1. Linking Faith and Service
Mission
Linking Faith and Service
Vision
A bridge to a brighter future through lifelong learning
Core Values
Learning as a focus across all Glade Run’s programs as evidenced by:
Discerning the strengths and cultures of families
Emotional and behavioral management to facilitate academic achievement
Innovative learning opportunities for staff, children and families
Program excellence and positive impacts as evidenced by:
Partnerships with families to understand their needs and achieve success at home and in the community
Data that indicates successful outcomes for individuals and families
Improved academic performance
High satisfaction ratings
A welcoming culture
Working with individuals and families in the most appropriate setting available
Work environments that thrive on the seven commitments of sanctuary
Our Christian foundation
Reports/Open Communication
The Director of Quality and Compliance is a direct link to the Quality Council (EMT) – report progress, findings, etc.
The role of the QI Department will be to support the Champions and Quality Improvement Teams.
Champions will complete a quarterly report/update on the progress of the QI measure to QI Director and Quality Council.
Quality Initiatives
Champion (s) will be assigned to each quality initiative.
Quality Improvement Teams will be created for each quality initiative – consisting of staff with the expertise, skills and knowledge needed.
The Quality and Compliance Director is a support to all Quality Improvement Teams for support and guidance of quality initiatives.

2. QUALITY COUNCIL (EMT) Program Excellence Through Lifelong Learning
EMG consists of EMT, EPT, and EST. The implementation and leadership of the Continuous Quality Improvement initiatives is the responsibility of the EMG.
EMT: Oversees program excellence and strategic growth
EPT: Implements the strategic goals established by the EMT while ensuring program excellence and compliance
EST: Provides support for the EMT and EPT to achieve program excellence and strategic growth
Program Excellence Through Lifelong Learning
Quality Initiatives Impact Statement; The end result of the Quality Initiative
Life Long Learning: Staff,
families/individuals and other professionals gain
knowledge and competence through training and skill
attainment
Family Partnership:
Families feel empowered
in the decision making
process and express a
sense of connectedness to supportive networks
Academic Excellence:
The learning environment
at St. Stephen’s Lutheran
Academy reflects academic
excellence and an Accountable, Safe and Kind environment
Individualization/
Generalization:
families/individuals
learn and practice skills
that will transfer to their
unique home and
community
settings
Evidence Based Practices: Program excellence is achieved with the training and utilization of evidence based practices
Goals and Action Steps to Achieve Outcome/Impact
Quality Initiative Measurement Tools
Quarterly Summary/Follow-up

3. Lifelong Learning Champion Nickole Pribozie
Staff, families/individuals and other professionals gain knowledge and competence through training and skill attainment
Goals and Action steps to Achieve Outcome/Impact
Quality Initiative Measurement Tools.
Develop career tracks for all job classifications
2. Assess, prioritize and evaluate training needs for staff, individuals families and other professionals
3. Educate and train employees and supervisors regarding career tracks.
4. Design web-based trainings
5. Develop professional skill evaluation checklists
Establishment of learning goals for employees
1. Training records will identify the completion of career track trainings.
2. Quarterly training effectiveness survey’s
2. New hire surveys initial and at first quarter
4. Google analytics will be used to evaluate utilization of web-based trainings.
5. Clinical case review evaluations/checklists
5. Skill evaluation checklists
5. Exit interviews/ Review and revise to include skill development
Retention rates
Parent survey
PAS audits reviews

4. Measurement Tool Responsible Person Frequency
Review training records for career track completion
Nickole Pribozie
Quarterly (Oct, Jan, April, July)
Training effectiveness surveys
Training Needs survey
Semi-Annually
Clinical Case Review evaluations
Program Managers/supervisors
90 days and Annually
Retention Rates
Tina Lynch
Semi-Annually (Sept, March)

5. Quarterly summary/follow up
Life Long Learning
105 Training Assessment needs have been completed. This is a six Question survey to identify training needs by position. This data is currently being evaluated to help assist in the continued development of Career Tracks.
70 Training Evaluation surveys have been completed. The surveys are administered after new hire training and then again at the quarterly basis. The survey is an eight question survey that evaluates the employees skill confidence to job duties and an evaluation of the effectiveness of the trainer to deliver the material in a way that the employee is able to relate the training to skill development and job preparedness.
Average score of 4.27 on the Question I feel the training provided me new knowledge or insight.
Average score of 4.67 on the question “I feel confident that I have the knowledge and skills to be able to use what I learned in my work”
Average score of 4.59 on the question “Overall, this training will help me do my job well.”
Five new trainings created by Glade Run have been added to Essential Learning (Residential 3800 regulations, Child Psychomarmacology, Sanctuary module 3 and 4, welcoming environment and HIPAA security.)

