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<br /> QSR STATUS & PRACTICES MEASURES AND THEIR USES
<br /> Measures of Practice Performance 6. Wellness and Recovery Goals.This indicator focuses on the degree to which
<br /> planned life-change goals for the person: •Are based on understandings devel-
<br /> A behavioral health care agency's integrated practice model should define and oped from current assessments and a clinical case formulation. • Define agreed
<br /> support the basic functions or interaction patterns used by frontline practitioners to upon life changes necessary for achieving and maintaining wellness, meeting
<br /> join with a person receiving services to bring about a positive life change process that essential needs,improving daily functioning,gaining greater independence,and
<br /> helps the person in achieving well-being and recovery outcomes,The diagram shown supporting ongoing recovery. • Are stated as the person's vision for wellness
<br /> on page 1 defines a set of practice functions expected to be used by agencies and recovery in the person's treatment plan. • Are measurable for tracking
<br /> providing integrated primary and behavioral health care services. Practice progress and determining attainment of outcomes.This indicator applies to all
<br /> Performance Measures are qualitative indicators used for assessing the degree to persons.For persons under age 12,goals may reflect the interests of the child's
<br /> which functions of practice are working effectively for a person receiving services at a observed needs and interests of the child's primary caregivers.
<br /> point in time.Practice Measures look at the person's service situation in each area as
<br /> viewed over the past 90 days. The 10 Practice Measures are defined as follows: �� Planning Interventions. This indicator focuses on the degree to which: •
<br /> Meaningful, measurable, and achieveable wellness and recovery goals for the
<br /> 1. Recognition,Connection,Rapport.This indicator focuses on the degree to person are supported with well-reasoned,agreed-upon intervention strategies,
<br /> which: • The person's sense of identity,culture,values and preferences,social supports,and services planned for their attainment.Intervention areas that may
<br /> network,and life experiences are recognized by practitioners involved with the be examined include: physical wellness, mental health recovery, addiction
<br /> person. • Any barriers to personal connection and acceptance are recognized recovery,trauma recovery,safety from harm,income and basic necessities,func-
<br /> and resolved. • Necessary conditions for building mutual respect and rapport tional life skill development, education or work, and community integration.
<br /> are established as a basis for successful engagement. This indicator may not This indicator applies to all persons.
<br /> apply to persons under 5 years of age and instead would apply to the child's
<br /> primary caregivers. 8. Delivering Interventions.This indicator focuses on the degree to which: •
<br /> Planned strategies,supports,and services are delivered in a manner sufficient to
<br /> 2. Engagement and Commitment.This indicator examines the degree to which: help the person make adequate progress toward meeting planned goals. • The
<br /> • Service providers are building and maintaining a trust-based working relation- combination of supports and services fits the person's situation so as to maximize
<br /> ships with the person and the person's informal supporters to involve them in benefits and minimize any conflicting strategies or inconveniences.This indicator
<br /> ongoing assessment,service planning,and wellness and recovery efforts. • Service applies to all persons.
<br /> providers are using effective outreach and ongoing engagement strategies to
<br /> increase and sustain the person's participation in the service process and commit- �� Medication Management.This indicator focuses on the degree to which: •
<br /> inert to life changes that support wellness and recovery, consistent with the Use of any psychiatric/addiction control medications for this person are neces-
<br /> person's needs and preferences. This indicator applies to all persons. sary,safe,and effective. • The person has a voice in medication decisions and
<br /> management. • The person is routinely screened for medication side effects
<br /> 3. Person-Centered Care Coordination and Teamwork.This indicator focuses and treated when side effects are detected. • New atypical/current generation
<br /> on the degree to which: Using a person-centered decision making process,the drags have been tried,used,and/or appropriately ruled out. • Use of medica-
<br /> person's service providers and supporters are building and sustaining: •Common Lion is being coordinated with other treatment modalities and with any
<br /> purpose by planning wellness/recovery goals and strategies with and for the treatment for any co-occurring conditions (e.g., seizures, diabetes, asthma/
<br /> person. • Unity of effort in service delivery by coordinating actions of the service COPD,GERD,HM.This indicator applies to all persons.
<br /> providers and integrating services across providers, settings, time, and funding
<br /> sources. This indicator may not apply to persons under 5 years of age and 10. Situation Tracking, Plan Adjustment, and Transitions. This indicator
<br /> instead would apply to the child's primary caregivers. focuses on the degree to which: •Situational awareness is sustained by tracking
<br /> the person's life situation,changing circumstances,service process,progress,and
<br /> 4. Screening, Detection, Prevention/Mitigation, Monitoring. This indicator goal attainment. •Plans are kept relevant and effective by identifying and resolving
<br /> focuses on the degree to which: • Screening detects imminent threats to the service problems,overcoming barriers,and replacing failed strategies. • Seamless
<br /> person's health, safety, supports, or behavioral well-being upon entry and and successful transitions are achieved by ensuring continuity of care across
<br /> ongoing thereafter. • Responsive actions are provided in a timely and appro- settings and providers as well as supporting the person's successful post-change
<br /> priate manner to prevent or mitigate any foreseeable harm to the person or fife adjustments in a new setting or situation. This indicator applies to all
<br /> others around the person arising from the detected threats of harm, risks of persons`
<br /> near-term life disruptions,or risks of poor well-being outcomes. • Follow-along
<br /> monitoring tracks the person's situation to detect and respond to any future These indicators provide a comprehensive picture of how well the broad functions of
<br /> threats to well-being.This indicator applies to all persons. practice are working for a person at a point in time.
<br /> 5. Assessment and Case Formulation.This indicator focuses on the degree to An agency's practice model should encompass the core values of the agency(e.g.,
<br /> which: • Ongoing formal and informal fact finding methods are used to develop use of recovery-oriented, culturally competent, person-centered, strengths-based,
<br /> and update a broad-based understanding of the person's bio-psycho-social situa- solution-focused practice principles) and define the fundamental expectations
<br /> tion,clinical history,strengths and assets,unmet needs,life challenges,stressors, concerning working relationships, integration of efforts among the practitioners
<br /> and aspirations for wellness and recovery. •An evolving clinical case formulation serving an adult in recovery,care coordination,and essential action patterns or func-
<br /> describin the person's physical status and clinically significant distress and impair- tions associated with effective case practice.The practice model becomes a central
<br /> ( g p y y g p inert in functioning)is used to guide development of treatment plans informed by organizer for training of frontline staff,supervision,performance measurement,and
<br /> the person's life stage, culture, social context,and preferences. This indicator accountability.
<br /> applies to all persons.
<br /> QSR INSTITUTE, CWPPG, 2016 0 PAGE 3
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