Performance and Quality Improvement Plan

1. Performance and Quality Improvement Plan The Bair Foundation

2. Print out handout: TBF PQI Information Packet (T-04)

3. Purpose of the PQI Process: • Assess, evaluate and improve service delivery • To have input from all levels of staff within the organization – this means your input is very important • To ensuring that quality of care is being met • Problem identification and resolution • Utilizing stakeholder input to evaluate service needs • To improve outcomes • Provide accountability to all levels of management

5. Local Office Teams: LOT’s Comprised of staff members (this mean you) that represent the various programs within the office along with stakeholder representation

6. Duties of the Local Office Teams • Meeting quarterly in conjunction with your office records review. • Review of growth, compliance and quality of care issues identified on the score card for each program your office provides services in. • Develop a Performance Improvement Plan (PIP) to address performance standards on the scorecard that are not being met. • The PIP must include measurable steps with identified timeframes and responsible parties to address outcome measures that are not being met according to the scorecard. • Generating meeting minutes for PQI notebooks and SRT • Scorecard and the PIP (if applicable) will be completed at local level and sent to the Director of Program Standards and State/Regional Director within 7 days of the meeting.

7. State and Regional Teams (SRT’s):The State Director will serve as chairperson of the SRT. Membership of the committee is composed of The Dir. of Program Standards, Regional director if applicable, and the Executive Team.

8. Duties of the State and Regional Teams • Monthly meetings to be held on the second week of the month. • Review all Scorecards and Performance Improvement Plans (PIP) from the Local Offices that received a quarterly records review in the previous month. • Prior to the SRT meeting the state/regional director must approve all PIPs for offices that are being reviewed. • Evaluate and prepare a monthly score card for offices that received reviews. • Monthly results from SRT meetings disseminated to the AC Chairperson for tabulation of semi-annual performance and improvement scorecard.

9. National Executive Team (NET)It is comprised of the Chief Executive Office and the Executive Vice president.

10. Duties of the National Executive Team • Monthly meetings • Participate on Advisory Committee Semi annually • Review quarterly scorecards generated by SRT’s • Provide oversight to the SRT’s • Establish and review Management Scorecard • Management Scorecard to be completed quarterly with results disseminated to AC.

11. The National PQI Advisory CommitteeThe Director of Program Standards serves as the chairperson of this committee. The committee will be composed of 6-8 individuals who represent the various service areas and geographic areas served by the agency. The National Executive Team and Director of Program Standards will be standing members of the AC. The other members will serve staggered two year terms. Members are nominated by their supervisors or from members of the agencies management team and approved by the National Executive team.

12. Duties of the Advisory Committee • Meet semi annually (every 6 months) • Review the semi-annual reports generated by SRT’s • Review accumulative score cards for each program nationally (For example, this means that foster care in all states will be evaluated on one scorecard in an aggregated form) • Review PQI Plan annually. • Review annual program evaluation. • Prepare, review and approve the Annual Report to be forwarded to the Board of Directors.

13. Program Outcomes

14. Each program will have their own designated scorecard which will be reviewed for outcome achievement. • Documentation will be noted on each performance measure on the scorecard. • Performance Improvement Plans will be developed for all measures not meeting criteria noted in the Performance Measure section.

15. During this section, you will work with the scorecards designated for each program serviced out of your office. • You will find the scorecards for all programs located on the portal under General Employee resources>Performance and Quality Improvement.

16. Example of Blank Scorecard (We will review the Foster Care Scorecard for training purposes but all scorecards and PIP’s will follow the some process for completion.)

20. Example of a Filled Out Scorecard

25. PIP Performance Improvement Plan

34. At the PQI meeting the QI Manager will complete minutes of the meeting according to the document on the next slide. All present at the meeting are required to sign.

36. State and Regional Team Scorecards

37. Once the SRT’s review program scorecards, the state/regional director with the Dir. of Program Standards will complete the SRT Scorecard. Two quarter of the SRT scorecards will be compiled for a semi-annual report to the Advisory Committee.

39. At the PQI meeting the Dir. Of Program Standards will complete minutes of the meeting according to the document on the next slide. All present at the meeting are required to sign.

40. “Without change there is no innovation, creativity, or incentive for improvement. Those who initiate change will have a better opportunity to manage the change that is inevitable.” William Pollard