2018 Reinventing Quality Conference: Building an Infrastructure that Promotes Equity and Diversity


2001 Reinventing Quality Conference
"Quality -- It's Everybody's Business"
Conference Materials


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Workshop Presentations

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Conference Introduction (540 K)

Quality: Direct Support Competence and Continuity: A Must
   
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Ask Me! About Quality (64 K)

The Ask Me! Project is a Quality of Life Survey Project administered by The Arc of Maryland. This presentation covered the history of the project, information on the survey tool, a personal view from two interviewers, a participating agency's viewpoint and responsibilities, data results, how agencies are using the results and related statewide public policy implications and how individuals with developmental disabilities are involved in every step of the process.
   
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Quality: Direct Support Competence and Continuity a Must (532 K)

Without question on key to quality is the competence and continuity of the direct support staff who provide support services. This session brought together multiple perspectives and potential solutions to direct support workforce problems such as increased vacancies, high turnover, and poor training. The College of Direct Support, an on-line multimedia training and education program for direct support professionals was demonstrated.
   
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The Core Indicators Project: An Interstate Collaboration (168 K)

This session focused on the evolution of the Core Indicators Project, a national performance assessment activity currently taking place in 21 states. The presenters explained the rationale for the project, the scope of data collection activities, and data on domains as consumer choice, family satisfaction, staff turnover, and health and safety. The session also provided a framework for using such data as part of ongoing state QA and QI processes.
   
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Connecticut Department of Mental Retardation Quality Initiatives (1.6 MB)

Staff from the Connecticut Department of Mental Retardation provided two consecutive presentations that address the evolution of the department's quality assurance and improvement systems. The first presentation focused on an overview of the more traditional QI systems that are in place in Connecticut, including critical incident reporting, mortality review, licensing, and contract monitoring procedures. The second part of the presentation focused on the development of a new quality review and improvement system that is based on personal outcomes and emphasizes provider improvement.
   
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You Are the Customer (464 K)

Community Psychology & Education Services (CPES) is one of a number of service providers in Arizona that has taken a leadership role in encouraging consumer-directed services. In the process, CPES has faced numerous internal and external obstacles, including those of their own design, to making supports person-centered. This presentation briefly reviewed some of these obstacles and how the CPES staff has attempted to refocus quality assurance on the consumer and family perspective.
   
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Minnesota Region 10 Quality Assurance: A Unique Option (92 K)

Stakeholders from southeast Minnesota, in a truly grassroots effort, have independently initiated and developed a creative method of quality assurance and quality improvement that has received state legislative and financial support. It is a novel approach to ensuring and improving quality as well as licensing. Presenters discussed the history and ongoing involvement of system stakeholders in implementing this process and the inclusion of this method within the state. 
   
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Person Directed Quality (2.3 MB)

Personal Outcomes are for more than just measurement. The Personal Outcome Measures are a powerful learning tool that can be used to transform the way people and organizations do business. The Council's Personal Outcome Measures have provided the foundation for a variety of projects including enhancement of individual planning processes, development of staff training programs, and the creation of statewide quality enhancement processes. This session provided an overview of the principles and implementation strategies that guide the use of the outcomes as a versatile tool for enhancing quality of life for people with disabilities.
   
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Working Together to Achieve the Good Life (56 K)

A review and discussion of Nebraska˘s collaborative efforts in the area of quality assurance. These efforts involve the use of Quality Review Teams and an annual profile of each service provider. Provider profiles incorporate information on the quality of life of all persons receiving services.
   
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Quality Assurance and Improvement Activities in New Hampshire: A Network of Safeguards (208 K)

This session focused on a variety of quality assurance and improvement activities in New Hampshire. It included activities at the individual and community level, regional area agency level and the state level. Specific attention was be paid to the New Hampshire Quality Outcomes Partnership.
   
