LUNCH KIT WEBINAR SERIES: How CQL Tools Can Improve · 1. Person-Centered Assessment and Discovery...

MICHAEL CLAUSEN | CQL Canada [email protected]

LUNCH KIT WEBINAR SERIES: How CQL Tools Can Improve

Quality in Canada

VisionA world of dignity, opportunity and community for all people.

MissionCQL is dedicated to the definition, measurement and improvement of personal quality of life.

Our WorkCQL assists communities, systems and organizations to help people discover and define their own quality of life, measure personal quality of life for individuals, organizations and systems and improve the quality of life for people with disabilities, people with mental illness and older adults ― and the people, organizations and communities that support them.

LUNCH KIT WEBINAR SERIESA Brief History of CQL

The ACF/MR was established through an MOA with JCAH

The Accreditation CouncilACF/MR standards are used as basis for 35 Wyatt standards

Wyatt v. Stickney…are consolidated into one set

ACF/MR StandardsThe Council on Quality and Leadership

CQL

First edition of standards are developed – focus on large residential facilities

ACF/MR StandardsStandards are adapted for use by DHEW for certification of ICFs/MR.

Accreditation Council publishes second set of standards for community settings

ACF/MR StandardsThe Accreditation Council for MRDD

ACMRDD

1969 1972 1977 1997

1971 1973 1979

LUNCH KIT WEBINAR SERIESA Brief History of CQL

With people with DD, people with mental illness, parents, thought leaders

Focus GroupsThe first Personal Outcome Measures tool is published – 30 outcomes. Validity testing conducted.

POMsAnalysis of the data leads to the combination of certain outcomes resulting in the 21 outcomes we use today

21 OutcomesResearchers at the UMN conduct additional validity testing

Validity Testing

In three orgs and then field tested in US and Canada

PilotedFactor analysis reduces the number of outcomes from 30 to 25

25 OutcomesAnalysis demonstrates the continued validity of the 21 outcomes

Revalidation

1991 - 1992 1993 2005 2017

1992-1993 1997 2017

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ACCREDITATION

LUNCH KIT WEBINAR SERIESAccreditation

Basic Assurances®• Safeguards of health, safety, security and more

Personal Outcome Measures®• Understanding and measuring personally-defined outcomes

Shared Values®• Alignment of mission, vision and values

Community Life®• Relationship-building between people and the community


Quality Assurances Accreditation• Three year accreditation term with two onsite visits• Ideal for organizations new to CQL• Focuses on Basic Assurances®, Personal Outcome Measures®, Shared Values®,

Community Life®

Person-Centered Excellence Accreditation• Four year accreditation term with one onsite visit and two offsite visits• Ideal for organizations with a quality management system• Builds on CQL Tools• Focused on engaging stakeholders in a 'What Really Matters' plan

Person-Centered Excellence Accreditation - With Distinction –• Four year term with one onsite visit and two offsite visits• Ideal for organizations utilizing data via CQL Certified Trainers/ Interviewers• Builds on CQL Tools• Focused on engaging stakeholders in a 'What Really Matters' plan


Organization-wide accreditation is more meaningful. • CQL’s approach to accreditation leads to best practices being

embraced at all levels, across an entire agencyData capabilities are integrated into accreditation.

• Accreditation alone can have value, but the inability to assess and analyze it, is limiting in determining success.

Partnership involves access to other offerings.• Aside from just data, agencies often take advantage of CQL

training, certification and ongoing consultation.Appreciative Inquiry helps replicate success.

• The concept identifies pockets of excellence, and lays out how they can be utilized in areas of improvement.

LUNCH KIT WEBINAR SERIESAccreditation: Shared Values

1. Dignity and Worth2. Legal and Human Rights3. Self-Determination and Choice4. Community Settings5. Social Capital6. Community Partnerships7. Shared Leadership8. Continuous Learning9. Open Communication10. Continuous Improvement

LUNCH KIT WEBINAR SERIESAccreditation: Basic Assurances®

1. Rights Protection and Promotion2. Dignity and Respect3. Natural Support Networks4. Protection from Abuse, Neglect,

Mistreatment and Exploitation5. Best Possible Health6. Safe Environments7. Staff Resources and Supports8. Positive Services and Supports9. Continuity and Personal Security10. Basic Assurances® System

LUNCH KIT WEBINAR SERIESAccreditation: What Really Matters

1. Person-Centered Assessment and Discovery2. Person-Centered Planning3. Supports and Services4. Community Connection5. Workforce6. Governance7. Quality and Accountability8. Emerging Best Practices

in Individual Budgets

LUNCH KIT WEBINAR SERIESAccreditation: Appreciative Inquiry

• For every person, something works.• What we focus on becomes our reality.• The act of asking questions of a person

influences the person in some way.• If we carry parts of the past forward,

let’s bring what is best about the past.• It is critical to value differences.• New experiences help us

discover new realities.

