Georgia Quality Management System - Department of Behavioral ...

dbhdd.georgia.gov

Georgia Quality Management System - Department of Behavioral ...

GQMS Year 3 Annual ReportJuly 2010 – June 2011Quality Enhancement Provider Review (QEPR) UpdatesTool UpdatesThe Administrative Review tools for Policies and Procedures and staff Training and Qualifications wererevised to include the July 2010 implementation of Standards for All Providers. Updates to the toolswere reviewed by the Division, approved and incorporated into the FY 2010 QEPR application. Basedupon modifications to the Administrative Review Qualifications and Training review tools, theObservation Guide was modified to include observation of staff ratios. The Observation modificationswere reviewed and approved by the Division on August 12, 2010, and implemented that same day. Theapplication was modified to reflect the changes.Application UpdatesChanges implemented in the QEPR application/database include the following:• Drop down boxes with recommendations in each Focused Outcome section,• Reasons CIS information did not match documentation added as a drop down box,• HRST score added to the ISP QA Checklist,• GIA services added to the list of available services.During the first two years of the contract, a sample of individuals was used to review provider records foreach service offered by the provider. The number of records reviewed for each service varied, dependingupon the number of individuals served by the provider. Expectations on the Provider Record Review(PRR) component of the process were scored as Not Present if the Expectation on any one of theindividual records was scored as Not Present. At the beginning of this contract year, it was decided thatas part of the QEPR process, the results of individual record reviews would be captured versus onlycapturing aggregate information by service. Currently, all of the individual record reviews are scored andstored in the database. Therefore, the PRR score is based on the average number of records scored asNot Present from all the individual records reviewed.The application was revised to accommodate the new process, which was implemented October 1.QEPR Provider Reports were also revised based on the new data collection process. Results from theIII, PRR, Staff/Provider Interview, and Observations are presented separately for information collectedthrough the PCR and QEPR, for all individuals reviewed who were served by that provider.QEPR WorkgroupA QEPR workgroup was created in an effort to bring together ideas to streamline the QEPR process,make interpretations more clear, and create greater consistency interpreting Expectations. The firstQEPR workgroup met on April 28, 2011, and has since continued to generate new ideas and efficienciesto enhance the QEPR process. Workgroup activity will continue through FY 2012. A new addition wasmade to the Georgia Portal for team discussions via a “blog like” forum. The QEPR Blog has been and________________________________________________________________________________________________August 31, 2011 24

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