Georgia Quality Management System - Department of Behavioral ...

GQMS Year 3 Annual ReportJuly 2010 – June 2011Report and Process Oversight .......................................................................................................................30Data Correction Process .................................................................................................................................30Feedback Surveys ..................................................................................................................................................31HSRI Feedback Survey for NCI Consumer Survey Process ....................................................................31QEPR and PCR Feedback Surveys ...............................................................................................................31Miscellaneous Accomplishments........................................................................................................................33Individual Support Plan Workgroup ............................................................................................................33Staffing Updates ...............................................................................................................................................33Section 2: Data Analysis and Results .....................................................................................................................34Samples ...................................................................................................................................................................34Data Presentation ..................................................................................................................................................34General Demographic Characteristics ...............................................................................................................35PCR and QEPR Combined Results ...................................................................................................................37Individual Interview Instrument (III)...........................................................................................................38Individual Support Plan Quality Assurance (ISP QA) Checklist .............................................................44Provider Record Review (PRR).....................................................................................................................52Staff/Provider Interviews ...............................................................................................................................58Observations .....................................................................................................................................................61Person Centered Review Results ........................................................................................................................63Support Coordinator Record Review (SCRR) ............................................................................................63Comparison of PCR Components ................................................................................................................69NCI Consumer Survey Results for Focused Areas .........................................................................................70Quality Enhancement Provider Review ............................................................................................................71QEPR Administrative Review .......................................................................................................................73Strengths and Barriers .....................................................................................................................................75Focused Outcome Recommendations .........................................................................................................77Follow-Up Reviews ...................................................................................................................................................78Follow up with Technical Assistance (FU w/TA) ..........................................................................................78Follow up with Technical Assistance Consultation (FUTAC) ......................................................................78Individuals Who Decline to Participate .................................................................................................................80Section 3: Discussion and Recommendations .....................................................................................................82Health......................................................................................................................................................................82Community Life ....................................................................................................................................................84Person Centered Practices ...................................................................................................................................84NOW v COMP .....................................................................................................................................................86Focused Outcome Recommendations ..............................................................................................................86Other Findings ......................................................................................................................................................87Attachment 1: Overview of Delmarva Processes ................................................................................................89________________________________________________________________________________________________August 31, 2011 3