PERSONAL OUTCOME MEASURES®

LUNCH KIT WEBINAR SERIESPersonal Outcome Measures®


Non-negotiable human and civil rights

MY HUMAN SECURITY


MY HUMAN SECURITY1. People are safe2. People are free from abuse and neglect3. People have the

best possible health4. People experience

continuity and security5. People exercise rights6. People are treated fairly7. People are respected


Access to be in, a part of, and included in the community

MY COMMUNITY


8. People use their environments9. People live in integrated

environments10. People interact with other

members of the community11. People participate in the

life of the community

MY COMMUNITY


Social support, familiarity, intimacy, and belonging

MY RELATIONSHIPS


MY RELATIONSHIPS12. People are connected to

natural support networks13. People have friends14. People have intimate

relationships15. People decide when to

share personal information16. People perform

different social roles


Decisions about one’s life and community

MY CHOICES


MY CHOICES

17. People choose where and with whom they live

18. People choose where they work19. People choose services


Dreams and aspirations for the future

MY GOALS


20. People choose personal goals21. People realize personal goals

MY GOALS


PersonalOUTCOME MEASURES®

USING


OUTCOMESA MATTER OF DEFINITION

PERSONAL OUTCOMESIssues that matter most to people in their lives

FUNCTIONAL OUTCOMESIncreasing functional status

CLINICAL OUTCOMESCure and symptom reduction


PERSONAL OUTCOME MEASURES®WHAT’S SO DIFFERENT?

• Outcomes are defined by the person and their preferences and personal context

• Outcomes spotlight what is most important for the person

• Outcomes base service action and practice on what makes the most sense to and for the person


EducationExperienceExposure

PERSONAL OUTCOME MEASURES®THE THREE E’S


QUALITY IN SERVICESOUTCOMES & SUPPORTS

Outcome for the Person

Individualized Supports

QUALITYOF SERVICES

QUALITYOF LIFE


QUALITYPROCESS VS OUTCOME

• Focus on program standards

• Service action based on professional criteria

• Person is assigned to program

• Expectations for performance are defined by the program

• Focus on the person supported

• Service action is based on the person’s criteria

• Program is designed for the person

• Expectations for performance are defined by the person


QUALITYALL EFFORTS ARE NOT EQUAL

FLOOR

+100

-100

QualityEnhancement

QualityAssurance

Compliance withHealth & Safety Requirements

TRAINING MENU

LUNCH KIT WEBINAR SERIESTraining Menu

PERSONAL OUTCOME MEASURES® ASSESSMENT WORKSHOPIn the Personal Outcome Measures® Assessment Workshop, you and your staff will start with the basics, and leave being able to conduct actual interviews and collect baseline data. CQL will show you the Personal Outcome Measures® process and share how it can help strengthen your person-centered approach.

• 4-day workshop • Up to 12 participants welcome• In-depth training about Personal Outcome

Measures®• Designed for organizations committed to a

person-centered approach


INTRODUCTION TO PERSONAL OUTCOME MEASURES®The CQL training, Introduction to Personal Outcome Measures®, shares what they are, shows how they work and explains why they’re so essential. CQL will conduct an interview and its scoring right in front of you and your staff, and then share how it can be used to transform supports and services.• 1-day workshop• Up to 40 participants welcome• Overview of CQL’s Personal Outcome

Measures®• Designed for organizations new to CQL’s

Personal Outcome Measures®


PERSONAL OUTCOME MEASURES® FOR DSP’SIn the CQL training, 'Personal Outcome Measures® For DSPs', your staff will become invested in Personal Outcome Measures®, by learning the importance of the process. They will gain insight into how their everyday responsibilities can help strengthen a person-centered approach to supports.• 1-day workshop• Importance of Personal Outcome Measures® for

daily supports and services• Designed for Direct Support Professionals• Real-life examples of DSPs embracing

Personal Outcome Measures®


PRINCIPLES OF PERSON-CENTERED THINKINGThe CQL training, Principles of Person-Centered Thinking, will open up your organization to the values of person-centeredness and share best practices in human services. By the end of the training, you will have a clear picture of what it is, and how it can be integrated in everything from your daily supports to strategic plan.• 1-day workshop• Key components and philosophy of person-centered thinking and Personal

