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Tools to Support the Development of a Performance Driven Culture - PowerPoint PPT Presentation

Tools to Support the Development of a Performance Driven Culture Presenters NYS Success Briannon OConnor, Project Director Brian Smith, Project Assistant CCSIs Center for Collaboration in Community Health John Lee,


  1. Communication • Exceptional, two-way communication is routinely taking place across all areas of the organization • Staff members see and hear leadership talk about and act in a manner consistent with agency values • Staff members are routinely given the opportunity to ask questions and share their thoughts • Both good news and bad news is shared and discussed • Each staff member knows and supports the Agency Value Proposition and Values Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  2. Collaboration Definition for internal collaboration: A work culture where joint communication and decision making among all members of the healthcare team becomes the norm, resulting in a higher level of services than if each was working alone Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  3. Characteristics of Collaboration within an Agency • System thinking and team learning • Recognizing, and acting upon, mutual interdependency (clinical, financial, quality, training, etc.) • A just culture that supports fair, equal and consistent approaches to variances in care • Promotion of a safe/fear-free environment • Celebratory mechanisms to highlight success Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  4. Characteristics of Participants that Collaborate • Mutual respect • Effective communication • Support of team based learning • Sense of partnership • Trust Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  5. How Might You Know Whether Your Organization has a Performance Driven Culture? Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  6. Introducing: Performance Driven Culture Assessment Tool Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  7. How Can I Get Started? • Consider using the Performance Driven Culture Assessment Tool to better understand your readiness for a world of heightened accountability for outcomes • Complete the tool during a Leadership Team Meeting so that all may offer their perspectives. It is the conversation that will be very important • Develop a work plan for addressing gaps in cultural readiness Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  8. What is the impact of my services? Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  9. Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  10. What is the impact of my services? Learning Objective: Be able to identify strategies to start measuring impact 1. Introduce strategies to measure impact (Brainstorming Activity) 1. What do we do well? 2. How do we know? 3. What do we do with that information? 2. Measuring what you’re good at that aligns with state goals (Logic Model) 3. Tool: Brainstorming Activity Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  11. MFWA – Now What? Finding from Performance Driven Culture Assessment: Need to develop a Performance Dashboard that includes all areas of focus In order to identify a performance dashboard, they need key pieces of information, including knowing their impact Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  12. Thinking about your impact Impact Your value to your individuals served and the overall system of care Context • Accountability and reporting requirements • Value Based Payments • Marketing and recruitment • Value proposition Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  13. Measuring my impact is important, but how do I do it? Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  14. How to determine your impact 1. Establish a workgroup for this activity to start thinking about your impact i. Leadership – include those who have decision-making authority and those who understand the changing healthcare environment ii. Data expert(s) – who has access to the data you may already collect? Who is most familiar with finding and looking at data? iii. Direct service provider(s) – make sure your staff and consumers voices are heard 2. Use the Tool “Brainstorming Activity” i. All ideas are good ideas! Write them ALL down. ii. No ideas are rejected or ignored - you can refine ideas later, but first you need ideas to refine Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  15. How to determine your impact • What does your organization do well? • What impact does the service have on individuals/families/youth? • What are the benefits of using the service? • Why do individuals/families/youth seek out this service? • Why do other service providers refer to you? Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  16. How to determine your impact • What have other service providers told you about what you do well? • What would the alternatives be if this service didn't exist (for individuals/families/youth/other service providers)? • What outcomes are you most proud of? • What do your staff and volunteers say about what they do well? Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  17. Table Break Out Questions: • What impact does your service have on individuals/families/youth? • What are the alternatives for your consumers/families/youth if your organization did not exist? Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  18. Where does this fit in the big picture changing environment? Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  19. Health Care System Reform Goals • Improved individual health and behavioral health life outcomes • Improved member‘s experience of care • Limiting use of high intensity and acute services , including emergency room and inpatient settings • Culturally competent and trauma-informed services and providers • Evidence-based, evidence-informed, and promising practices • Transformation to a more community-based, recovery- oriented, person-centered, youth-guided, individualized service system Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  20. Fitting into the Big Picture ? What we ? do well ? ? Our Impact State Goals What services are provided Start on the right Ask the question how . How would this occur? How would you know? Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  21. MFWA: Example Logic Model for Family Peer Support Services Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  22. Crisis plan in Access Mobile place Crisis Services Crises Family self- management wellness tools Support use of State de-escalation Education about Goals strategies relapse prevention, Reduce State Outcomes identifying avoidable triggers ER/ Reduce avoidable inpatient ER/ use inpatient Foster use Attend family supportive Improve Connections group sessions Improve relationships Outcomes with social Outcomes supports Skill building Supports (natural/ community) Awareness of available Access Benefits Identify barriers community -Social services resources -Healthcare -Stable housing Advocacy Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  23. Crisis plan in Access Mobile place Crisis Services Crises Family self- management wellness tools Support use of State de-escalation Education about Goals strategies relapse prevention, Reduce State Outcomes identifying avoidable triggers ER/ Reduce avoidable inpatient ER/ use inpatient use Data Opportunities: Improve Improve -Number of education/relapse prevention sessions attended, by who Outcomes Outcomes (demographics) -Which topics addressed (e.g., education provided on crisis planning, relapse prevention, violence prevention) -% of families attended relapse prevention -% of groups offered address relapse prevention Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  24. Crisis plan in Access Mobile place Crisis Services Crises Family self- management wellness tools Support use of State de-escalation Education about Goals strategies relapse prevention, Reduce State Outcomes identifying avoidable triggers ER/ Reduce avoidable inpatient ER/ use inpatient use Data Opportunities: Improve Improve -Types of tools introduced Outcomes Outcomes -% of families/individuals served that are introduced to the Eight Dimensions of Wellness -Progress towards using tools -% of families/individuals who report progress on using tools (pre/post data) -Family report of self-wellness -% families report improved score of self-wellness (pre/post, by demographics, by engagement/attendance) Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  25. State Goals Reduce State Outcomes avoidable ER/ Reduce avoidable inpatient ER/ use inpatient Foster use Attend family supportive Improve Connections group sessions Improve relationships Outcomes with social Outcomes supports Skill building Supports (natural/ community) Awareness of available Access Benefits Identify barriers community -Social services resources -Healthcare -Stable housing Advocacy Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  26. Data Opportunities: -Number of sessions attended, by who (demographics) -% of families served attend family group sessions -attendance rate to family group sessions (average, by demographics, by length of stay) State -Which topics addressed (e.g., education provided on mental health/substance Goals use awareness, trauma, communication styles, family genograms) -% of families received education on communication styles Reduce State -% of families attended group sessions on substance use Outcomes avoidable ER/ Reduce avoidable inpatient ER/ use inpatient Foster use Attend family supportive Improve Connections group sessions Improve relationships Outcomes with social Outcomes supports Skill building Supports (natural/ community) Awareness of available Access Benefits Identify barriers community -Social services resources -Healthcare -Stable housing Advocacy Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  27. Data Opportunities: -Skills area to target are identified -% of population served identify conflict resolution as a need -% of population served identify at least 1 skill-building goal in their individualized service plan (ISP) -Progress towards learning skills State -% of population that report progress in conflict resolution skills Goals Reduce State Outcomes avoidable ER/ Reduce inpatient avoidable ER/ use inpatient Foster use Attend family supportive Improve Connections group sessions Improve relationships Outcomes with social Outcomes supports Skill building Supports (natural/ community) Awareness of available Access Benefits Identify barriers community -Social services resources -Healthcare -Stable housing Advocacy Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  28. Data Opportunities: -Needed benefits identified -% of families/individuals identify housing needs -by demographics -Progress in acquiring needed benefits -% of families with a housing need report stable housing by discharge State -Referrals to benefits agencies/organizations Goals Reduce State Outcomes avoidable ER/ Reduce inpatient avoidable ER/ use inpatient Foster use Attend family supportive Improve Connections group sessions Improve relationships Outcomes with social Outcomes supports Skill building Supports (natural/ community) Awareness of available Access Benefits Identify barriers community -Social services resources -Healthcare -Stable housing Advocacy Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  29. Data Opportunities -Attendance to social activities -% of youth that identify increased engagement/attendance to social activities with a support person -% of families served that attend a service-run family engagement event -Family or support person involved in care -% of youth with a family or support person involved in care (by State demographics) Goals -Contacts with support person(s) -average # of contacts staff made with support person (by demographics) Reduce State Outcomes avoidable ER/ Reduce avoidable inpatient ER/ use inpatient Foster use Attend family supportive Improve Connections group sessions Improve relationships Outcomes with social Outcomes supports Skill building Supports (natural/ community) Awareness of available Access Benefits Identify barriers community -Social services resources -Healthcare -Stable housing Advocacy Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  30. We’ve brainstormed our impact and identified how that supports system- wide goals. We’ve identified data opportunities. But where do I find that data? Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  31. How do you know your impact? 1. With your workgroup , now that you’ve thought about your impact and determined how that impact fits within the changing environment, start thinking about “how do you know?” i. What data do you have? ii. Where is the low-hanging fruit? 