6. Quarterly summary/follow up
Life Long Learning
Six career tracks have been developed
Direct care – includes TSS, MHW’s, Teaching Assistants, Adventures staff
Therapist – MHP, BSC, Mobile therapists
Clinical Supervision
Leadership
Support Staff
Case Management
New Trainings developed
Progress note training utilizing DAP format. (56 have attended)
BHRS Redesign
Sanctuary Modules
Alolescent and Autism
CAASP principles
Suicide Prevention
Orientation and Training Surveys

7. Training Survey’s 81 4.28% 76 4.38% 4.63% 4.53% 4.64% 4.47% Q 1
Overall Score Q2
I feel confident that I have the knowledge and skills to be able to use what I learned in my job 81
4.28% 76
4.38%
I feel the training provided me new knowledge and insight
4.63%
4.53%
Overall, this training will help me do my job well
4.64%
4.47%

8. New Hire Campus Orientation Survey
1st Q
Agree
Strongly Agree
2nd Q
Strongly
Employee orientation has increased my excitement about working at Glade Run 4
25%
75% 8
12.5%
I have a clear understanding of the history of Glade Run
37.50%
62.5%
I understand how the values of Glade Run impact the work that we do
87.5%
I am familiar with the services provided by Glade Run
50%
I have a basic understanding of the sanctuary model
37.5%
I know where to learn more about any of the topics covered
I feel welcomed by Glade Run
100%

9. Community New Hire Orientation survey
1st Q
Agree
Strongly Agree
2nd Q
Strongly
Employee orientation has increased my excitement about working at Glade Run 3
33.33%
66.67% 2
100%
I have a clear understanding of the history of Glade Run
I understand how the values of Glade Run impact the work that we do
I am familiar with the services provided by Glade Run
50%
I have a basic understanding of the sanctuary model
I know where to learn more about any of the topics covered
I feel welcomed by Glade Run

10. Family Partnership Champion Leslie Walter
Families/Individuals feel empowered in the decision making process and express a sense of connectedness to supportive networks
Goals and Action steps to Achieve Outcome/Impact
Quality Initiative Measurement Tools
Grow the Glade Run Family network data base
Increase decision making and participation of families in
agency events/activities
family partnership support will increase visibility and continue communicating their role in glade run culture
Family advisory counsel continues to grow and become involved in decision making and planning.
Review the number and percentage of active participants in the Glade Run Family Network Database
Review family participation/voice in treatment plans, progress notes and ISPT and treatment plan signature pages
Training records
Review advisory counsel minutes.
3, 6, 9 month aftercare calls
Family satisfaction surveys
Database communication form.

11. Measurement tool
Person responsible
Frequency
Advisory Counsel Minutes
Leslie Walter
Quarterly
Review Family Network database
Family satisfaction Surveys
TBD
Review Treatment plans, progress notes, signature pages
Ruth Girton
10% records quarterly
3, 6, 9 month after care calls
Monthly, Quarterly summary

12. Quarterly summary/follow up Family Partnership
Quarterly summary/follow up Family Partnership/First Quarter
To Date there are 147 families entered into the data base..
97% would like to receive updates on family/community events
76% would like to become more involved and share their voice and experience with us.
78% would like information on how to connect with other families
53% would like to be connected to spiritual and/or other supports within the community
93% would like to receive the Glade Run newsletter, The Bridge.
Parent satisfaction surveys are in final stages. The survey is complete just working out the process for administration, frequency and person responsible.

13. Family Partnership/2nd Quarter Update
Advisory Counsel meeting quarterly and have added 5 new members.
Continue to bring sanctuary to meetings and to our families
Working on how to bring the families together. Several families did help on the family survey
Working with Training Department to develop and deliver the training.
Finalized Family Satisfaction Survey’s. Sent out approximately 2000, and have received back more than 10%, good representation among all program areas.
Working with families to find out what trainings they would like to have. Identified behavior management and parenting skills as first focus based on survey feedback.
Changed the way we do medication sheets for therapeutic leaves based on feedback from a family member through the survey.
Utilization of e-blast to share stores, events, themes, resources etc.
Still working on how to show family engagement with the agency. There has been a recent culture change to include families in events such as Marthen’s and Reiber’s cottage families events, positive parenting in Beaver Falls and the Jeremiah Village community information sharing meetings.

14. Quarterly summary/follow up Family Partnership

17. Family Satisfaction Survey - Sanctuary

21. Academic Achievement Champion Amy Williams
The learning environment at St. Stephens’ Lutheran Academy reflects academic excellence and an Accountable, Safe and Kind environment
Goals and Action steps to Achieve Outcome/Impact
Quality Initiative Measurement Tools
85% attendance Rate
Grades will improve school wide
Major incidents will decrease (Acts of violence, self injurious behavior, awol, restraint, police involvement, psychiatric hospitalization)
Students will demonstrate increased proficiency in reading comprehension and math
Implement the CBITS
Classroom Engagement
Attendance Records
School wide grade reports
Positive Behavior Support Assessment; Incident Report review; ASK points
Aims-WEB reports
CBITS evaluation tools
Walk through observation/evaluation cards
Goal Attainment Scale Leadership groups
Teacher and teacher Aid staff retention
Staff, student, parent, school district surveys

22. Education Measurement Tool Person Responsible Frequency
Attendance Records
Jayme Glover
9 week intervals and end of school year
School wide grades
9 week interval and end of school year
PBIS
Keenon McGaughey
Semi-annually
Walk thru engagement cards
Amy Williams, Keenon,McGaughey Ruth Girton, Beth Hines
10 per month
Student, family surveys
TBD
ASK points
Incident report review
Quarterly