Outcome Measures® (POMs)• Best practices you can use in your organization• Designed for management, quality assurance teams and direct support

professionals


PERSON-CENTERED PLANNING WITH OUTCOMESThe Person-Centered Planning With Outcomes training connects the dots between identifying outcomes and creating person-centered, individualized support plans. You will leave the workshop with a clear understanding how Personal Outcome Measures® (POMs) interviews can inform person-centered plans. Attendees will also learn methods for monitoring the effectiveness of this process, as it relates to a person achieving their outcomes.• 1-day workshop• Links Personal Outcome Measures® to Person-Centered Planning• Breakout activities exploring the use of outcomes in planning• Designed for staff involved in Personal Outcome Measures® interviews and

individual planning


SUPPORTING RIGHTS & SELF-ADVOCACYThe Supporting Rights & Self-Advocacy training teaches organizations and staff how to educate people about rights, and support them in protecting and promoting rights. This training will identify rights, violations of rights and strategies to support people in becoming self-advocates• 1-day workshop• Supporting people to understand and exercise their rights• Real-world scenarios of rights advocacy and promotion• Designed for quality assurance teams and direct support professionals


SUPPORTED DECISION-MAKINGIn the Supported Decision-Making training, you will gain a deeper knowledge of supported decision making, why it’s important and how it can be effective in your organization. You will leave the workshop with clear ideas of how supported decision making can work at an individual, organizational and systems-wide level.• 1-day workshop• Essential components of supported decision making• Best practices and specific examples of where supported decision making is

working• Designed for management, quality assurance teams and direct support

professionals


DEFINING COMMUNITYIn the Defining Community training, direct support professionals will get a clearer vision of what community is, and how to support people to be not only present, but active participants, in the community. This training challenges traditional concepts of community, identifies barriers to inclusion and shares insight into overcoming those barriers.• 1-day workshop• Explores the community, inclusion and social capital• Suggestions to building social capital• Designed for direct support professionals


APPRECIATIVE INQUIRYThe Appreciative Inquiry training explores what it is, how it works, and ways to use it. This training challenges you to look at best practices in your organization, learn from it and implement it across other areas.• 1-day workshop• Benefits and application of appreciative inquiry for human services• Real-world scenarios highlighting the effectiveness of Appreciative Inquiry• Designed for management, quality assurance teams and direct support

professionals


COMMUNICATION: THE ART OF LISTENINGIn the Communication: The Art of Listening training, CQL will share an overview of communication, explore unique communication methods and offer suggestions for better listening to communication. Your organization and your staff will strengthen communication skills to create meaningful interactions with the people you support. • 1-day workshop• Keys to understanding and enhancing communication methods and

listening• Interactive exercises exploring communication methods• Designed for management, quality assurance teams and direct support

professionals


ACCREDITATION PREPARATION WORKSHOPThe Accreditation Preparation Workshop establishes the accreditation process for organizations, shares benchmarks that need to be reached for a successful review and looks ahead to the impact it will have on your leadership, staff, stakeholders, and most importantly, the people you support.• 2-day workshop• Shares an overview, experiences and expectations of CQL Accreditation• Strategies to create an action plan for accreditation• Designed for organizations about to undergo CQL Accreditation

CERTIFICATION

LUNCH KIT WEBINAR SERIESCertification Menu

INTERVIEWER CERTIFICATIONInterviewer Certification offers a process for organizations to increase the value and reliability of internal data collection on Personal Outcomes. Interviewer preparation includes the achievement of inter-rater reliability between interviewer candidates and CQL staff.• 1-year certification term• Learn to conduct valid and reliable Personal Outcome Measures®

interviews• Explore how to create a reliable database

LUNCH KIT WEBINAR SERIESCertification Menu

TRAINER CERTIFICATIONTrainer Certification helps your organization develop a culture of person-centeredness. Not only do you benefit by having in-house 'experts' available for year round training, other members of your staff receive hands-on training with CQL consultants. Also, the 15 days of on-site training and consultation are just the beginning of the support provided by CQL staff• 1-year certification term• Discover how to deliver Personal Outcome Measures® Assessment

Workshops in your organization• Learn to conduct valid and reliable Personal Outcome Measures®

interviews

PARTNERSHIP

LUNCH KIT WEBINAR SERIESCQL Partnership: Accredited Partners

UPCOMING ‘LUNCH KIT’ WEBINARS

www.c-q-l.org/Canada

‘Canada Connect’ Email Updateswww.c-q-l.org/Canada

LUNCHKIT WEBINAR SERIESCrosswalk of Quality

LUNCHKIT WEBINAR SERIESCrosswalk of Quality

The crosswalk is designed to demonstrate the practical application of CQL quality enhancement tools in Ontario’s developmental services. Through the use of these tools, it is possible to measure and improve quality across systems and organizations, and find out What Really Matters to the people they support.

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Questions&

Conversations

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HAPPY CANADA DAY!!

MICHAEL CLAUSENCanada Liaison

[email protected]

LUNCH KIT WEBINAR SERIES: How CQL Tools Can Improve · 1. Person-Centered Assessment and Discovery...

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