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system of care for rhode island's children, youth and families

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PERFORMANCE MEASURES AND OUTCOMES RECOMMENDATIONS<br />

1. $ The Children’s Cabinet must develop, implement <strong>and</strong> fund an<br />

evaluation/accountability plan to comprehensively assess the State’s<br />

effectiveness in implementing the recommendations <strong>of</strong> this report over the five<br />

year phase-in period. The development <strong>of</strong> this plan must include <strong>families</strong><br />

(parents, kin, foster <strong>and</strong> adoptive <strong>families</strong>).<br />

It must be recognized that there is a significant cost associated with developing the<br />

appropriate infrastructure to accommodate these in<strong>for</strong>mation requirements, <strong>and</strong> the<br />

State must establish this as a priority investment. Each Department must identify its<br />

own financing needs <strong>for</strong> enhancing the data collection <strong>and</strong> analysis capability <strong>for</strong> its<br />

own services <strong>and</strong> population, <strong>and</strong> the provider community must to do the same. This<br />

data collection <strong>and</strong> analysis capability must be incorporated into state budget<br />

appropriations <strong>for</strong> the Departments within the Children’s Cabinet. An overview <strong>of</strong><br />

the five year phase-in plan <strong>and</strong> implementation process lays out the expectations <strong>for</strong><br />

the critical work that will be necessary to achieve this first recommendation over the<br />

five year project period. (See Appendix K)<br />

2. $ The DCYF must develop <strong>and</strong> implement a work plan that is geared to<br />

measure:<br />

a) progress in <strong>system</strong> <strong>of</strong> <strong>care</strong> development <strong>and</strong><br />

b) the effectiveness <strong>of</strong> the interventions ascribed to the <strong>system</strong>.<br />

The in<strong>for</strong>mation gathered must also be distributed to identify problems, make<br />

adjustments to improve <strong>system</strong> design <strong>and</strong> to ensure public accountability.<br />

The Department <strong>of</strong> Children, Youth <strong>and</strong> Families has established five goals to<br />

guide its System <strong>of</strong> Care Capacity Development. These broad goals reflect the<br />

Department’s emphasis on community-based, family-centered services to ensure<br />

greater capacity <strong>for</strong> necessary placements close to the child’s home/community. An<br />

overview <strong>of</strong> the workplan <strong>for</strong> the DCYF System <strong>of</strong> Care Capacity Development <strong>and</strong><br />

Per<strong>for</strong>mance Measures provides a five year approach identifying the key objectives<br />

necessary to achieve the goals. (See Appendix K)<br />

The priority re<strong>for</strong>m per<strong>for</strong>mance measures in the <strong>system</strong> re<strong>for</strong>m are:<br />

" Eliminate night-to-night placements<br />

" Eliminate medically unnecessary days in psychiatric hospitals<br />

" Reduce out-<strong>of</strong>-state placements<br />

All <strong>of</strong> the per<strong>for</strong>mance measures, however, identify key data elements being tracked<br />

<strong>for</strong> the Department’s operations in promoting continuous quality improvement in<br />

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