Pennsylvania’s Practice Model and Quality Service Review (QSR) Protocol

1. Pennsylvania’s Practice Model and Quality Service Review (QSR) Protocol Leadership Academy Conference September 29, 2010

2. Activity • What do you want children, youth, and families to achieve as result of your intervention? • What do you want children, youth, and families to experience as you work with them?

3. Practice Model Defined(NRCOI, a working document series, July 2008) It is the agency’s guide to the daily interactions among employees, children, families, stakeholders, and community partners working together to achieve defined outcomes. It should be the explicit link connecting the agency’s policy, practice, training, supervision, and quality assurance with its mission, values, and strategic plan.

4. What is the Quality Service Review? Measures child, youth, and family outcomes Reveals the practice model being used in actual cases. QSR is an organizational learning process offering helpful ways of knowing what’s working and not working in practice -- for which children, youth and families and why. QSR connects results to local frontline conditions. QSR supports teaching & action learning processes that clarify expectations, provide useful feedback, and affirm good work. QSR stimulates actions taken to improve practice and results at all levels of the organization.

5. Pennsylvania background • Practice Standards • A non-regulatory method of establishing benchmarks for defining optimal, but achievable, results for child welfare services in Pennsylvania. • Evolution of standards

6. Pennsylvania background (continued) • Quality Service Review history • CFSR round 1 • CFSR round 2 • What’s different from round 1 to 2

7. PA’s Model of CQI1 7

8. How Does QSR Work? • State and local review team to review one case • Review of the record • Focused interviewers with every member of the child/family TEAM • Rates the status of the child/family and the system performance on a 1-6 scale • Narrative that “tells the story” of what was learned from the TEAM • Immediate feed back to CW and Supervisor with strengths/needs/recommendations • Case specific • Agency specific • Includes focus groups with stakeholders • Debrief of preliminary findings • Final findings report

9. Indicators in the PA QSR Protocol Child, Youth and Family Status Indicators • 1a. Safety: Exposure to Threats of Harm • 1b. Safety: Risk to Self/Others • 2. Stability • 3. Living Arrangement • 4. Permanency • 5. Physical Health • 6. Emotional Well-being • 7a. Learning & Development: Early Learning and Development • 7b. Learning & Development: Academic Status • 8. Pathway to Independence • 9. Parent and Caregiver Functioning

10. Indicators in the PA QSR Protocol Practice Model Functions • 1a. Engagement: Engagement Efforts • 1b. Engagement: Role & Voice • 2. Teaming • 3. Cultural Awareness & Responsiveness • 4. Assessment & Understanding • 5. Long-Term View • 6. Child/Youth and Family Planning Process • 7. Planning for Transitions and Life Adjustments • 8. Timely Permanence • 9. Intervention Adequacy & Resource Availability • 10. Maintaining Family Relationships • 11. Tracking & Adjusting

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12. Activity • Rate a scenario based on assigned indicator with your partner • Discuss ratings

13. Next steps: connections to CQI • Finalization of QSR protocol and process (including manual and training • Roll out of CQI in phased-in approach across the state • Finalization Of Practice Model & Resource To Support Implementation (GUIDE BOOK)

14. How can I get involved? • If you are not a phase one county, are you interested in phases two or three? • Can volunteer staff to be reviewers in phase one county QSRs

15. Who to contact for more information: • Mike Byers mib39@pitt.edu (717) 795 - 9048 • Stephanie Maldonado smaldonado@state.pa.us (717) 783 – 7376 • Jeanne Schott jls192@pitt.edu (717) 795 - 9048