Continuous Quality Improvement: Our Desired State

1
Continuous Quality Improvement Our Desired State

• The Vision for Continuous Quality Improvement
  (CQI)

2
CQI What it isnt and what it is

• CQI is not a time limited project or initiative.
  It is the ongoing process by which an agency
  makes decisions and evaluates its progress.
• A framework for implementation Casey Family
  Programs NRCOI

3
6 Key Components to Sustaining CQI Using
Continuous Quality Improvement to Improve Child
Welfare Practice A Framework for Implementation
(Casey Family Programs NRCOI)

• Organizational culture supports and actively
  promotes CQI.
• The agency adopts specific outcomes, indicators,
  and practice standards that are grounded in the
  agencys values and principles.
• Agency leaders, staff, children, youth, families,
  and stakeholders receive training in the specific
  skills and abilities needed to participate
  actively in CQI.

4
6 Key Components to Sustaining CQI Using
Continuous Quality Improvement to Improve Child
Welfare Practice A Framework for Implementation
(Casey Family Programs NRCOI) (continued)

• Agencies collect qualitative and quantitative
  data and information from and about children,
  youth, families, and staff.
• Staff, children, youth, families, and
  stakeholders review, analyze, and interpret
  qualitative and quantitative data to inform
  agency practices, policies, and programs.
• Agencies use CQI results to improve policies,
  practices, and programs.

5
Mission and Vision

• Increase Safety
• Reduce Reliance on Out-of-Home Care
• Improve Permanency
• Increase Well-Being of Children, Youth and
  Families

6
A Framework for Leading and Sustaining Change

• Whos driving change in a County-Administered,
  State-Supervised Child Welfare system?
• A locally-driven improvement process
• A state system designed to support and enhance an
  agencys (private or public) ability to improve
  child and family outcomes

7
A Framework for Leading and Sustaining Change
(continued)

• Shared process
• Focus on outcomes
• Shifting from compliance to quality
• Making connections

8
Phases of CQI
9
A Closer Look at Monitoring Quality Service
Reviews

• History and background
• Differences from round one QSR
• County experience

10
CQI Implementation Next Steps

• Revisions to PA QSR tool, training, and process
  Jan Sept 2010
• Phased implementation of CQI across the
  Commonwealth beginning October 2010
  (approximately 6-8 counties per phase)
• Phase One includes Allegheny, Butler,
  Lackawanna, Philadelphia, Venango, and York
  counties.
• Upon completion of phase, each county will
  internally drive all 4 phases of CQI, including
  an internally lead QSR each year