2. Use the Tool “Brainstorming Activity” – How do you know? i. All ideas are good ideas! Write them ALL down. ii. No ideas are rejected or ignored - you can refine ideas later, but first you need ideas to refine Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  32. How do you know your impact? • What data do you have that could demonstrate that impact (surveys, pre/post data, clinical outcomes, attendance, client satisfaction, referrals, etc.)? • What information are you already tracking? • What is included on intake forms or other paperwork? • What is collected in an electronic health system or tracking spreadsheet? • Does data already exist “out there”? (Think state/national data sources) Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  33. How do you know your impact? • If you don’t have current data, what information would you need to be able to know for sure that the service is having the impact described above (be as detailed as possible)? • If you know mostly from anecdotes or personal testimonials, what types of information could you collect to get at the main themes from these stories? • Where is your data stored? • How accessible is your data (easy/simple, time consuming)? Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  34. Recap… So far, MFWA has: • Completed Performance Driven Culture Assessment • Developed a workgroup to address findings • Identified impact of their services, mapped to state goals, and identified data sources/gaps Next Step for MFWA: • Having identified significant gaps in data, MFWA will need to review what data to start collecting and how Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  35. How Can I Get Started? • Establish a Work Group • Complete the Brainstorming Activity • Connect the dots: how do your services connect with State Healthcare Reform Goals/MRT Goals? • Identify your data opportunities and data gaps Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  36. What data should I collect and how? Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  37. Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  38. What Data Should I Collect and How? Learning Objective: Be able to identify key data elements valuable across systems (agencies, providers, counties, etc.) 1. Who is served? Understanding your population and demographics 2. How are they served? Looking at utilization data 3. How well are they served? Looking at outcome data 4. What is the cost of serving them? Looking at cost per unit and cost per episode data 5. Tool: Data summary and visualization workbook Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  39. MFWA – Now What? • Remember, MFWA is still working to develop a performance dashboard • MFWA noticed gaps in data they currently collect • MFWA attended a few webinars recently and are aware of some basic best practices around data collection • Keep the number of measures small (limit how much data you need to analyze) • Look at low-hanging fruit – what data do we already have? • Choose measures that are likely to show change and success Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  40. MFWA – Now What? • MFWA also knows that there are different types of measures out there and are aware of some standard data elements they should be capturing/collecting 1. Demographics : Understanding the basic characteristics of your consumer population 2. Utilization : Quantifying the services you provide 3. Outcome : Understanding the value of your service 4. Finance : How effectively are you using your resources in support of your mission Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  41. Demographics: Why it’s important • Provide a snapshot overview of your population • Identify potential disparities in access to services • Identify if the population you serve is representative of your community • Help identify subgroups of interest or niche populations • Identify targets for new markets or outreach • Being able to easily summarize the population served is the foundation of measurement • Understanding your denominator Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  42. Utilization – Why it’s important • Identify the services you provide and to whom • Quantify how many services you provide and how those services are distributed across your population • When collected, can identify who is providing the service and how often • Productivity • “How am I using my resources?” • Identify if the service delivery pattern is consistent across services Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  43. Outcome – Why it’s important • Determine if consumers are satisfied with the services • Assess if consumers are engaged in the process • Determine if consumers are accessing your services in a timely manner • Identify if consumers are reaching their goals and/or making progress toward those goals Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  44. Finance – Why it’s important • Compare your budget to actuals for: • Revenue • Costs • Revenue per Unit • Costs per Unit • Look at your payer mix to determine variances in reimbursement Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  45. MFWA – Now What? • MFWA has access to a tool through New York State Success that allows them to enter minimal data on their current roster, which the tool then auto- populates analyses and visualizations! • Same tool you now have access to! Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  46. Introducing the Data Summary and Visualization Tool In the tool, MFWA entered: • Their roster/list of clients • Basic demographic, utilization and outcome data for each client • Basic financial information • Revenue, costs, units of service (budget and actuals) Tool auto-populates a real-time analysis of performance! • Demographics • Utilization • Outcomes • Finance • Customizable! Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  47. Let’s see what MFWA found! Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  48. Data Collection Represents data collected from 1/1/17 -5/31/17 Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  49. Data Collection - Tips • Know your definitions • Pay attention to Spelling • Check for completeness and accuracy of your data • Check ID numbers • Check data categories • Determine if the data you collect is meaningful • Does collecting Housing Status make sense for my agency/service? • What information is critical to know? Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  50. Demographics – understanding the basic characteristics of who you serve Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  51. What is our gender distribution? Does this make sense?