23. Quarterly summary/follow up
Education observation/evaluation cards
Observed to a high degree
Observed to be effective and appropriate
Observed Needs further development
Not observed Needs improvement
Student
Engagement
11/46 24%
19/46 41%
16/ %
Staff
5/ %
23/ %
16/ %
Classroom engagement
9/ %
12/ %
12/ %

25. Individualization/Generalization Champion Beth Hines
Families/individuals learn and practice skills that will transfer to their unique home and community settings.
Goals and Action steps to Achieve Outcome/Impact
Quality Initiative Mesurement Tools
Strength Needs and Cultural Discovery Treatment Plan Reviews
Goal Attainment Scale
Parent/client surveys
3, 6 and 9 month after care surveys
Treatment plan reviews
Progress Notes review
100% of Treatment plans will identify family strengths and prioritized needs
100% of Treatment plans will develop goals and interventions to include natural and informal supports
Progress note format training
Progress notes reflect evidence of skill transfer through teaching, modeling, evaluation and/or monitoring

26. Quarterly summary/follow up Individualization/Generalizaion
1, 3, 6, 9 month after care calls were centralized and created using survey monkey.
There have been 111 aftercare calls attempted for the RTF and 553 for the community programs
surveys were successfully completed for the community programs
30 Day Surveys: (84 Surveys Community)
88% of clients were still living in the home they discharged to
75% in school or vocational training
95% had not experienced a significant crisis requiring hospitalization
85% reported the program being helpful
76% using skills they learned in the program.
6 month Surveys (64 surveys Community)
89% still living in the home they discharged to
83% in school or vocational training
89% had not experienced a significant crisis requiring hospitalization
76% reported using skills they learned in the program
79% reported program being helpful

27. RTF had a total of 51 total surveys answered
RTF (30 Day survey, 11 responses
86% still in less restrictive placement
62% made it to first aftercare appointment
71% following aftercare plan
35% felt they were doing better since discharge
29% doing the same
36% doing worse
RTF (60 Day survey, 12 responses)
79% still in less restrictive placement
80% following aftercare plan
33% doing better
33% doing the same
33% doing worse
RTF (90 Day survey 17
76% in less restrictive placement
41% doing better
17% doing the same
41% doing worse
RTF (180 day Survey 12 completed
92% in less Restrictive
75% still following aftercare plan
33% reported doing better than at discharge
16% doing the same
50% doing worse

31. Evidence Based Practices Champion Beth Hines
Program excellence is achieved with the training and utilization of evidence based practices
Goals and Action steps to Achieve Outcome/Impact
Measurement Tools
Research and obtain information on the following Evidence Based Practices (CBITS, DBT, CBT, TF-CBITS, PCIT, ABA, ART, SFT, PBIS) Academic curriculum,
Identify and develop who will become trained trainers in the above mentioned modalities
Train employees in the above mentioned modalities
Develop clinical coaching supervision model to ensure fidelity of the modalities
Measurement tools associated with each modality if indicated/available: Child PTSD scale (CPSS); Pediatric Symptom Checklist (PSC) CAFAS reports
Training records
Review supervision records
Quarterly summary/follow up

32. Evidence Based Practices Champion Beth Hines
Program excellence is achieved with the training and utilization of evidence based practices
Goals and Action steps to Achieve Outcome/Impact
Measurement Tools
Research and obtain information on the following Evidenced Based Practices:
Cognitive Behavioral Therapy (CBT)
Dialectical Behavior Therapy (DBT)
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT)
Cognitive Behavioral Intervention for Trauma in Schools (CBITS)
Parent-Child Interaction Therapy (PCIT)
Safe and Civil Schools Positive Behavioral Interventions and Supports Model (PBIS)
Identify and develop who will become trained trainers in the above mentioned modalities
Train employees in the above mentioned modalities
Develop clinical coaching supervision model to ensure fidelity to the modalities
Measurement tools associated with each modality if indicated/available:
Suicide Attempt Self Injury Interview (SASII); Nonsuicidal self-injury (NSSI)
Child Behavior checklists; child depression inventory; Weekly Behavior report; Parent Emotional Reaction Questionnaire ; Parenting Practices Questionaire (PPQ); Parent Support Questionnaire (PSQ)
Child PTSD symptom Scale (CPSS); Pediatric Symptom Checklist (PSC);
Dyadic Parent-Child Interaction Coding System (DPIS); Parenting Scale (PS); Eyberg Child Behavior Inventory (ECBI); Child Behavior Checklist;
Home Situations Questionnaire—Modified (HSQM); Parenting Stress Index (PSI); Parent Locus of Control Scale (PLOC); Parent Sense of Competence Scale (PSOC);
An Academic Index Kentucky Core Content Tests; California Standards Test in Mathematics; Positive Behavior Support (PBS) Assessment—Staff survey; Teacher Surveys
Training Records
Review Supervision records
3, 6, 9 month aftercare calls
Treatment retention
Quarterly Summary/Follow up

33. Quarterly summary/follow up