Office of Developmental Programs Quality Assessment & Improvement for HCBS Services SELF ASSESSMENTS June 23, 2017  11:00 AM June 26, 2017  1:00 PM 11/10/2018

WELCOME! 11/10/2018

Everyday Lives: Values in Action 11/10/2018

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 11/10/2018

QA&I Review Cycle 11/10/2018

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 11/10/2018

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 11/10/2018

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 11/10/2018

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 11/10/2018

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. 11/10/2018

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 11/10/2018

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 email will be generated Providers are expected to forward the self assessment confirmation email to the Assigned AE 11/10/2018

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! 11/10/2018

QUESTIONS 11/10/2018

ODP QA&I Process Mailbox: RA-PWQAIProcess@pa.gov ODP Contact Information ODP QA&I Process Mailbox: RA-PWQAIProcess@pa.gov 11/10/2018

(Please complete the evaluation poll before exiting the webinar.) THANK YOU! (Please complete the evaluation poll before exiting the webinar.) 11/10/2018