Georgia Quality Management System - Department of Behavioral ...

dbhdd.georgia.gov

Georgia Quality Management System - Department of Behavioral ...

GQMS Year 3 Annual ReportJuly 2010 – June 2011Section 3: Discussion and RecommendationsThroughout Year 3 of the Georgia Quality Management Systems (GQMS) contract (July 2010 – June2011), Delmarva has continued to work in collaboration with the Georgia Division of DevelopmentalDisabilities, Regional Offices, and other Stakeholders to build an effective and high quality QA systemfor the state. The Delmarva review (FUTAC) offering technical assistance to over 500 providers acrossthe state was successfully implemented. Quality Improvement Councils have completed an informationalnewsletter and a person centered video, utilized stories to promote person centered practices, begandeveloping a pre-ISP interview tool, and initiated the creation of a blog to be used statewide to shareinformation and best practices. During the final quarter of the year each Council began work on thepresentation of their projects for the statewide inter-council meeting in September.Delmarva Quality Improvement Consultants (QIC) and Regional Managers completed 481 PersonCentered Reviews (PCR) and 40 Quality Enhancement Provider Reviews, for a combined total of 1,161interviews with individuals receiving services through the waiver programs. Data from the interviewsconducted during either the PCR or QEPR processes were used to present results for the III, ISP QAChecklist, Provider Record Reviews, Staff/Provider Interviews and Observations. Because many of theQEPR tools and procedures were revised, comparisons to previous years are often not appropriate.III results are similar to previous years and fairly positive on average (86.3%), a small increase since Year1 of the contract (83.2%). Performance on the Staff/Provider Interviews and onsite Observations wasalso quite positive, 93.3 percent and 97.2 percent respectively and similar to previous years. Providerresults for the Administrative Policy and Procedure reviews reflect a 77.6 percent rate of compliance.However, compliance with Qualifications and Training requirements reflected an average of only 59.4percent.HealthSeveral measures of the health status of individuals indicate either poor documentation or practice inhelping individuals achieve and maintain the best possible health. While results from staff/providerinterviews are generally quite high, the Expectation measuring health issues was the lowest scoring of allthe SPI Expectations, with 85.6 percent present. Only 35.4 percent of the ISP QA checklists completedshowed that for the Health and Safety Review section (HRST information is noted throughout the ISP),all of the four components were present.Most provider records (77.5%) did not provide adequate documentation the provider has a means toidentify current health status and safety needs and/or is knowledgeable of the individual’s ability to selfpreserve. In addition, approximately 22 percent of the provider records did not document that correctprocedures are utilized regarding medication management and administration.________________________________________________________________________________________________August 31, 2011 82

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