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<br /> QSR STATUS & PRACTICES MEASURES AND THEIR USES
<br /> Quick StudyQSR Person Status and health and wellness,live a self-directed life,and strive to reach their full potential.
<br /> Interventions are developed in accordance with the guiding principles of
<br /> • • ` • • Practice Measures & Their recovery:hope,person-driven,holistic,peer supported,relational,responsive to
<br /> PractitionersUses in Practice Development culture and to trauma,focused on strengths and responsibility,and respectful.
<br /> The QSR Personal Status Measures encompass wellness as well as other important
<br /> The Quality Service Review life areas.The 10 QSR Practice Measures cover practice functions that embrace well-
<br /> ness and recovery as well as the following best practice approaches for providing
<br /> The Quality Service Review(QSR)provides a case-based appraisal of frontline practice high quality behavioral health care:
<br /> used for organizational learning and development to improve results in agencies
<br /> providing integrated primary care and behavioral health care services. A multi- • Person-centered care. • Strengths-based practice.
<br /> method approach is used that includes in-depth case practice reviews applying quali- • Solution-focused practice. • Trauma-informed care.
<br /> tative measures, focus group interviews, and integration of other sources of
<br /> information into a discovery-oriented inquiry process. QSR provides ground-level, The QSR practice measures are derived from the Practice Wheel and Practice Tip
<br /> real-time, rapid assessment, and feedback used by local and state agencies to Sheets used in practice promotion and training activities in New Mexico.An illustra-
<br /> strengthen frontline case practice, improve training and supervision capacities, and tion of the Practice Wheel is provided below,
<br /> adapt practice to complex,ever-changing conditions.
<br /> Measures of a Person's Present Status
<br /> Guiding Principles for QSR Measures
<br /> Personal Status Measures are qualitative indicators for assessing the degree to which
<br /> The QSR measures presented here are designed for use in integrated care settings a person is achieving 15 important life outcomes.The applicability of these outcomes
<br /> where primary health care and behavioral health care are provided jointly to persons depend in part on a person's life stage, personal choices, and situation. Personal
<br /> in need of those services. These QSR measures reflect a behavioral health care Status Measures look at the person's present status in each area as viewed over the
<br /> perspective that promotes Wellness and Recovery as central purposes of care and are past 30 days for most indicators. The 15 status indicators are defined as follows:
<br /> reflected in the QSR qualitative measures. These two elements are defined as follows:
<br /> 1. SAFETY. Degree to which the person is free from external risks of harm,
<br /> • Wellness is an active process in which a person becomes aware of and makes inclusive of such factors as abuse,neglect,intimidation,and/or exploitation
<br /> choices toward a more healthy and successful existence.Wellness is a conscious, by others.This indicator applies to all persons.
<br /> self-directed,and evolving process of achieving full potential which is multidimen-
<br /> sional and holistic, encompassing lifestyle, physical, mental and spiritual well- 2 BEHAVIORAL RISK Degree to which the person is avoiding self-
<br /> being,and the environment. endangering situations and refraining from using behaviors that may put him/
<br /> her or others at risk of harm.This indicator may not apply to persons under
<br /> • Recovery is an active, ongoing process through which persons improve their 3 years of age.
<br /> 'ractice Wheel: Functions in Integrated Care Practicem
<br /> 1.Recognition,
<br /> Connection,
<br /> Rapport
<br /> 9.Situation Tracking, 2.Engagement&
<br /> Plan Adjustments, Commitment to
<br /> Transitions/Discharges Change Process
<br /> 3.Person-
<br /> 8.Implementing Centered Care, 4.Screening,
<br /> Interventions, H Care Coordination,H Detection,Prevention/
<br /> Supports&Services Teamwork Mitigation,Monitoring
<br /> 7.Planning Person- 5.Physical Exam,Bio-
<br /> Centered Interventions, Psy-Soc Assessment,
<br /> Supports&Services Case Formulation
<br /> 6.Person-Centered
<br /> Wellness&Recovery
<br /> Goals
<br /> Practice Functions May Occur Interactively,Concurrently,and - ..
<br /> QSR INSTITUTE, CWPPG, 2016 • PAGE 1
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