an overview georgia program improvement plan - Department of ...

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6 th Quarter Report: The second QCR indicates that of the 36 cases to which this indicator applied, 23 (63.89%) were rated as a strength. For more details please see the attached QCR report. 6 th Quarter DOCUMENTATION: Social Services Quarterly Report, Qualitative Case Reviews, January 2004 - March 2004 6 th Quarter Federal Response: J1: The State reports as achieved in Q5based upon QCR results which are inconsistent with the benchmark. Q5 reporting is also inconsistent with the request to renegotiate completion date to 7/04. J1: State is requesting another renegotiation to change the benchmark to 'use QCR's…as an ongoing measure.' It appears as if the State consistently requests changes until it finds something achievable. They have gotten far away from the sound initial goal of 'surveying staff to measure understanding' which would provide the basis of practice change. 7 th Quarter Report: In the 6 th Quarter, the State had requested a change in the benchmark for this action step. It appears that the federal response was to continue using the benchmark of “surveying staff” about family centered practice as a more effective way of measuring understanding. Beginning April 2004, the State’s training curriculum again underwent a major revision. While based on family-centered practices, it is too early to “measure” staff understanding of family involvement. The first certification class had not completed the 16 weeks of our new worker training process. Again, the State asserts that the Qualitative Case Review (QCR) measures the understanding of staff through direct practice; i.e., the actual involvement of families as measured by case record reading and child and family interviews. The cumulative results of the QCR dated October 2003 - June 2004, indicates that 48 cases (70.59%) out of 68 cases read rated involvement of the family as strength. Improvement has been demonstrated from the last QCR reporting period. The QCR is an on-going measure of this action step. The second QCR included the States’ largest county. This may attribute to the decreased percentage. The State recognizes the decline in Well-being outcome 1 and will continue to emphasize the good practice of child and family involvement in case planning. There has been a steady increase in the number of children entering the foster care system, which increases the case manager to client ratio. This too may have a negative impact on the involvement of child and family in case planning indicator. Additionally, the State has an abundance of new case managers and supervisors. The Division’s restructure, relocated former State Office staff to Regions as Specialists, to assist in case consultation and training. These positions became effective July 1, 2004. Results of the QCRs will be shared with the Regional Specialist to reinforce policy, new worker training and other state training initiatives. 7 th Quarter DOCUMENTATION: See Social Service Report, Qualitative Case Reviews (October 2003 – June 2004). 8 th Quarter Report: Achieved. The state's training curriculum Module 4 Case Planning is designed to include child and family involvement in case planning. A revised training curriculum (see 7 th Quarter Report) is now being implemented and is comprised of two methods of training: an Internet application and a core program. Both incorporate family-centered practices, and include training content regarding the mutuality of case plan development. Included are questions, which are designed to measure the trainees’ Safe Futures – A Plan for Program Improvement Georgia Department of Human Resources November, 2004 Quarter 8 – Work Plan J Page 3
understanding of this content on a weekly basis as well as a final assessment. Georgia’s Certification Program is still too new to provide performance results for the questions in the Core program, which cluster around the family-centered practice skills. However, the Internet application results are immediately available as tracked by the Institute for Online Training and Instructional Systems. Below is DOCUMENTATION of results indicating participants understanding and mastery of the training content (family centered practice) by participants. While the action step and benchmark is achieved, the most recent QCR results for child and family involvement in case planning clearly indicates the lack of family involvement in case planning. The cumulative results for the 10/2003 - 09/2004 point out that only 65% of children and families are involved in case planning. The information has been passed on to the state training section for further examination. DFCS Online Training Average Scores on Module Test Questions Related to Family Centered Practice and the Inclusion of Families in Service Planning and Provision Course Module Content of question Average Score Intro to Child Welfare Roles of the SSCM Question: How might a SSCM intervene on behalf of a family when acting in the role of a planner 84% Answer: Ensure case plans are detailed and address the problems pertinent to the family's involvement with the agency; Encourage the family to take an active part in developing and implementing their own case plan. Feedback: Planning should always be done with the family, and not for the family. Case plans should include specific goals and describe how these goals will be met. Safe Futures – A Plan for Program Improvement Georgia Department of Human Resources November, 2004 Quarter 8 – Work Plan J Page 4
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AN OVERVIEW GEORGIA PROGRAM IMPROVE
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Georgia: Georgia’s Program Improv
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The AFCARS data for this indicator
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Developed standards of measurement
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These action steps were included as
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Used the results obtained from the
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Established more flexible hours and
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policy require that the case manage
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Training initiative for DFCS and DP
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4. In addition to the information b
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Stakeholder Input in the Analysis o
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The stakeholder interviews held dur
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Work Plan Detail A -- Item 2, Repea
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What needs to be accomplished: Writ
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Neglect was determined to be the mo
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1 st Quarter Federal Response: (PLE
