Office of Developmental Programs Quality Assessment Improvement for

Office of Developmental Programs Quality Assessment & Improvement for HCBS Services SELF ASSESSMENTS June 23, 2017 11: 00 AM June 26, 2017 1: 00 PM 6/11/2021 1

WELCOME! 6/11/2021 2

Everyday Lives: Values in Action 6/11/2021 3

ODP Goals for QA&I • Measure progress toward systems improvement based on Everyday Lives: Values in Action ISAC recommendations • Gather timely & useable data to manage the ODP system performance • Use data to manage the service delivery system with a continuous quality approach • Demonstrate AE outcomes with operating agreement • Collect data for Waiver performance measures • Prepare SCOs and Providers to comply with 6100 regulations 6/11/2021 4

QA&I Review Cycle 6/11/2021 5

Self Assessment • AEs, SCOs and Providers are expected to conduct a self-assessment of their performance annually* • The focus is on the provision of services and supports to individuals based on key quality metrics and implementation of “Everyday Lives: Values in Action” • The self-assessment tool will mirror the QA&I tool so that a snapshot of performance is obtained prior to the onsite review • Subsequently, the self-assessment will be used to inform and build quality improvement activities for the remainder of the QA&I cycle for each entity * For 2017, Self Assessments are due August 31 6/11/2021 6

Self Assessment & Review Cycle Full Review Interim Review Self Assessment Technical Assistance Desk Review Corrective Action & Quality Improvement Onsite Review Technical Assistance Comprehensive Report 6/11/2021 7 Self Assessment Corrective Action & Quality Improvement

QA&I Questions • Tied to Everyday Lives: Values in Action • Focus on determining the individual’s experience with services and supports • Emphasis on: – – – 6/11/2021 Quality Improvement Person Centered Planning Person Centered Service Delivery Person Centered Outcomes Health & Safety 8

QA&I Exploratory Questions • Series of questions related to ODP selected priorities for improvement • Opportunity for AEs, SCOs and Providers to prepare for expectations related to the new regulations or priorities for improvement • Opportunity for ODP to learn where service community is in need of technical assistance or growth • Promote the adoption of promising practices • Information gathered from exploratory questions will be used to promote quality and form the basis for QM planning 6/11/2021 9

QA&I Tools – Review & Example Questions • Focus areas: Quality Improvement; Person Centered Planning, Service Delivery & Outcomes; Health & Safety • Individual’s experience of the system through interviews • AE Tool – 68 Questions (Header + Sub-questions) – EXAMPLE: Annual ISP (Annual Review Update) approved and authorized within 365 days of the prior Annual ISP. • SCO Tool – 90 Questions – EXAMPLE: The SC incorporates risk mitigation strategies into the plan. • Provider Tool – 48 Questions – EXAMPLE: Staff receive training to meet the needs of the individual they support as identified in the current, approved Individual Support Plan (ISP) before providing services to the individual. 6/11/2021 10

Self Assessment Sampling • All entities will pull their own sample • The self assessment sample must include 1% of individuals served with a minimum of 5 and a maximum of 10 individuals • The sample will include: – – 6/11/2021 A cross-section of individuals served Funding/program types Locations Types of services 11

Self Assessment Database Entry • All self-assessments will be completed electronically • AEs will complete self assessments using the AE Database – Only four required demographic fields for the sample: • Last Name • First Name • Region • Sample Date – Status designation in the AE Database will indicate successful electronic submission of the self assessment • SCOs and Providers will complete self assessments using Question. Pro – Upon successful electronic submission of the self assessment, a confirmation email will be generated – Providers are expected to forward the self assessment confirmation email to the Assigned AE 6/11/2021 12

Advice for Answering Self Assessment Questions • Use the source documentation and guidance to know how to best interpret the question • Submit a response for each question • Keep in mind that self assessments are submitted electronically • Use this as a tool to honestly evaluate your organization’s performance – What are you really doing well? – Where do you really need improvement? • Use the self assessment opportunity to get a head start with onsite preparation and interim year improvement activities – don’t wait! 6/11/2021 13

QUESTIONS 6/11/2021 14

ODP Contact Information ODP QA&I Process Mailbox: RA-PWQAIProcess@pa. gov 6/11/2021 15

THANK YOU! (Please complete the evaluation poll before exiting the webinar. ) 6/11/2021 16