Our Journey with CQL

Liberty and CQL
Progress Through
Partnerships
OUR JOURNEY WITH CQL
2005: Received First Accreditation
2009: Received Four Year Accreditation
2013: Received Four Year Accreditation
OUR ROAD MAP
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Quality Design Team
Reallocate Resources
Communication and Training
Assessment Team
Systems Assessment
Connect to Strategic Plan
Person- Centered Excellence
Accreditation
I.
Health, Safety and Human Security
(Basic Assurances- 46 Indicators within 10
Factors)
II. Personal Quality Of Life
( 21 Personal Outcome Measures)
III. Evidence-Based Practices in Person-Centered
Excellence – What Really Matters
Key Applications of
Personal Outcome Measures
 Planning Process
(PCE Factor 2- Person Centered
Planning)
 Strategic Plan
(Factor 10 Basic Assurances)
 Systems and Policy Change
Tiffany working at a daycare that is not only
rewarding, but that she loves.
Planning Process
Built on
Success
Leadership Roles and
Valued Feedback
Results:
Meaningful Change
PERSON
Hab Plan
Integration
What Matters
to Me
My Meeting
Team Supports
Maggie
Things that are important to me
Family
Friends
Work
Self Advocacy
Traveling
Staff
Helping Others
What Matters to Me: Action Plan
WHAT MATTERS TO ME
Action Plan
NAME:
Implementation Date:
PERSONAL OUTCOMES
My Self: Connection to Natural Support Networks, Intimate Relationships, Safety, Best Possible Health, Exercise Rights, Fair Treatment, Freedom From
Abuse and Neglect, Experiencing Continuity and Security, Decide When to Share Personal Information.
My World: Choose Where and With Whom to Live, Choose Where to Work, Use Their Environments, Live in Integrated Environments, Interact With
Other Members of the Community, Perform Different Social Roles, Choose Services.
My Dreams: Choose Personal Goals, Realize Personal Goals, Participate in the Life of the Community, Have Friends, Respect.
Outcome identified for
action plan
Program
Responsible
Supporting
documentation
Residential
Res Hab Plan
Action Plan:
Valued Outcome:
Objective:
Day Hab Plan
Action Plan:
Valued Outcome:
Objective:
Day Supports
Clinical
Other
Action Plan
What matters to ______________
• Provides Teams With The Standard
• Focus on Quality
• Provides us with a Measurement Tool
• Ensures the Person is at the Center
Strategic Goals
Customer Pillar
Improve the “What Matters to Me” planning process so
it clearly identifies support areas important to
people in a way each person can understand and
convey. Implement the process in 75% of plans, as
measured by the What Matters to Me audit tool.
Increase one support for an outcome defined by the
Council on Quality and Leadership (CQL) for each
individual, to achieve one increased support for
75% of individuals supported.
Strategic Goals
Quality Pillar
.
To improve Quality and Person
Centered Systems by meeting
predetermined Quality Indicators
Quality Indicators
Survey Results: Department specific based on
Universal Protocol
Personal Outcome Supports: Average number of
supports present for those on your caseload
What Matters to Me: Planning Process
WMTM Audit Tool
Weekly Huddles: Based on sharing huddle
information measured on a monthly basis
Our Metrics
Personal Outcome Measures
Based on 21 Measures
21
18
15
12
9
6
3
0
2009
2010
2011
OUTCOMES
2012
SUPPORTS
Accreditation Standard (2005)
11 Outcomes and 11 Supports
CQL National Average 13 and 13
2013
Top 6 Measures Supported
Through What Matters to Me
Life of the
Community,
8%
Social Roles,
7%
Best Health,
7%
Natural
Supports, 9%
People have
Friends, 27%
Choose
Personal Goals,
18%
Key Measures of Personal &
Organizational Excellence
•Personal outcomes & supports
•Community Life
•Basic Assurances
•Performance Measurement
•Strategic Plan
•Satisfaction Survey
LIBERTY’S MANAGEMENT
SYSTEM
Results/
Evaluation
Customer
Feedback
Data
Collection
Strategic
Plan
LEM/Goals
PILLARS OF LIBERTY
Foundation Of Our Management System and Strategic Plan
CUSTOMER
•Partnerships
for People
WORKFORCE
•Huddles
•IDP’s/9 box
•What Matters
to Me
•Leadership Skills
Assessment
•Customer
Goals/LEM
•Rounding
•Rounding
•Committee
Involvement
FINANCIAL
QUALITY
•Internal
Development
Committee
•Abuse
Prevention
Committee
•Financial
Goals/LEM
•Lessons
Learned
•Capital
Campaign
•Quality
Goals/LEM
•Out of State
Operations
•Positive
Behavioral
Supports
•Forums
•Workforce
Goals/LEM
•Surveys
•Surveys
•Management
Report
•Management
Report
•Management
Report
•Management
Report
COMMUNITY
•Community Life
Tracking
•Community
Goal/LEM
•Management
Report
•Internal
Development
Committee
•Good Neighbor
Award
Performance Evaluations
Measurements within our
Management Scorecard
•
Community Inclusion and
Participation = Life of the
• Employee turnover =
Continuity and Security
Community/Interaction with
Others
• Substantiated Allegations of
Abuse and Neglect = Free
• Net margin = Continuity and
Security
from Abuse and neglect
• % Medication Errors = Best
Health
• Physical Restraints = Rights,
Fair Treatment
Basic Assurances
Factor 1: Rights Protection and Promotion
My Self… My Rights
I Decide!
It’s Much More than Medications and
Behavior Support Plans
Money Management
Rights Restrictions/Lifestyle
Supports Review
HRC
DIL
BSC
Customer Pillar
2013
Reduce the current level of rights restriction by one
for 35% of individuals served in residential and day
programs to promote dignity of life.
2014
To increase people’s independence by reducing
a level of rights restriction that matters to
each person for 20% of people identified.
Caring about each other.
Committed to the community.