The document discusses the quality improvement process at House of New Hope. It explains that quality improvement is a way to evaluate if services are meeting client needs, identify strengths, and find areas for improvement. All employees must take ownership of their work and align with the organization's mission. The quality improvement plan involves collecting information through record reviews, surveys, compliance plans and using this data to make decisions to enhance programs. Departments must meet various regulatory requirements. Quality is measured using reviews, surveys and agency audits with the goal of continuous improvement.
2. Quality Improvement
Quality Improvement is:
a way of looking at House of New Hope’s
services
deciding if our services are meeting the
needs of our clients
what we are doing great
what we can do better
3. Quality Improvement Plan
In order for any Quality Improvement Plan
to succeed, each employee has to first
take ownership of their work
We also have to align with the values and
the mission of House of New Hope
4. Vision & Mission Statement
Vision Statement
Our vision is a community where children, adults
and families have the support necessary to lead
safe and meaningful lives.
Mission Statement
It is our mission to optimize the potential of
children and adults by providing
compassionate healing environments and
individualized, community-integrated services.
5. Process of the Quality
Improvement Plan
There are processes and procedures for
collecting information to make decisions
about how effective and beneficial our
programs are
The process starts with
Selection Criteria
Reviewer Skills
Record Review
Compliance Action Plans & Improvement Plans
Surveys and Feedback
6. Selection Criteria
We work to include a “representative
sample” of each program. This means
that we try to get a sample of people to
obtain information on that represent what
our full client base looks like
This is often done through things such as
age, gender, program involvement, etc.
7. Reviewers
We will sometimes do “Peer Reviews”.
These are when our peers, or another in
the department, might review a chart to
give feedback on ways we can improve
and the quality of the work done.
8. Record Review
Each record can go
through a review
process in which the
auditor will look for
several things. These
include:
Completeness
Accuracy
Quality
Other (i.e. ways to
improve)
9. Compliance Action Plans &
Improvement Plans
These are ways to help any worker know
what can be improved and track the
improvements.
10. What Does This Look Like for
Me?
Depending on the part of House of New
Hope that you work within, your quality
improvement goals might differ
11. ODJFS vs. ODMH vs. CARF vs.
DODD, etc.
Depending on the program the service is
being offered under, different requirements
will be monitored
Some different certifying entities include:
Ohio Department of Jobs and Family Services
(ODJFS)
Ohio Department of Mental Health (ODMH)
Commission on the Accreditation of
Rehabilitation Facilities (CARF)
Department of Developmental Disabilities
(DODD)
12. Clinical Department
Providing excellent customer service to each client,
their families, and guardians/case workers
Ensuring compliance with ODJFS, CARF, ODMH, etc.
Providing quality care with each contact
Following up on record reviews and compliance
action plans
Improving each interaction for better services and
quality
Adapting to the change requirements as they arise
Completing outcome measurements
Follow-up surveys
13. Mental Health Staff
Providing excellent customer service to each
client, their families, and guardians
Ensuring compliance with regulatory agencies
(i.e. ODMH, CARF, etc)
Completing each record review action plan
Completing outcome measurements
Follow Up Surveys
Completing all required
documentation
14. Personal Care Assistants
Providing excellent customer service to
each client, their families, and guardians
Completing all required documentation
Following up with any record
requirements
Comply with DODD requirements
15. Transporters
Provide excellent customer service to
each child, family, foster parent, and
county workers
Follow-up on all needs of clients and staff
Provide timely transportation services
Communicate any needs of clients and
information
Document any incidents or important
information
16. Office Staff
Provide excellent customer to each
individual
Ensure quality in each task completed
Comply with any requirements from
House of New Hope or Agency
17. How Is It Measured
How the quality of your area at House of
New Hope is measured depends on
which area you work. Here are some
examples:
• Clinical Department
• Record Reviews
• Surveys & Feedback
• Agency Audits
• Mental Health Staff
• Record Reviews
• Surveys & Feedback
• Agency Audits
• Personal Care Assistants
• Record Reviews
• Surveys & Feedback
• Agency Audits
• Transporters
• Surveys & Feedback
• Office Staff
• Surveys & Feedback
18. Surveys & Feedback
House of New Hope will periodically
survey our clients and providers to see
their satisfaction level with our services
This information will be used to help us
continue excellent service and improve to
better meet client’s needs
19. Continuous Improvement
House of New Hope is continually looking
for ways to improve our client services,
satisfaction, and programs
Each employee has a responsibility to
support continuous quality improvement,
regardless of the area of employment