1. County Name Next Steps Meeting DATE

2. County Name Welcome!! And…Congratulations on receiving your full licensure!! Give yourselves a round of applause for a job well done!!!

3. Next Steps Meeting 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.

4. 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...”

5. 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).

6. Phased-In Approach to CQI Effort Phase One Counties: ◦ Philadelphia ◦ Allegheny ◦ Lackawanna ◦ Venango ◦ Butler ◦ York 6-12 counties in each ongoing phase Note when the county’s next QSR will be… NOTE: Data collected from Phase One Counties QSRs (from December 2010-April 2011) will establish the PIP baseline. Data collected from Phase One Counties QSRs (from December 2011-April 2012) will show improvement from the PIP baseline that was established one year earlier.

7. 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

8. 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

9. QSR in County Name Collaboration of State, Region, County and Community State Site Leads ◦ Names Local Site Leads ◦ Names QSR Reviewers ◦ # State reviewers ◦ # Local reviewers Focus Groups ◦ Coordinator/Note taker – Name ◦ Facilitator - Name

10. On-Site QSR - Case Sample #Cases Reviewed: #In-Home #Out of Home 1 Shared Case

11. On-Site QSR – Case Sample County specific information…

12. On-Site QSR - Strengths Areas of Strength

13. On-Site QSR - Concerns Areas of Concern

14. Licensing Review Review focused on themes of: Safety Assessment and Monitoring; Family Engagement; Family Service Planning; Casework visitation with family members; Permanency Activities; Placement settings; Data tracking (re-abuse, re-entry); Fostering Connection activities; and Shared Case Responsibility

15. Licensing Results – Strengths Summary of Strengths in Agency Practice: ◦ County Specific Information

16. Licensing Results - Concerns Summary of Areas of Concern in Agency Practice ◦ County Specific Information

17. 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

18. County Improvement Plan (CIP) Section I. Sponsor Team Members Section II. Background Section III. Priority Outcomes Section IV. Findings Section V. Strategies and action steps for each outcome

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

20. County-Specific TA Collaborative Establishment of a directory of TA Collaborative members to include: Name Contact information Nature of the support/involvement with DHS

21. Questions/Discussion/Next Steps… Questions Discussion Next Steps: Sponsor Team will meet County Improvement Plan will be developed and submitted in 45-60 days Improvement teams will take action and monitor the work outlined in the County Improvement Plan

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