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Virginia Department of Health Professions Core Competency: Board Performance Measured

Virginia Department of Health Professions Core Competency: Board Performance Measured October 22, 2008 Neal Kauder, President, VisualResearch, Inc. Two Major Projects Underway Agency-wide Performance Measurement Sanctioning Reference Points (SRPs). Agency-wide Performance Measurement.

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Virginia Department of Health Professions Core Competency: Board Performance Measured

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  1. Virginia Department of Health Professions Core Competency: Board Performance Measured October 22, 2008 Neal Kauder, President, VisualResearch, Inc.

  2. Two Major Projects Underway • Agency-wide Performance Measurement • Sanctioning Reference Points (SRPs)

  3. Agency-wide Performance Measurement

  4. Agency-wide Performance Measurement

  5. Agency-wide Performance Measurement

  6. Agency-wide Performance Measurement

  7. Agency-wide Performance Measurement

  8. Agency-wide Performance Measurement Data will be interactively visual and accessible (downloadable in Excel) Board of Medicine

  9. Agency-wide Performance Measurement Data will be interactively visual and accessible (downloadable in Excel) • PDF file linked to Excel files that automatically open – we can implement in the short-term, quickly (L2K reporting to come....) • All files on a shared drive – accessible by many or restricted access • A “dashboard” approach • Management can gauge performance in a paperless, easy to understand visual format. • Can also print on PC printers if desired.

  10. Agency-wide Performance Measurement • Other Performance measure work: • Narrowing case category codes for more valid and reliable recording of patient care vs. non-patient case • 2 KPM measures by stage – enforcement vs. board • Recommendations related to old case standards • Examining impact of new agency policies on performance • Recidivism concept to be explored as an internal management tool

  11. Agency-wide Performance Measurement • Recidivism as possible internal management measure... • Multiple measures of recidivism possible • Measure which respondents return after a violation and sanction are handed down • How long to recidivate, and for what type of “case” – similar to original case?

  12. Sanctioning Reference Points Purpose “…to provide an empirical, systematic analysis of board sanctions for offenses and, based upon this systematic analysis, to derive reference points for board members and an educational tool for respondents and the public” Virginia Board of Health Professions, Work plan, Spring 2001

  13. Sanctioning Reference Points • SRPs are: • Data driven, historically based worksheets that assess factors that predict sanction outcomes • Factors include those board members and staff indicate are important • Designed so similarly situated respondents receive similar sanctions • Designed to be modified as history changes, not static • Voluntary; reasons for departing are recorded

  14. Sanctioning Reference Points Medicine sample worksheet Adopted August 2004 50 30 80 60 60 Sparrow 010199999

  15. Sanctioning Reference Points SRP Agreement Rates (through October 1, 2008) * * November 6th, 2008 – Veterinary Board will be considering adjusting SRP worksheet to include CE as possible sanction at the lowest thresholds. This is consistent with other boards more recent practice as well.

  16. Sanctioning Reference Points SRP Example of Departure Reasons Cited • Aggravating (more harsh than SRP result): • Drug Abuse/ Diversion • No call/ No show • Repeat SOC issues • Sexual abuse with patient harm • Severity of allegation • Denial of addiction problem • Multiple allegations • Failed drug screens • Mitigating (less harsh than SRP result): • Isolated incident • Closing practice/ No longer practicing • No patient involvement • Sincerity/ Remorse • Corrective action take • Actions were not the cause of injury

  17. Sanctioning Reference Points Optometry was the first Board to incorporate CCAs into the SRP system...

  18. Sanctioning Reference Points

  19. Sanctioning Reference Points Remaining Boards: Behavioral sciences Psychology and Social Work have approved draft WS Meeting with Counseling Nov. 14 Move forward to draft SRP manual Train Board members and staff on use Physical Therapy, Long-Term Care, Audiology & Speech Pathology Reviewed limited number of cases Interviewed board members that hear cases Preparing draft data collection instrument Collect data, draft worksheet

  20. Sanctioning Reference Points Evaluating the Effectiveness of Sanctioning Reference Points Possible outcomes to measure: • Primary Outcomes • Consistency • Proportionality • Neutrality • Board and staff satisfaction • Secondary Outcomes: • Transferability of SRP system • Case processing time • Violation, CCA, or Consent Order rates change

  21. That’s all! Questions or comments?

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