODP to learn where service community is in need of technical assistance or growth
Promote the adoption of promising practices
Information gathered from exploratory questions will be used to promote quality and form the basis for QM planning
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10. QA&I Tools – Review & Example Questions
Focus areas: Quality Improvement; Person Centered Planning, Service Delivery & Outcomes; Health & Safety
Individual’s experience of the system through interviews
AE Tool – 68 Questions (Header + Sub-questions)
EXAMPLE: Annual ISP (Annual Review Update) approved and authorized within 365 days of the prior Annual ISP.
SCO Tool – 90 Questions
EXAMPLE: The SC incorporates risk mitigation strategies into the plan.
Provider Tool – 48 Questions
EXAMPLE: Staff receive training to meet the needs of the individual they support as identified in the current, approved Individual Support Plan (ISP) before providing services to the individual.
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11. Self Assessment Sampling
All entities will pull their own sample
The self assessment sample must include 1% of individuals served with a minimum of 5 and a maximum of 10 individuals
The sample will include:
A cross-section of individuals served
Funding/program types
Locations
Types of services
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12. Self Assessment Database Entry
All self-assessments will be completed electronically
AEs will complete self assessments using the AE Database
Only four required demographic fields for the sample:
Last Name
First Name
Region
Sample Date
Status designation in the AE Database will indicate successful electronic submission of the self assessment
SCOs and Providers will complete self assessments using QuestionPro
Upon successful electronic submission of the self assessment, a confirmation will be generated
Providers are expected to forward the self assessment confirmation to the Assigned AE
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13. Advice for Answering Self Assessment Questions
Use the source documentation and guidance to know how to best interpret the question
Submit a response for each question
Keep in mind that self assessments are submitted electronically
Use this as a tool to honestly evaluate your organization’s performance
What are you really doing well?
Where do you really need improvement?
Use the self assessment opportunity to get a head start with onsite preparation and interim year improvement activities – don’t wait!
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14. QUESTIONS
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15. ODP QA&I Process Mailbox: RA-PWQAIProcess@pa.gov
ODP Contact Information
ODP QA&I Process Mailbox:
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16. (Please complete the evaluation poll before exiting the webinar.)
THANK YOU!
(Please complete the evaluation poll before exiting the webinar.)
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