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Transforming Survey Processes for Enhanced Quality Improvement

Redesigning the division's survey process to meet mission objectives, integrate new standards, and provide transparent information sharing for stakeholders. The redesign streamlines protocols, focuses on outcomes, and modernizes documentation for efficient review activities. The new protocols include Site, Person-Centered, and Agency reviews, capturing key elements and focusing on compliance, safeguards, and quality of life. The Agency Review centrally evaluates regulatory compliance, quality strategies, and community connections to drive quality improvement. For questions/comments: quality@opwdd.ny.gov

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Transforming Survey Processes for Enhanced Quality Improvement

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  1. Survey RedesignDivision of Quality Improvement • Provider Association Meeting June 20, 2016

  2. Purpose • Meet mission for timing/frequency of survey activity • Maintain the quality and consistency of reviews while enhancing efficiencies • Createeffective sustainable review process • Integratenew standardsand review of outcomes affectingquality of life • Provide simple and transparent information sharing for OPWDD, stakeholders and providers • Facilitate quality improvement activities

  3. Current Survey Process • Site visits are conducted (over 10,000 annually) • Discrete survey protocols are utilized for each function • Sample selection/methods to review services are discreet resulting in a review limited in scope • Ability to analyze provider performance is limited

  4. Components of Redesign

  5. Redesign • DQI still visits every site • Builds from AQP Domains indicators • Routinizes HCBS settings standards review • Streamlines protocols and review activities • Incorporates targeted/risk-based review approach • Routine focus on outcomes • Modernized review documentation, report creation and administrative review modernized

  6. Survey Protocols Existing protocols will be streamlined into three types of reviews: • Site Review • Person-Centered Review • Agency Review

  7. Approach Each protocol will capture key elements: • Regulatory requirements • Core activities (Must review) • Consistency in expectations & activities conducted • Health and safety (Routine and High Risk) • Protocol standards and related IT allow for better collection of findings data and identification of trends

  8. Site Review • Only one “type” of site review • Focus: • Comply with Mental Hygiene Law • Site Characteristics, Fire and Environmental Safety • Safeguards • Focused review of areas that pose greatest risk to individuals • Observation and Conversation are Key!

  9. Person Centered Review (PCR) • Review of any and all services a person receives from all provider agencies providing their services • Includes service/site specific requirements related to: • Person Centered Service planning • Service delivery • Safeguards: minimize risks • Rights, health, safeguards, behavioral supports, protections • Quality of life

  10. Agency Review Centralized review of: • Regulatory and quality expectations designed, implemented and managed at the agency level • Sample verification of compliance for selected regulatory requirements • Agency practices and strategies that influence quality outcomes: • Workforce • Quality improvement planning and strategies • Community Connections • Agency Management

  11. So where are we now?

  12. Protocols

  13. Timeline

  14. Questions/Comments: quality@opwdd.ny.gov

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