Statewide Quality Assurance Report

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Florida Department of Children and FamiliesCase Management Services - 2009-2010 Quality Assurance ReportGabriel Myers Workgroup recommended the development of new QA standards to ensure therewas a standardized process for on-going review of practice in this area. The quality of practicedata indicates more training and supervisory oversight is needed to ensure parental consentconstitutes the meaning of “valid and informed”. Supervisors must also carefully review casesto ensure the accuracy of FSFN. Some of the issues identified by QA staff include:o FSFN shows court authorization is obtained but the court order is not current.o The file review identifies that a child is on a psychotropic medication but there is nodocumentation in FSFN.o There is no documentation that the case manager facilitated communication betweenparents and doctors to obtain consent.o Court authorization is being obtained without making any effort to obtain consent froma parent who is engaged in the case planning process.o Data entry errors regarding dates of prescriptions are being made.o Consent may be present for only one psychotropic medication but the child is on two ormore medications and consent was not obtained for each medication.o FSFN will not allow a medication to be entered in FSFN until the date of consent or dateof court authorization is entered. Case managers forget to go back and enter theinformation.o The required Medical Report is not used and the physician does not use a report thatincludes all information required to be in the Medical Report. Or, the Medical Report isincomplete.o If the case manager does not check the psychotropic medication tab when a child is on apsychotropic medication for medical purposes, the case cannot be identified through adhoc reporting.o Some dates in FSFN for informed consent are not accurate. For example, an informedconsent date is in FSFN, but upon review the date pm the Medical Report differs.When deficiencies were noted during the QA practice review, a Request for Action (RFA)was submitted to management. Region and CBC QA staff track all RFAs to ensure correctiveaction is taken. Local managers and supervisors should develop local processes to ensure allclose oversight of this population of children. In addition, because there is always staffturnover, in-service training should be routinely provided to case management organizations asneeded.Office of Family Safety | Page 33
Florida Department of Children and FamiliesCase Management Services - 2009-2010 Quality Assurance ReportQuality of Practice Related to Children Prescribed Psychotropic MedicationsStd# Standard # Cases Yes No67The Medical Report documenting Informed consent was complete or a courtorder was in the file.# of ApplicableCasesPracticeRating1575 202 72 274 74%68Data in the Florida Safe Families Network accurately documented the child'sprescribed psychotropic medication.1575 162 95 257 63%Table III j-1Psychotropic MedicationsFY 2008/2009 Compared to FY 2009/2010100%80%60%74%63%FY 09-1040%20%0%67 The Medical Report documentingInformed consent was complete or a courtorder was in the file.68 Data in the Florida Safe Families Networkaccurately documented the child's prescribedpsychotropic medications.Source: FY 2009-10 QA Web ToolGraph III j-1Office of Family Safety | Page 34
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Statewide Quality Assurance Report

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