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The New Hampshire Quality Outcomes Partnership and Who Decides Survey (172K)

This session focused on the New Hampshire Quality Outcomes Partnership (NHQOP) and the Who Decides Survey. The NHQOP is a collaboration between the New Hampshire Division of Developmental Services, the network of community agencies, families, and individuals to collect, report, and disseminate information on a number of quality indicators. The Who Decides Survey was developed and implemented by self advocates to assess the level of decision making authority people have over several aspects of their lives.
   
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Ohio's CMS Review-It's About Positive Outcomes in the Lives of People with Disabilities-Are You Ready? (228 K)

This session outlined how Ohio's developmental disabilities service system prepared for a HCBS waiver review by a federal review team from CMS using a person-centered approach and the principles of self-determination intertwined with those of Medicaid. Presenters shared Ohio's strategy, a strategy that has targeted both system level and person level issues. With the involvement of major leaders at the state and local levels and with advocates, self-advocates, and direct support staff, persons with disabilities are being supported by Ohio's infrastructure to pursue the lives they envision, while concurrently having their health and safety assured.
   
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Increasing our Capacity to Support People with Intellectual Disabilities and Mental Illness: The Pennsylvania Experience (416 K)

The Pennsylvania Office of Mental Retardation has developed a two-pronged approach to building capacity in the community to support people with challenging behaviors including those with a dual diagnosis of mental illness and intellectual disabilities. This presentation shared the strategic planning model being promulgated by the Office of Mental Retardation and the Office of Mental Health & Substance Abuse Services, as well as the work of the training and technical assistance initiative to help support implementation of the model.
   
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Pennsylvania Initiatives Promoting Health and Safety (352 K)

The goal behind Pennsylvania's health and safety initiatives is to build the competency and capacity of community MR providers and the medical community. The Health Care Quality Units promote quality improvement through training and technical support to the community. These units, in tandem with a collaboration between the Office of Mental Retardation and other offices within the State Department of Public Welfare, are creating a statewide network to address health care issues from multiple angles.
   
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What IS a Qualified Provider? (28 K)

This session was an open forum discussion with session attendees, led by brief comments from the perspectives of a consumer, a parent, a funding agency, and an accrediting body. Teresa Moore discussed important points in shopping for services and what she would look for in a provider. Yo Bestgen addressed the CMS waiver review protocol, and the DDQC suggestions regarding the components of a state quality management system, and Dale Dutton covered what CARF looks for during an accreditation review, as well as offering a parent's view of equality expectations.
   
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Walking the Tightrope (108 K)

This presentation focused on ways in which the Massachusetts Department of Mental Retardation works to protect people who, because of their personal lifestyle choices, are at risk of significant harm to themselves or present significant risk to other people. We hope to present the realities of managing risk for people who receive support from a publicly funded system and how, within that process, we sustain our commitment to the people who are protective to achieve their lifestyles and choices, even though they may not share our concern regarding their health and safety.
   
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South Carolina Organizational Performance Enhancement System (116 K)

This session offered a brief overview of how the South Carolina disabilities system has developed and implemented a continuous quality enhancement system using personal outcome measures as the basis. The presentation included both the state's and a provider's perspectives.
   
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The Right to Risk and It's Impact on Quality Outcomes (392 K)

No other issue in the developmental disabilities field today can influence the outcome of person-centered support more than the issue of the 'Right to Risk Who determines the ability of an individual to accept the responsibility of choice? This session will explore the concept of risk and how it is managed within person-centered settings.
   

Supporting Materials for Presentations

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Ask Me! About Quality - Project Descriptions (12 K)

   
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Minnesota Region 10 Quality Assurance: A Unique Option - Frequently Asked Questions (28 K)

   
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Working Together to Achieve the Good Life - Quality Review Team Guidelines (56 K)

   
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Ohio's CMS Review-It's About Positive Outcomes in the Lives of People with Disabilities-Are You Ready? - Preparing Staff (32 K)

   
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Walking the Tightrope - Introduction to Risk Management (56 K)

   

Miscellaneous Materials

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Conference Program (728 K)

   
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Outcomes and Accomplishments (8 K)

   
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Vision (8 K)

   
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Interview Protocol (12 K)

   
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Being an Interviewer (8 K)

   
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Interviewer Training (8 K)