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Safe Futures - A Plan for Program I
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ACCOMPLISHMENTS: Data from these co
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• 79% of respondents agreed commu
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Federal HIPAA requirements limit wh
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6 th Quarter Report: Funding for th
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Work Plan Detail C -- Item 6, Stabi
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START COMPLETION RESPONSIBLE MEASUR
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3 rd Quarter Report Georgia's Reply
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COSTAR children were selected from
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Quarter 4 # of Differences 31 134 1
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DATE DATE PERSON(S) BENCHMARKS July
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C16 ACTION STEPS: Analyze a sample
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October 2004 Purpose and Design The
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The researcher first analyzed chara
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Characteristic Percent Percent Perc
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• Mr. and Mrs. Marshall (pseudony
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3 rd Quarter Report Georgia's Reply
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ACCOMPLISHMENTS: 1 st and 2 nd Quar
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8 th Quarter DOCUMENTATION: (1) Soc
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5 th Quarter DOCUMENTATION: PIP Res
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D6 ACTION STEPS: START DATE Mar. 20
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Georgia Juvenile Court Judges) is a
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addition, 70 court-hearing observat
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(2) Key Performance Indicators and
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DOCUMENTATION PROVIDED 3 RD Quarter
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adoptive families, there was an inc
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8 th Quarter Report: Achieved 5 th
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6 th Quarter Federal Response: E4:
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5 th Quarter DCOUMENTATION: Reporti
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statewide. Both panel and court rev
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child, because the worker was not a
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Question 1. Are you seeing the adop
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6 th Quarter Federal Response: 6 th
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Page 101 and 102: eports. The AFCARS reporting and ma
Page 103 and 104: 8 th Quarter Report: Prior to the b
Page 105 and 106: BARRIERS TO ACHIEVEMENT: E27 ACTION
Page 107 and 108: Work Plan Detail F -- Item 10, Perm
Page 109 and 110: Safe Futures - A Plan for Program I
Page 111 and 112: DOCUMENTATION: Please see attachmen
Page 113 and 114: together. Relative Care Subsidy (RC
Page 115 and 116: START DATE COMPLETION DATE RESPONSI
Page 117 and 118: continue to assess our data sources
Page 119 and 120: Length of time as a foster parent #
Page 121 and 122: Table 4 Disruptions and use of resp
Page 123 and 124: 2. More respite care providers 3. E
Page 125 and 126: Work Plan Detail H -- Item 13, Visi
Page 127 and 128: Please refer to the following attac
Page 129 and 130: (See attached copy of Memorandum fr
Page 131 and 132: July 2002 ACCOMPLISHMENTS: Dec. 200
Page 133 and 134: A pilot is being conducted in Dekal
Page 135 and 136: 5 th Quarter Report: At least 100 c
Page 137 and 138: 2004. ACCOMPLISHMENTS: 1 st Quarter
Page 139 and 140: 8 th Quarter Report: Partially Achi
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Page 145 and 146: The report referred to in the Bench
Page 147 and 148: of that evaluation has been dissemi
Page 149: ACCOMPLISHMENTS: 1 st and 2nd Quart
Page 153 and 154: Course Module Content of question A
Page 163 and 164: 4 th Quarter Report: A survey asses
Page 165 and 166: April 2002 Aug. 2002 5th Quarter: P
Page 167 and 168: equested an extension to July 2004
Page 169 and 170: where the cases are no longer activ
Page 171 and 172: 7 th Quarter Report: In response to
Page 173 and 174: 7 th Quarter DOCUMENTATION: (Same a
Page 175 and 176: Safe Future - A Plan for Program Im
Page 177 and 178: Safe Futures - A Plan for Program I
Page 179 and 180: Work Plan Detail N -- Item 22, Phys
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Page 183 and 184: ACCOMPLISHMENTS: enhancements of th
Page 185 and 186: 6 th Quarter Report: The introducti
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Page 189 and 190: this benchmark with county supervis
Page 191 and 192: BARRIERS TO ACHIEVEMENT: N7 ACTION
Page 193 and 194: eports were discontinued. The Georg
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Page 197 and 198: March 2004 QCR 16 county offices (t
Page 199 and 200: A cumulative Qualitative Case Revie
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5 th Quarter Report: Since, the QCR
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6 th Quarter Report: A review of th
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There has been a steady increase in
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1 st Quarter Report: The Case Plan
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To date CPRS reports that 10,274 ca
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2 nd Quarter Report: Accomplishing
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5 th Quarter Report: HIPPA issues h
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Goal: Case managers have the capaci
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8 th Quarter Report: Achieved. The
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esources as well as increased capac
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Review instruments address document
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A comprehensive effort to clean up
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Work Plan Detail Q -- Items 35-37,
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Funding and Resource Allocation to
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1 st Quarter Response: In May of 20
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conduct of the Comprehensive Child
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Seventy-five new workers were train
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Work Plan Detail R -- Item 42, The
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