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Quality Management Annual Reporting

Reporting

Settlement Agreement Provision

At least annually, the Commonwealth shall report publicly, through new or existing mechanisms, on the availability (including the number of people served in each type of service described in this Agreement) and quality of supports and services in the community and gaps in services, and shall make recommendations for improvement.

Reports

Case Management Steering Committee Reports

DBHDS Annual Reports

Compliance Indicators

Compliance Indicators V.D.6

The Commonwealth posts reports, updated at least annually, on the Library Website or the DBHDS website on the availability and quality of services in the community and gaps in services and makes recommendations for improvement. Reports shall include annual performance and trend data as well as strategies to address identified gaps in services and recommendations for improvement strategies as needed and the implementation of any such strategies.

  1. Demographics – Individuals with DD served
    1. Number of individuals by waiver type
    2. Number of individuals by service type
    3. Number of individuals by region
    4. Number of individuals in each training center
    5. Number of children and adults with DD who were admitted to, or residing in, state operated psychiatric facilities
    6. Number of children residing in NFs and ICFs/IIDs
    7. Number of adults residing in ICFs/IIDs and NFs whose services are paid for by the Commonwealth
    8. Number of individuals with DD (waiver and non-waiver) receiving Supported Employment
    9. Number of individuals with DD receiving crisis services by type, by region and disposition
    10. Number of individuals on the DD waiver waiting list by priority level, geographic region, age, and amount of time that individuals have been on the waiting list.
    11. Number of individuals in independent housing
  2. Demographics – DD Service capacity
    1. Number of licensed DD providers
      1. Residential setting by size and type as defined by the Integrated Residential Services Report
      2. Day services by type as defined by the Integrated Day Services Report
    2. Number of provider agencies that have provided services to DD waiver recipients during the previous fiscal year (provided separately by service): Personal Care, Companion, Respite, Supported Employment, Therapeutic Consultation Services (specifically for Behavioral Support), Crisis, Benefits Planning, Community Guide, and Peer Mentoring
    3. Number of ICF/IID non-state operated beds
    4. Number of independent housing options created
  3. The DBHDS Annual Quality Management Report and Evaluation includes the following information:
    1. An analysis of Data Reports, including performance measure indicators employed, an assessment of positive and negative outcomes, and performance that differs materially from expectations
    2. Key Performance Areas performance measures with set targets:
      1. Health, Safety, and Well Being
      2. Community Inclusion–Integrated Settings
      3. Provider Capacity and Competency
    3. Case Management Steering Committee Report
    4. Risk Management Review Committee Report
    5. Annual Mortality Review Report
    6. Quality Management Program Evaluation
    7. Planned quality improvement initiatives and any metrics established for those initiatives
    8. Quality improvement initiatives and any metrics established for those initiatives
    9. Key Accomplishments of the Quality Management Program
    10. System challenges identified through the work of the QIC, its workgroups, or the RQCs, including positive and negative outcomes and/or indications that performance is below expectations.
    11. Committee Performance
    12. A summary of areas reviewed by the Regional Quality Councils, along with recommendations and any strategies employed for quality improvement
    13. A summary of areas reviewed by the DBHDS Quality Improvement Committee (QIC), along with gaps identified, recommendations, and any strategies employed for quality improvement
    14. Recommendations and strategies for related improvement
  4. Additional information, including areas reviewed, and where available, gaps identified, recommendations, and strategies employed for quality improvement, and reports available:
    1. Results of licensing findings resulting from inspections and investigations
    2. Data Quality Plan
    3. Annual Quality Service Review
    4. Annual REACH Report on crisis system
    5. Semi-Annual Supported Employment Report
    6. RST Annual Report, including barriers to integrated services
    7. Semi-annual Provider Data Summary Report: provides information on geographic and population based disparities in service availability as well as barriers to services by region
    8. IFSP outcomes report and updates to IFSP Plan
    9. Integrated Residential Services Report
    10. Integrated Day Services Report
    11. DBHDS Annual Report
    12. National Core Indicators Annual Report and Bi-Annual National Report

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