CBC IN-DEPTH REVIEW: SYSTEMIC FACTORSAt least two of the following seven systemic factors are reviewed as part of each quarter's indepthreview.1. The statewide in<strong>for</strong>mation system. Addresses how the CBC uses FSFN <strong>for</strong> case management2. The case review system. Addresses how the CBC ensures each child has a written case planthat is developed in face-to-face contacts with the parents and other parties involved in thecase.3. The Quality assurance system. Addresses how the CBC conducts quality assurance activitiesthat assess the quality of services delivered and ensures children in foster care are safe andhealthy.4. Staff and provider training. Addresses how the CBC develops and delivers appropriatetraining programs that provide staff with necessary skills and knowledge to carry out theirjobs.5. Service array and resource development. Addresses the array of services to meet the needsof children and families that either help children remain in their home or help children infoster care achieve permanency.6. The agency's responsiveness to the community. Addresses the CBCs involvement with thetribal representatives, consumers, service providers, foster parents, juvenile court, and otherpublic and private child serving agencies.7. Foster and adoptive home licensing, approval and recruitment. Addresses the CBCs ef<strong>for</strong>tsto recruit potential foster and adoptive families who reflect the ethnic and racial diversity ofthe community; implementing reasonable standards and assuring background checks arecompleted.
Regional Quality Assurance Model Components<strong>Child</strong> Proiective Investigation'1a Ongoing Hotline QA(internal and contracted)1b Hotline StatewideInterface QA. Annual(Hotline and HQ Staff)2a. CPI OperationalReview. Complianceand quality, all cases,FSFN plus limiteditems captured fromdiscussion <strong>for</strong>mat.ongoing(CPI Supervisors and2nd party reviewers)2b. Regional Discretionary <strong>Child</strong> ProtectiveInvestigation Quality Review Case quality, twiceper year, at least one review in each circuitannually, focus chosen by region/circuit. (CPISupervisors and Region OA, may be joint)Front LinePracticeJoint Assurance ofQuality PracticeCommunity Based Care Services3a. CBC Front Line Practice review Limitednumber of key practice items captured fromdiscussion tomnat Ongoing, aggregatereporting quarterly, all cases. (CBCSupervisors)3b CBC base review Comprehensivecompliance and quality, 25 cases perquarter per selection criteria <strong>for</strong> age andcase status (CBC QA)3c. CBC Side by Side Comprehensivequality and compliance reviews Quarterly. Icases selected from 3b, same tool. (CBCand DCF region QA)2c Regional CPI Comprehensive OversightReview At least twice per year. "90/10" samplesplit in half or split into region-selected additionalfrequency, independent oversight (Region QAHotline invited)2d. Sheriff Peer Review Annual (Sheriff andregion staff)Oversight andAccountability3d CBC In-Deplh Quality of Practicereviews Oversight of quality, quarterly, 2-3cases selected from 3b. (Region OA staff)3e CBC Agency Management Annualreview and approval of QA plans, midyearassessment of plan implementation. (RegionQA staff)3f. Executive management discretionary reviews As directed by department management, topics of concern, 1-3 peryear (Region QA staff wilh circuit or CBC as appropriate)4. <strong>Child</strong>ren's Legal Services Quality Management (TBD. per Legal workgroup)5a <strong>Child</strong> and Family Services Review. Federal - every 5 years (All involved groups: DCF, CBCs. CIS, stakeholders)5b Region Discretionary Reviews (Region, as needed/assigned by region director)5c. <strong>Child</strong> Death Reviews (HQ and region)6 Integrate other sources of quality in<strong>for</strong>mation. Includes client complaints, incident reporting, exit interviews with fosterchildren, contract managemenfoversight, other program or agency data, etc (Various, with HQ support, development oftools and mechanisms, analysis)7 Quality Improvement. Processes and tools to support review analyze, act, improve, document, etc. Aligned withDepartment-wide approach.8a. Annual Statewide Quality Assurance Plan 8b. Annual CBC Quality Assurance Plan9a. Annual Statewide Quality Report 9b. Annual CBC Quality ReportIL10. Quality Assurance Supports Data, measurement, toolset, training, consequences/incentivesREV 619108