Statewide Quality Assurance Report

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Florida Department of Children and FamiliesCase Management Services - 2009-2010 Quality Assurance ReportStdNum Question Q2 Q3 Q4 AnnualAn ongoing assessment of the child's needs was conducted to provide48.0 updated information for case planning purposes. 87% 88% 88% 88%49.0An assessment for residential group care was completed whenrequired. 85% 77% 81% 80%50.0An ongoing assessment of the mother's needs was conducted toprovide updated information for case planning purposes. 80% 75% 77% 77%51.0Concerted efforts were made to support the mother's engagement withservices. 73% 71% 73% 72%52.0An ongoing assessment of the father's needs was conducted to provideupdated information for case planning purposes. 59% 59% 55% 58%53.0Concerted efforts were made to support the father's engagement inservices. 58% 54% 59% 57%54.0An ongoing assessment of the out-of-home care providers or preadoptiveparent's service needs was conducted in order to ensureappropriate care for the child. 87% 89% 89% 88%55.0Concerted efforts were made to actively involve all case participants inthe case planning process. 68% 67% 71% 69%55.1 Mother 69% 67% 70% 69%55.2 Father 52% 54% 54% 53%55.3 Child (if developmentally appropriate) 69% 73% 72% 71%55.4 Out-of-Home Providers 72% 74% 77% 75%56.0The frequency of the services worker's visits with all case participantswas sufficient to address issues pertaining to the safety, permanencygoal, and well-being of the child. 59% 59% 56% 58%56.1 Mother 44% 46% 44% 45%56.2 Father 34% 29% 30% 31%56.3 Child 70% 76% 72% 73%56.4 Caregiver (out-of-home) 72% 79% 75% 76%57.0The quality of the services worker's visits with case participants wassufficient to address issues pertaining to the child's safety,permanency and well-being. 67% 69% 70% 69%57.1 Mother 71% 72% 72% 72%57.2 Father 57% 56% 61% 58%57.3 Child 68% 72% 73% 71%57.4 Caregiver (out-of-home) 78% 83% 82% 81%58.0Concerted efforts were made to assess the child’s educational needsduring out-of-home placement. 84% 84% 84% 84%59.0If educational needs were identified, necessary educational serviceswere engaged. 85% 80% 82% 83%60.0Services effectively reduced or resolved the issues that interfered withthe child's education. 78% 73% 84% 78%61.0Concerted efforts were made to assess the child’s physical health careneeds. 72% 70% 69% 70%61.1If the child was removed during the period under review, or if notremoved but brought into the dependency system due to health relatedissues, he/she received an EPSDT screening within 72 hours. 57% 64% 58% 59%Statewide Quality of Practice Findings by Quarter FY 2009/20010 continuedOffice of Family Safety | Page 63
Florida Department of Children and FamiliesCase Management Services - 2009-2010 Quality Assurance ReportStdNum Question Q2 Q3 Q4 AnnualAfter the removal episode or health issues that resulted ininterventions by the dependency system, and the EPSDT screening wasnot done within 72 hours, a medical screening was completed within a61.2 week. 58% 60% 56% 58%61.3The diagnoses from physical health care screenings are documented inthe case file, medical passport, and/or child's resource record. 73% 70% 72% 71%62.0Concerted efforts were made to provide appropriate services toaddress the child’s identified physical health needs. 71% 69% 63% 68%62.1Documentation reflects that the services agency complied with theperiodicity schedule pertinent to the child's age and needs. 71% 67% 64% 67%62.2Documentation reflects that the services agency followed-up ontreatment plans that the doctor ordered. 72% 74% 65% 70%63.0Concerted efforts were made to assess the child's dental health careneeds. 50% 47% 43% 47%64.0Appropriate services were provided to address the child's identifieddental health needs. 51% 46% 48% 48%64.1Documentation reflects that the services agency complied with theperiodicity schedule pertinent to the child's age and needs. 48% 49% 44% 47%64.2Documentation reflects that the services agency followed-up ontreatment plans that the doctor ordered. 55% 53% 57% 55%65.0An assessment(s) of the child's mental/behavioral health needs wasconducted. 88% 88% 91% 89%66.0Appropriate services were provided to address the child'smental/behavioral health needs. 86% 77% 81% 81%66.1Documentation reflects that the services agency matched the neededservices specific to the child's mental/behavioral concerns. 87% 79% 82% 83%66.2Documentation reflects that the services agency followed-up on alltreatment plans that the doctor ordered. 85% 81% 79% 82%67.0The Medical Report documenting informed consent was complete or acourt order was in the file. 64% 77% 79% 74%67.1The case management organization involved the child and theparents/legal guardian in the decision making process by facilitatingcontacts with physicians for treatment planning. 49% 66% 74% 64%67.2Prior to seeking a medical evaluation to determine the need to initiateor continue a psychotropic medication, the case manager provided thePrescribing Practitioner all pertinent medical information known to theagency at the time. 56% 78% 77% 70%67.3The case manager documented communication with the child's parentor guardian to ensure parental awareness of the need to provideexpress and informed consent for the prescription of each psychotropicmedication. 53% 60% 72% 62%67.4When express and informed consent could not be obtained from thechild's parents, the case management organization submitted arequest for court authorization to Children's Legal Services. 71% 76% 81% 76%67.5 When there was a need for a court order, one was obtained. 69% 76% 79% 75%Data in the Florida Safe Families Network accurately documented the68.0 child's prescribed psychotropic medication. 63% 60% 66% 63%68.1 Name of medication and dosages prescribed 76% 67% 73% 72%Statewide Quality of Practice Findings by Quarter FY 2009/20010 continuedOffice of Family Safety | Page 64
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