bay area quality management system quality service … · 217 bay area quality management system...

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Bay Area Quality Management SystemQuality Service Review (QSR)

Interpretive Guidelines, Technical Assistance, and Resources

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What’s the purpose of the Behavior Plan Review? Psychologists and behavior specialists review individual behavior plans when developed. This information is an important part of the Quality Management System. It’s used as an element in the certification of service providers.

When is it used? This review is used for all individuals who have transitioned from Agnews Developmental Center into the community and who have a Behavior Plan. The Behavior Plan Review should be completed: (1) 60 days after a transition (or sooner) from Agnews (or another home) when the Behavior Plan has been revised based on the new living environment; or (2) when a Behavior Plan is first developed. Does it need to be completely filled out each time? Yes, it’s important that the Psychologist or Behavior Analyst completes the entire form. It can also be used, in part, for follow-up (see Follow-Up section for more information).

Information provided from Quality Management Information System

Individual’s Name: DOB: UCI#: Service Provider: (name of home or program): Street address: City, ZIP: Date individual entered this home/service (mm/dd/yy):/ / / /

When the review form is generated from an individual record in the Quality Management Information System, the information in this section will automatically be printed on the form.

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Sample Questions The Review includes questions about individual health and wellness, medication, and safeguards. In addition to a simple yes/no rating system, there is also space to indicate a need for follow-up by the Psychologist/Behavior Analyst, Nurse, Service Coordinator, QMS Specialist, or Other.

2. Does the Behavior Plan: (15c,25a-c, 26c)

If no, recommended follow-up?

a. operationally define behavior(s)? (25a)

A dangerous propensity is identified in the IPP and not addressed in the behavior plan.

Yes o No xoSC oQMS oOtherxPsych/Behavior Analyst

2a. Plan needs to be reviewed and revised by agency behavior specialist by 11/15/06. I will follow-up with an additional review when the revised plan is completed.

e. use positive behavioral programming? (25b)

Staff are using reinforcers as bribes.

Yes o No xoSC xQMS oOtheroPsych/Behavior Analyst

2e. Additional training by agency behavior specialist on use of reinforcers by 11/15/06. QMS Specialist should follow-up.

3. Is additional 1:1 staffing for behavioral challenges proposed or used? (31b)

If yes:

Yes x No o


b. is the plan implemented? (31b)

One staff observed does not appear confident with using the behavior plan.

Yes x No ooSC xQMS oOtheroPsych/Behavior Analyst

3b. Additional training by agency behavior specialist on the use of the plan by 11/15/06. QMS Specialist should follow-up.

These numbers refer to Expectations and Measures on the Quality Service Review (QSR).

It’s the Psychologist/Behavior Analyst’s responsibility to make the recommendation for follow-up. It’s the Quality Management Specialist’s responsibility to ensure the completion of follow-up activities and to assist with technical assistance and training as needed.

Follow-up can be recommended even if an answer indicates a positive outcome.

Please make sure to date all follow-up items.

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Interpretive Guidelines, Technical Assistance, and Resources

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7. Are restrictive procedures are being used? (25c)

PRN medications are being used as chemical restraints.

Yes x No o Follow-Up by:xSC oQMS oOtheroPsych/Behavior Analyst

a. If yes to #7, have they been reviewed and approved according to regional center policy? (25c)

Yes o No xo N/A (if No to #7) Follow-Up by:xSC oQMS oOtheroPsych/Behavior Analyst

Immediate follow-up requested by the Service Coordinator to schedule an IDT review and meeting with the prescribing physician.

On the last page of the Behavior Plan Review, you’ll find space for narrative information about what’s going well, what could be better, and additional remarks. In the electronic version of the review (embedded in the Quality Management Information System), this field will hold 70,000 characters.

Is there anything that you became aware of that is or is not working well? (Note: You can also use this space to describe examples of best practices that are reported or observed.)

Behavior plans are well developed and easy-to-understand. Many staff are new and it will take additional training and practice for them to use the plan consistently.

ADDITIONAL REMARKS, IF ANY:

It’s critical that the Service Coordinator deal with the PRN medicine issue immediately. It’s my recommendation that until an IDT is scheduled, the medicine not be used.

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Follow-UpIt’s the Psychologist/Behavior Analyst’s responsibility to make referrals for follow-up activities as noted in the review. Once the review is entered into the Information Integration System, the Quality Management Specialist can develop a report which summarizes needed follow-up and projected dates of completion. The QMS Specialist monitors the status of follow-up activities and ensures their completion. When the Psychologist/Behavior Analyst is completing a follow-up activity, the Behavior Plan Review tool can be used to focus on only those areas (it would not have to be completed in its entirety). This information should also be entered into the QMIS.

This is the responsibility of the QMS Specialist.

This is the responsibility of the Psychologist/Behavior Analyst.

bay area quality management system quality service … · 217 bay area quality management system...

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