Quality Improvement Committee January 8, 2019
Welcome and Introductions Erin Leveton, Deputy Director, Quality Assurance & Performance Management Administration
What do you think of when you hear the word “quality”?
Highlights from December’s QIC Meeting
Identifying Success: • Improve DDS policies and procedures through data, research, and employment of best practices to ultimately improve the quality of life for the people we serve. • Gain greater participation from different parts of DDS • Review and implement more best practices from a state-wide perspective • Have data-driven results • Review quality metrics from various departments • Establish appropriate data points to collect and link to MCIS • Look at larger areas of concern for DDS • Provide an opportunity for people outside of DDS to share their perspectives • Share the right level of information timely • Commit to studying a problem, creating potential solutions, and evaluating success of solutions
Goal Purpose Inputs/Resources Activities Outputs Short-Term Intermediate Long-Term Outcomes Outcomes Outcomes • Current • Reformat QIC • Define • Establish a full • Integrate more • Increase Develop Understand committee QIC’s role participants meeting to members committee stakeholders utility of • Templates from structures and scope integrate deep hip with a into meetings meetings • Strategic • Diversified • Open existing dives and best subcommittee • Invite more committees practices outreach committee meetings to • DDS • Assign roles (i.e. for new participants to membership the public stakeholder note taker) members the committee lists and hip existing meetings • Current • Create a priority • Thorough • Identify Plan agenda To create for year outcomes participants list of activities implemen committee • Senior ahead as a result tation goals for each of leadership plan meeting • New committee activity participants • Current • Look at an • Establish • Conduct a • Recommenda Clarify data Direct points for practice for participants emerging appropriate minimum of 1 tions to • Ask for data or review the agency systemic data points to focused study improve that informs reports that challenge and review and solution quality based • Create a data- policy reflect goals brainstorm project on data • Demonstrate analysis of data ways to mitigate driven forum review and • National Data with data and impact on the best practices • Identify the (i.e. NCI) policy people we • MCIS, Pro, serve changes that System 7 the QIC has • NASDDDs list facilitated serve • PCR data
Measuring Success: Measurement Quantity # Quality % • Scorecard/tool review with 80% • Policies and procedures reviewed successful completion Effort by QIC • Stakeholders consulted for study • Focused study launched development Measurement Quantity # Quality % • People served reporting • Staff/providers referring to improvement in services (not policies/procedures Effects increased monitoring) • Staff and relevant partners report • Staff and relevant partners recognize being informed of study results study results
Resources: Need: • Membership representative from each DDS unit • Media specialist • Timely and responsive staff • Interactive database to manage projects (i.e. basecamp) • Interns • Identifying data extracts related or complimentary to deep dives Have: • Access to subject matter experts (internal and external) • Statistical analysis • Clinical expertise • Regarding PCR data; this includes identifying where providers are successful and what areas they are less successful (including ISP implementation)
Proposed Yearly Calendar Month February March April May June July August September October November December January Q1 Q2 Q3 Q4 Significant Significant Significant Significant Trends in Trends in Trends in Trends in Q1 Q1 Q2 Q3 Q3 Q4 Q4 Incidents Incidents Annual PCR Incidents Incidents Quarterly HCR Quarterly Quarterly HCR Quarterly HCR Report for Report for Report Report for Report for PCR Report Summaries PCR Report PCR Report Summaries PCR Report Summaries Individuals Individuals Individuals Individuals and and and and Providers Providers Providers Providers Report Names Q1 Q2 Q3 Q4 Significant Significant Significant Significant Q1 Q3 Q4 Trends Q1 SC Trends Q2 SC Q2 Trends Q3 SC Trends Q4 SC Medication Medication Medication Identified in Monitoring Identified in Monitoring HCR Identified in Monitoring Identified in Monitoring Errors Errors Errors the DDS Tools Trends the DDS Tools Trends Summaries the DDS Tools Trends the DDS Tools Trends Report Report Report Licensing Licensing Licensing Licensing Report Report Report Report NCI Deep CMS NCI Deep Q2 NCI Deep Dive - People NCI Deep Measures - Dive - Medication Annual NCI Dive - on Dive - Annual Quality of Errors Report Transition Psychotropic Employment Review Services Report Age Group Medications
NCI Deep Dive Topics Category NCI Topic People With Self Injurious Behavior - What does NCI Data Tell us about their Characteristics and Self - Injurious Behavior Outcomes Receiving Services Characteristics and Outcomes of Young Adults With ID/DD Receiving Services Does Area Median Income Predict Obesity Rates Among U.S. Adults with Intellectual and Obesity Rates Developmental Disabilities Working in the Community - The Status and Outcomes of People with IDD in Integrated Employment Employment What NCI Data Reveal About Service Delivery and the Respect Given to the Rights of People With Quality of Services I/DD What do NCI data tell us about the racial and ethnic differences in demographics and in healthcare Racial and Ethnic Differences utilization experienced by adults with intellectual and developmental disabilities? Dual Diagnosis What does NCI tell us about people with dual diagnosis? What does NCI tell us about adults with intellectual and developmental disabilities who are taking Psych Meds prescribed medications for anxiety, behavior challenges, mood disorders or psychotic disorders? Workforce Stability Snapshot of Direct support Workforce Challenges in the United States Introduction to NCI Who are Adults with IDD Requiring Behavioral Supports? Medication use in adults with ID/DD Living in Community Homes and State Efforts to Reduce Overuse of Medication Overuse Vote on Top 4: Receiving Services, Employment, Quality of Services, Psych Meds
Discussion of MRC Recommendations Marc Clark, Mortality Review Coordinator, Quality Unit
Behavioral Support Plan Introduction Dr. Yolanda Van Horn Dr. Casey Nelson Tiffani Johnson
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