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DocuSign Envelope ID:CAABEAFA-9919-4207-B5CD-58E618EA747E <br /> performance results. The QSR inquiry process is supported by a qualitative case-based review <br /> protocol that measures the performance of core SOC practice functions in actual cases selected <br /> for an in-depth review. The review protocol involves the use of two reviewers (one experienced <br /> and one local trainee reviewer). A variety of methods are used to collect the information for the <br /> case review. Information can be collected through the implementation of qualitative measures, <br /> the use of focus groups and the integration of information from other sources (discovery- <br /> oriented inquiry process). QSR places its focus on practice and results, rather than on <br /> compliance with funding requirements or agency policies. QSR was used as the primary <br /> behavioral/systems assessment tool in the three North Carolina CMHS grant projects (PENPAL, <br /> NC FACES and NCSOCNET). Orange County via its then operating Orange Person Chatham Area <br /> Program was a part of the NC FACES grant and so utilized the QSR (then known as Service <br /> Testing). <br /> QSR is based on a set of concepts, principles and strategies related to organizational learning <br /> and positive action taken to improve practice in human service agencies that serve children and <br /> adolescents. It focuses on the life domains in a child's life and on the practices applied by public <br /> and private agencies that affect that child's life. The QSR involves case reviews, observations <br /> and interviews with the child/adolescent and people important to that child/adolescent. <br /> Results provide a rich array of lessons for next step action and improvement. These include: <br /> Detailed stories of practice and results in real situations and recurrent patterns <br /> observed across persons reviewed; <br /> Deep understandings of contextual factors that affect daily frontline practice in a site or <br /> agency being reviewed; <br /> • Quantitative patterns of service participant status, recent progress, and practice <br /> performance results based on qualitative measures; <br /> • Noteworthy accomplishments and successes; <br /> • Emerging problems, issues and challenges in current practice situations explained in <br /> local context; <br /> • Critical learning and input for next step actions and for improving program design <br /> practice and working conditions; and <br /> • Repeated measures revealing the degree to which important service system <br /> transformation aspirations are being fulfilled in daily frontline practice for <br /> children/adolescents. <br /> NRI believes that the QSR approach would provide the most comprehensive assessment of the <br /> effectiveness of the SOC. The approach has successfully been used as an evaluation tool in <br /> Page 14 <br /> NRI • 3141 Fairview Park Drive • Suite 650• Falls Church, VA• 22042 • 703-738-8160 •www.nri-inc.org <br />