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Community Rehabilitation Program(CRP) Quality Scorecard

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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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crp quality deliverables
CRP Quality ScorecardCRP 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 deliverables continued
CRP Quality ScorecardCRP 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
CRP Quality ScorecardCRP 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 continued
CRP Quality ScorecardCRP 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.
assumptions
CRP Quality ScorecardASSUMPTIONS
  • 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.
assumptions continued
CRP Quality ScorecardASSUMPTIONS (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.
standards
CRP Quality ScorecardSTANDARDS
  • Workgroup meeting choices:
    • Face-to-face
    • Go To Meeting (online)
    • Video Conference
    • Teleconference
  • Timeline: Recommendations completed by June 30, 2014
standards continued
CRP Quality ScorecardSTANDARDS (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
neutrality
CRP Quality ScorecardNEUTRALITY
  • 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.
transparency
CRP Quality ScorecardTRANSPARENCY
  • 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.
transparency continued
CRP Quality ScorecardTRANSPARENCY (continued)
  • This process is intended to create a structure by which OOD and consumers can evaluate vendors, and for vendors to evaluate themselves objectively.
scorecard items use in this context
CRP Quality ScorecardSCORECARD 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%)

scorecard items use in this context1
CRP Quality ScorecardSCORECARD 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”)

additional scorecard items
CRP Quality ScorecardADDITIONAL 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
satisfaction survey results
CRP Quality ScorecardSATISFACTION 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.

ideas from other states
CRP Quality ScorecardIDEAS FROM OTHER STATES

Demographics

  • Population(s) served – gender, age….
  • Disability type(s) – (primary)
  • Job type (occupational codes)
ideas from other states continued
CRP Quality ScorecardIDEAS 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
quality measures
CRP Quality ScorecardQUALITY MEASURES
  • Wages per hour
  • Hours per week
  • Benefits
workgroup sub committees
CRP Quality ScorecardWORKGROUP 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

parking lot items for future discussion
CRP Quality ScorecardPARKING 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
parking lot items for future discussion1
CRP Quality ScorecardPARKING 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
meetings
CRP Quality ScorecardMEETINGS
  • 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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