1. Quality assurance for community-based service provision Bojana Rozman, API ASSOCIATION FOR PROMOTING INCLUSION

2. Where is the discussion on quality going? SHIFT FROM Basic assurances and compliance in services TO Personal Outcomes Measures

3. Organizational values: Respect Choice Ownership Support Opportunity

4. Quality assurance measures focus on the responsiveness of the service to the needs and interests of the child/person supported examine to what degree service providers use the inclusive approach in service provision identify areas for future improvement in service delivery

5. What do we measure? Fundamental Assurances Quality of Life Quality of Service

6. Fundamental Assurances services must have fundamental assurances in place before service is provided. assurances support the health, safety and welfare of children and the provision of quality services not Assurances are not quality measures

7. What is Quality? Who Defines Quality? Professional Consensus? Funders or Regulators? Consumers of Services?

8. Quality for the person means… Exercising rights Having Choice and control over ones life Having Relationships Community participation

9. How do we define quality of service? service responsiveness to the unique needs and choices of each child/person.

10. Quality of Care Focus Quality of Life Focus Perspective ProviderPerson in his/her natural network Interest ProcessOutcomes Content Management of care systems Support and its effects on a personal life Typical criteria for Evaluation Efficiency, cost- effectiveness, planning, consumer satisfaction Long term value-based outcomes on inclusion, personal development and self determination Structures Actual care systems only need improvement Support needs to serve a persons case, even if this means that alternative structures have to be found Schalock (2005)

11. Quality in Service Focuses on Outcome and Supports Outcome for the Person = Quality of Life An Individualized Support for the Persons Outcome = Quality of Service

12. Quality and Fundamental Assurances Fundamental Assurances Health, Safety & Welfare Contract Compliance Review Place Based Indicators Person Quality Indicators Choice, control and decision making Quality/Quality Improvement