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Survey Redesign Division of Quality Improvement

Survey Redesign Division of Quality Improvement. Provider Association Meeting June 20, 2016. Purpose. Meet mission for timing/frequency of survey activity Maintain the quality and consistency of reviews while enhancing efficiencies Create effective sustainable review process

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Survey Redesign Division of Quality Improvement

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  1. Survey RedesignDivision of Quality Improvement • Provider Association Meeting June 20, 2016

  2. Purpose • Meet mission for timing/frequency of survey activity • Maintain the quality and consistency of reviews while enhancing efficiencies • Createeffective sustainable review process • Integratenew standardsand review of outcomes affectingquality of life • Provide simple and transparent information sharing for OPWDD, stakeholders and providers • Facilitate quality improvement activities

  3. Current Survey Process • Site visits are conducted (over 10,000 annually) • Discrete survey protocols are utilized for each function • Sample selection/methods to review services are discreet resulting in a review limited in scope • Ability to analyze provider performance is limited

  4. Components of Redesign

  5. Redesign • DQI still visits every site • Builds from AQP Domains indicators • Routinizes HCBS settings standards review • Streamlines protocols and review activities • Incorporates targeted/risk-based review approach • Routine focus on outcomes • Modernized review documentation, report creation and administrative review modernized

  6. Survey Protocols Existing protocols will be streamlined into three types of reviews: • Site Review • Person-Centered Review • Agency Review

  7. Approach Each protocol will capture key elements: • Regulatory requirements • Core activities (Must review) • Consistency in expectations & activities conducted • Health and safety (Routine and High Risk) • Protocol standards and related IT allow for better collection of findings data and identification of trends

  8. Site Review • Only one “type” of site review • Focus: • Comply with Mental Hygiene Law • Site Characteristics, Fire and Environmental Safety • Safeguards • Focused review of areas that pose greatest risk to individuals • Observation and Conversation are Key!

  9. Person Centered Review (PCR) • Review of any and all services a person receives from all provider agencies providing their services • Includes service/site specific requirements related to: • Person Centered Service planning • Service delivery • Safeguards: minimize risks • Rights, health, safeguards, behavioral supports, protections • Quality of life

  10. Agency Review Centralized review of: • Regulatory and quality expectations designed, implemented and managed at the agency level • Sample verification of compliance for selected regulatory requirements • Agency practices and strategies that influence quality outcomes: • Workforce • Quality improvement planning and strategies • Community Connections • Agency Management

  11. So where are we now?

  12. Protocols

  13. Timeline

  14. Questions/Comments: quality@opwdd.ny.gov

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