  52. What is our race and ethnicity distribution?

  53. What percentage of our population identifies as homeless?

  54. Do we have a need to translate our documentation into multiple languages? If so, which languages?

  55. What percentage of our population has a trauma history?

  56. Demographics MFWA Findings Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  57. Utilization – quantifying the services you provide Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  58. Do I have the right training for my staff? Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  59. Is my staff distribution appropriate? Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  60. Are we using best practices? Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  61. Utilization MFWA Findings Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  62. Outcome – understanding the value of your service Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  63. What percentage of my current clients have improved in their symptom functioning scores since their first assessment?

  64. Are there differences between outcomes by diagnosis/presenting concern?

  65. Are there differences between outcomes by primary service?

  66. Finance – how effectively are you using your resources in support of your mission Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  67. Data Entry Requirements Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  68. What is my payer mix?

  69. How are each of my programs doing fiscally, comparing actual YTD to budget?

  70. How is my agency as a whole doing fiscally, YTD compared to budget?

  71. What are my cost per unit and revenue per unit? Both budgeted and actual YTD

  72. How Can I Get Started? • Go to the New York State Success website for access to the Data Summary and Visualization Workbook • Follow the instructions, enter your current roster, basic demographic and utilization data, and basic financial information • Play, play, play!! • What questions do you want/need to know about demographics, utilization, outcomes and finance? • What findings do you come up with? Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  73. LUNCH BREAK Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  74. What do I do with the data once I have it? Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  75. Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  76. What do I do with the data once I have it? Learning Objective: Introduction to the Trauma-Informed Care Organizational Self-Assessment Tool (TIC-OSAT) and how it can be used to monitor fidelity to trauma-informed organizational best-practices. Define Continuous Quality Improvement (CQI), its importance in performance management, and how to begin implementing a CQI model in an organization. 1. Introduce TIC-OSAT and how to access it 2. How MFWA began a CQI process using TIC-OSAT results and recommendations Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  77. What is Trauma-Informed Care? • Organizational structure, treatment framework, approach to service delivery • Understands, recognizes, and responds to the effects of all types of trauma • Emphasizes physical, psychological, and emotional safety for service recipients and staff/providers • Supports survivors in rebuilding a sense of control and empowerment Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  78. The 4 “R”s of a Trauma -Informed Approach • A program, organization, or system that is trauma- informed: • Realizes the widespread impact of trauma and understands potential paths for recovery • Recognizes the signs and symptoms of trauma in clients, families, staff, and others involved with the system • Responds by fully integrating knowledge about trauma into policies, procedures, and practices • Seeks to actively resist re-traumatization Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  79. Why assess for Trauma-Informed Care (TIC)? • Trauma is very, very common • Experiencing trauma impacts all areas of everyday living • Staff are impacted by trauma • Trauma survivors can be re-traumatized by service providers • Understanding the impact of trauma is a critical piece of providing effective services in the system of care Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

  80. TIC-OSAT Trauma-Informed Care Organizational Self- Assessment Tool Ma terials were created with support from NYS Success, a SAMHSA- funded system of care grant. Partners included The Center for Collaboration in Community Health and Managed Care Technical Assistance Center (MCTAC).

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