Community rehabilitation program crp quality scorecard
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Community Rehabilitation Program(CRP) Quality Scorecard PowerPoint PPT Presentation


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Community Rehabilitation Program(CRP) Quality Scorecard. CRP QUALITY DELIVERABLES. Provider Fact Sheet (4/1/14) (methods for consumers to consider for informed choice selection of provider) Web-based Provider System (7/31/14) (used by consumers, providers, staff)

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Community Rehabilitation Program(CRP) Quality Scorecard

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Community Rehabilitation Program(CRP)

Quality Scorecard


CRP Quality Scorecard

CRP QUALITY DELIVERABLES

  • Provider Fact Sheet (4/1/14)

    • (methods for consumers to consider for informed choice selection of provider)

  • Web-based Provider System (7/31/14)

    • (used by consumers, providers, staff)

  • Satisfaction Surveys (4/1/14)

    • (consumers & counselors)


CRP Quality Scorecard

CRP QUALITY DELIVERABLES (continued)

  • CRP Scorecard and Reports (6/30/14)

  • Provider manual chapter on CRP Quality System and use (8/30/14)

  • CRP monitoring policy/procedure (8/1/14)

  • CRP training (9/30/14)

  • Staff training (9/30/14)


CRP Quality Scorecard

CRP QUALITY

FACTS:

  • Ohio has a significant # of individuals waiting for VR services. (1,290 as of 3/14/14)

  • The VR budget is expected to remain relatively stable.

  • Ohio’s rehab rate is well below RSA federal standards.


CRP Quality Scorecard

CRP QUALITY (continued)

FACTS:

  • Ohio’s cost per outcome is one of the highest in the nation.

    Therefore…

  • OOD must develop a method to evaluate vendor services.


CRP Quality Scorecard

ASSUMPTIONS

  • A scorecard will assist in enhancing consumer’s informed choice.

  • Cost per outcome must .

  • Services (as is) do not result in a sufficient proportion of successful outcomes.

  • Individuals with MSD may require a different approach.


CRP Quality Scorecard

ASSUMPTIONS (continued)

  • OOD must have more outcomes with similar $$$.

  • Effective service delivery should result in reduction of the waiting list.

  • Consideration must be given to how other states evaluate their vendors.


CRP Quality Scorecard

STANDARDS

  • Workgroup meeting choices:

    • Face-to-face

    • Go To Meeting (online)

    • Video Conference

    • Teleconference

  • Timeline: Recommendations completed by June 30, 2014


CRP Quality Scorecard

STANDARDS (continued)

  • Scorecard input:

    • Must be based on currently available data

    • Measures must be able to be applied universally to all CRPs

    • Roll-out-ready by October 1, 2014

  • Time Commitments

    • Frequency

    • Location

    • Subgroups


CRP Quality Scorecard

NEUTRALITY

  • Workgroup must represent the Ohio provider community, in general.

  • Scorecard items must represent unbiased elements (not tailored to large/small/urban/rural).

  • Must respect complexities of ALL disability types.


CRP Quality Scorecard

TRANSPARENCY

  • OOD is interested in a cooperative effort to develop the scorecard.

  • We anticipate there may be very different opinions, and consensus may not always be possible

  • We will strive to consider ALL options before making final recommendations.


CRP Quality Scorecard

TRANSPARENCY (continued)

  • This process is intended to create a structure by which OOD and consumers can evaluate vendors, and for vendors to evaluate themselves objectively.


CRP Quality Scorecard

SCORECARD ITEMS(? use in this context ?)

  • RSA Standards & Indicators

    1.1-closed cases w/an employment outcome (> +1 from previous yr.)1.2 -of closed cases that received service, the % w/an employment outcome (RSA 55.80%)

    1.3 -of closed cases w/an emp. Outcome, the % w/wages > minimum wage (72.60%)

    1.4 -of closed cases w/an emp. Outcome, the % w/wages > minimum wage + SD (62.40%)


CRP Quality Scorecard

SCORECARD ITEMS(? use in this context ?)

  • RSA Standards & Indicators

    1.5-ratio of average state wage to the average wage of closed cases w/employment outcome w/wages > minimum wage (0.52)1.6 –difference between % of closed cases w/employment outcome w/wage > minimum wage that are self support at application + % of closed w/emp. outcome w/wage > minimum wage that are self support at closure. (53.00)

    2.1 –ratio of minority service rate to non-minority service rate (0.800)

    A potential concept: Tying rehab. rate to vendors providing services after IPE development (i.e. “PlacementRate”)


CRP Quality Scorecard

ADDITIONAL SCORECARD ITEMS

Fiscal

  • Time from service completed to date billing submitted.

  • Frequency of charges for non-billable items.

  • # of rejected bills.

  • Response time on rejected payments.

    (significance of N/A rating)

  • Cost per case


CRP Quality Scorecard

SATISFACTION SURVEY RESULTS

  • Consumer

  • Counselor

    The surveys are in development with deadlines of 4/1 and 6/30 respectively.

    Greg Dormer and Jim Gears are point for the surveys.


CRP Quality Scorecard

IDEAS FROM OTHER STATES

Demographics

  • Population(s) served – gender, age….

  • Disability type(s) – (primary)

  • Job type (occupational codes)


CRP Quality Scorecard

IDEAS FROM OTHER STATES (continued)

Timeliness

  • Auth. Date  Service date

  • Services provided within parameter of standardized fee schedule definitions.

    Placement Rate:

  • # of successful outcomes per auth. for placement


CRP Quality Scorecard

QUALITY MEASURES

  • Wages per hour

  • Hours per week

  • Benefits


CRP Quality Scorecard

WORKGROUP SUB-COMMITTEES

  • Scorecard items

  • Visual/graphics and definitions

  • System User Acceptance Testing

  • Training/roll out

    - 4/16 CRP Director’s Mtg.

    - August/Sept.

    - Oct. follow up


CRP Quality Scorecard

PARKING LOT ITEMS(for future discussion)

  • Timeliness between auth/referral/service start and service completed

  • Definitions for each of the selected scorecard measures

  • Quality measure – Benefits  What if consumer declines available benefits?

  • Value of demographic data

  • Must tie service to survey to reflect which vendor provided service


CRP Quality Scorecard

PARKING LOT ITEMS(for future discussion)

  • Clearly distinguishing WHO is being evaluated

  • Survey response rates

  • Emailing surveys - consumer support advocates (CSAs)?

  • New vendors (w/no data for scorecard)

  • Fee schedule for specialized programs


CRP Quality Scorecard

MEETINGS

  • Face-to-face from 9:30am – 1pm @ OOD (w/call-in option)

  • Avoid 1st week of the month

    • Monday, April 7th

    • Monday, April 28th

    • Monday, May 12th

    • Tuesday, May 20th

    • Monday, June 16th

    • Wednesday, June 25th (if needed)


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