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Implementation of the WFI-EZ in a Multi-Site Wraparound Agency

Implementation of the WFI-EZ in a Multi-Site Wraparound Agency. March 3, 2014. Choices. Care Management Entity System of Care Wraparound Managed Care Established in 1997 Over 1500 youth served daily. Agenda. Choices experience with the WFI Integrating the WFI-EZ into Practice

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Implementation of the WFI-EZ in a Multi-Site Wraparound Agency

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  1. Implementation of the WFI-EZ in a Multi-Site Wraparound Agency March 3, 2014

  2. Choices • Care Management Entity • System of Care • Wraparound • Managed Care • Established in 1997 • Over 1500 youth served daily

  3. Agenda • Choices experience with the WFI • Integrating the WFI-EZ into Practice • Using the WFI for Quality Improvement

  4. Experience with WFI 3.0 and 4.0 • Wraparound Comparison Study • Dawn Project • University of Maryland • Choices Technical Assistance Center • Subcontractor • Choices Outcomes and Evaluation Staff

  5. Experience with WFI 3.0 and 4.0 • Advantages • External evaluation • Trained interviewers • Alignment with phases and principles • Disadvantages • Staff resources • Completion rates • Limited assessment options

  6. WFI-EZ • Short-form • Wraparound Fidelity • Youth Outcomes • Satisfaction • Self-Report • Paper • On-line • Interview

  7. Part 1 Integrating the WFI-EZ into Practice

  8. Administration Options • On-line • Care Coordinators introduce • Email to caregivers • Survey Monkey • Challenges • Caregivers have limited access to Internet • Reading levels

  9. Administration Options • Paper • Care Coordinators introduce • CCs give survey to families • Sign sealed envelope and return • Mail in stamped envelope • Challenges • Potential for bias • Reading levels

  10. Administration Options • Interviews • Program staff • CCs introduces • Conducted by phone • Challenges • Resource cost • Successful contacts with caregivers • WFI-EZ format

  11. Implementation Process • Allowed sites to select method • Generated random samples • CCs completed WFI-EZ on one youth • 30 days to get completed surveys from caregivers

  12. Results • 3 of 4 sites selected paper surveys • 1 site conducted phone interviews • Response rates • Interviews (44%) • Paper (22-36%)

  13. Results • Consistent data quality • Bias from CC involvement not observed • Cost/benefit analysis

  14. Next Steps • 2nd administration underway • Improve CC introduction to WFI-EZ • Formalize mechanism for returning paper surveys • Incentives for caregivers and youth

  15. Part 2 Using the WFI-EZ for Quality Improvement

  16. Importance of the WFI-EZ • Family voice • Fidelity monitoring vs. task management • Opportunities for quality improvement

  17. Quality Improvement • Multiple levels of analysis • Opportunities for celebration • Common areas for improvement • Site-specific strengths and needs

  18. Total Caregiver Fidelity Score WFI Louisiana - October 2013

  19. Wraparound Fidelity Principles

  20. Strength and Family Driven

  21. Satisfaction

  22. Outcomes

  23. Quality Improvement • Multiple Levels • Agency • Programs • Teams • Multiple Data Sources • Fidelity • Process measures • Outcomes

  24. Conclusions • Integrate WFI-EZ into practice • Balance response rates and resources • Quality improvement requires multiple types of data • Ongoing assessment is important

  25. Thank You! Vicki Sprague Effland, Ph.D. Director, Outcomes and Evaluation Choices, Inc. 4701 N. Keystone Ave., #150 Indianapolis, IN 46205 (317) 205-8232 Veffland@ChoicesTeam.org

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