1. Child Welfare TQM Workshop
Florida Department of Children and Families Office of Quality Management
Child Welfare TQM Workshop
Analysis
Performance Management Staff
Mary Gallagher Merlin Roulhac
Ronnie Evans Marcia Dukes
Verita Glanton Bob Howard
Angie Stackhouse Coleman Zuber

2. OBJECTIVE
Analyze the problem to identify and verify its primary root causes

3. CHECKPOINTS Cause and effect analysis was taken to the root level.
Potential causes most likely to have the greatest impact on the problem were selected.
A relationship between the root causes and the problem was verified with data.
The impact of each root cause on the gap was determined.

4. FISHBONE (ISHIKAWA) DIAGRAM
CAUSE & EFFECT DIAGRAM
FISHBONE (ISHIKAWA) DIAGRAM
People
Equipment
Parents uninvolved in case plans
Problem Statement
Counselor does not engage parents
Of children reunified during January-March 2006 only 65.8% were reunified in 12 months, a gap of 10.2% below the federal and statewide target of 76%, denying children timely permanency.
Counselor lacks skills for engagement
Lack of Training
Process
Environment
Lack of periodic permanency progress review
Lack of awareness of best practice
Here is what a “Fishbone” (or Ishikawa) Diagram looks like.
Lack of standardization
Source Box
Who: M. Dukes
Where: Xyz
When: 4/30/06

5. Mouse in Cheese MOUSE IN HOUSE SCREEN DOOR OPEN PUT CAT OUT,
WHY?
MOUSE IN HOUSE
WHY?
SCREEN DOOR OPEN
WHY?
PUT CAT OUT,
LEFT SCREEN OPEN
SOLOUTION?
SCREEN WITH
SPRING LATCH

6. Source Box
Who: M. Dukes
Where: Xyz
When: 4/30/06