community rehabilitation program(crp) quality scorecard
DESCRIPTION
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) - PowerPoint PPT PresentationTRANSCRIPT
Community Rehabilitation Program(CRP)
Quality Scorecard
CRP Quality Scorecard
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CRP QUALITY DELIVERABLES1. Provider Fact Sheet (4/1/14)
▫(methods for consumers to consider for informed choice selection of provider)
2. Web-based Provider System (7/31/14)▫(used by consumers, providers, staff)
3. Satisfaction Surveys (4/1/14)▫(consumers & counselors)
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CRP QUALITY DELIVERABLES (continued)4. CRP Scorecard and Reports (6/30/14)
5. Provider manual chapter on CRP Quality System and use (8/30/14)
6. CRP monitoring policy/procedure (8/1/14)
7. CRP training (9/30/14)
8. Staff training (9/30/14)
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CRP QUALITYFACTS:
• 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.
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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.
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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.
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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.
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STANDARDS• Workgroup meeting choices:
▫ Face-to-face
▫ Go To Meeting (online)
▫ Video Conference
▫ Teleconference
• Timeline: Recommendations completed by June 30, 2014
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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
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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.
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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.
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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.
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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%)
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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. “Placement Rate”)
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ADDITIONAL SCORECARD ITEMSFiscal
• 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
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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.
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IDEAS FROM OTHER STATES
Demographics
• Population(s) served – gender, age….
• Disability type(s) – (primary)
• Job type (occupational codes)
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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
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QUALITY MEASURES
• Wages per hour
• Hours per week
• Benefits
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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
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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
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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
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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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