1. County Name Next Steps Meeting and Licensing Exit Conference

2. Next Steps Meeting /Licensing Exit Conference Purpose: The Next Steps Meeting is designed to be a starting point for the county’s efforts to begin the CQI process of developing an action plan for enhancing case practice and system performance.

3. Continuous Quality Improvement (CQI) Effort Mission: “Pennsylvania’s Continuous Quality Improvement (CQI) effort is the vehicle that will sustain positive change for our child/youth and family outcomes...”

4. Compliance Quality Defining quality practice is a key component in shifting PA’s quality improvement efforts beyond compliance based requirements. If quality practice is not defined, it is too easy to fall back into a compliance based way of evaluating practice. “True CQI goes beyond basic compliance and focuses on continuous learning about practice and outcomes” (Casey Family Programs, 2005).

5. Key Components of CQI Effort Quality Service Review (QSR) and Licensing Review ◦ On-site Review – Case Reviews, Focus Groups, Exit Conference ◦ Licensing Review ◦ Next Steps Meeting Establishment of a County’s “Sponsor Team” and “Improvement Team(s)” County Improvement Plan (CIP) Technical Assistance (TA) Collaborative

6. Quality Service Review (QSR) On-site Review: Case Reviews In-depth review of small sample of cases - interviews with family team members Immediate feedback to caseworkers & supervisors on case-specific findings Oral presentations of QSR case-specific findings (team debriefings) Written Case Review Summaries Focus Groups and Key Stakeholder Interviews Exit Conference Final Report

7. Licensing Review Review focused on themes of: Safety Assessment and Monitoring; Family Engagement Practice; Family Service Planning; Casework Visitation with Family; Permanency Activities; Placement Settings; Fostering Connection Activities; and Shared Case Responsibility

8. Period Under Review Quality Service Review Period Under Review Dates Licensing Period Under Review Dates

9. Case Sample QSR # In-Home # Out-of-Home 1 Shared Responsibility Case Licensing Add Sample Size for each category (type and # of cases reviewed)

10. Areas of Strength QSRLicensing

11. Opportunities for Growth QSRLicensing

12. Sponsor Team and Improvement Team(s) Sponsor Team: ◦ Provides high-level oversight; ◦ Assures resources; and ◦ Sets expectations of the county’s continuous quality improvement efforts Improvement Team(s): ◦ Initiate and manage continuous improvement efforts and maintain hands-on responsibility for continuous improvement efforts

13. Plan of Correction 1. Who is Going to do What 2. When will it be Done by 3. How is it going to be Monitored

14. Statewide TA Collaborative A cohesive group of Technical Assistance providers who work in collaboration with child welfare agencies to improve outcomes for children, youth, and families.

15. County-Specific TA Collaborative Collaborative members which could include: OCYF Regional Office SWAN CWRC ABA AOPC

16. Questions/Discussion/Next Steps… Questions Discussion Next Steps:

17. Thank you for coming today and for all you do for the children, youth and families served by County Name CYS/DHS!