| Performance Measure | Priority Area | Title | Agency | Who | Forum Date | Status | Due Date |
| 1.2 - Initial Response | Vulnerable Children & Adults | Data Quality Plan #1: Initial Response and Monthly Visits | DSHS | Field Operations Director, Regional Administrators | 2010-02-18 | Completed | |
| 1.2 - Initial Response | Vulnerable Children & Adults | Data Quality Plan #2: Initial Response and Monthly Visits | DSHS | Children's Administration Technology Services, Regional Administrators | 2010-02-18 | Completed | 4/30/2010 |
| 1.2 - Initial Response | Vulnerable Children & Adults | Practice Improvement Plan: Initial Response and Monthly Visits | DSHS | Children's Administration Technology Services, Regional Administrators | 2010-02-18 | Completed | 4/30/2010 |
| 1.2 - Initial Response | Vulnerable Children & Adults | Enhance Intake Policy, Procedures, and Practice Guide | DSHS | Program and Policy Improvement Director | | Deferred | 4/30/2011 |
| 1.3 - Repeat Maltreatment | Vulnerable Children & Adults | Conduct New Analysis of Repeat Maltreatment Rates | DSHS | Finance and Operations Support Director | 2010-01-15 | Completed | 12/31/2008 |
| 1.3 - Repeat Maltreatment | Vulnerable Children & Adults | Improve Child Safety Assessment and Planning | DSHS | Program and Policy Improvement and Field Operations Directors | | In Progress | 4/30/2011 |
| 1.4 - Monthly Visits | Vulnerable Children & Adults | Hire and train additional staff | DSHS | Field Operations Director | 2008-09-30 | Completed | 9/30/2008 |
| 1.4 - Monthly Visits | Vulnerable Children & Adults | Identify workload reduction strategies | DSHS | Children’s Directors and Regional Administrators | 2008-07-23 | Completed | 3/28/2008 |
| 1.4 - Monthly Visits | Vulnerable Children & Adults | Identify offices and regions needing additional support | DSHS | Fiscal and Operation Support Director, Field Operations Director | 2008-07-23 | Completed | |
| 1.4 - Monthly Visits | Vulnerable Children & Adults | Practice Improvement Plan: Monthly visits | DSHS | Regional Administrators | 2010-02-18 | Completed | |
| 1.4 - Monthly Visits | Vulnerable Children & Adults | Create Program Evaluation Manager Positions | DSHS | Finance and Operations Support Division | | Completed | 11/30/2010 |
| 1.4 - Monthly Visits | Vulnerable Children & Adults | Develop FamLink Utilization Audit Reports | DSHS | Technology Services Division | | Completed | 1/31/2011 |
| 1.5 - Median Length of Stay for Children in Out of Home Care | Vulnerable Children & Adults | Implement Subsidized Guardianships for Children Living with Relatives | DSHS | Program and Policy Improvement and Field Operations Directors | | In Progress | 12/31/2011 |
| 1.5 - Median Length of Stay for Children in Out of Home Care | Vulnerable Children & Adults | Provide Supervisors with Information, Training, and Expectations for Achieving Timely Permanency | DSHS | Field Operations and Program and Practice Improvement Directors | | In Progress | 12/31/2011 |
| 1.5 - Median Length of Stay for Children in Out of Home Care | Vulnerable Children & Adults | Increase and Strengthen Permanency Planning Partnerships | DSHS | Field Operations Director and Regional Administrators | | In Progress | 12/31/2011 |
| 2.1 - Timely Monitoring Visits Licensed Facilities | Vulnerable Children & Adults | Additional FamLink training for DEL licensors/office staff | DEL | Karri Livingston, Mary Kay Quinlan, Nancy Myles | | In Progress | 12/31/2010 |
| 2.1 - Timely Monitoring Visits Licensed Facilities | Vulnerable Children & Adults | Internal FamLink Issues group | DEL | FamLeads, Licensing Staff and Management | | Completed | 12/31/2010 |
| 2.1 - Timely Monitoring Visits Licensed Facilities | Vulnerable Children & Adults | Electronic Licensing Forms | DEL | DEL management | 2010-02-18 | Completed | 1/31/2010 |
| 2.3 - Timely Licensing Complaint/Abuse Investigations | Vulnerable Children & Adults | Implement Performance Improvement Workgroup | DEL | DEL/DSHS (DLR/CPS) Staff | 2009-04-15 | Completed | 3/31/2010 |
| 2.3 - Timely Licensing Complaint/Abuse Investigations | Vulnerable Children & Adults | Develop and implement changes necessary to add a new DEL measure (2.4 initial response time to complaint inspections). | DEL | Bonnie Beukema, Corina McCleary, Bob McClellan | 2010-11-15 | In Progress | 3/1/2011 |
| 3.1 - Assaults in State Hospitals | Vulnerable Children & Adults | Finalize the Effective Treatment Manual outlining the underlying treatment philosophy used at the hospital. | | CSTC | | Completed | 12/31/2009 |
| 3.1 - Assaults in State Hospitals | Vulnerable Children & Adults | Continue to analyze effectiveness of debriefings completed after every incident of seclusion and restraint. | | CSTC | | Completed | 9/30/2009 |
| 3.1 - Assaults in State Hospitals | Vulnerable Children & Adults | Continue to implement continuous quality improvement efforts to improve workplace safety. | | WSH | | In Progress | 6/30/2011 |
| 3.1 - Assaults in State Hospitals | Vulnerable Children & Adults | Continue to provide training to staff on managing patients who may be assaultive. | | ESH | | In Progress | 6/30/2011 |
| 3.1 - Assaults in State Hospitals | Vulnerable Children & Adults | Continue patient programming in the treatment mall initiative so more patients are engaged in active treatment. | | ESH | | In Progress | 6/30/2011 |
| 3.2 - CLIP Waiting List | | Develop performance based outcomes indicators per 2SSHB 1088 to be incorporated into existing reporting mechanisms. | DSHS | DBHR | | In Progress | 9/30/2011 |
| 3.2 - CLIP Waiting List | | Provide innovative and effective care for multi-system children through existing state funded EBP pilots. Promote workforce development through federally-funded training in cognitive beh. therapy and initiatives funded per 1088 conducted by EBP Institute | DSHS | DBHR | | Completed | 6/30/2010 |
| 3.2 - CLIP Waiting List | | Increase accountability and monitoring of Children's Long-Term Inpatient Program by centralizing administrative control within DBHR. | DSHS | DBHR | | Deferred | |
| 3.2 - CLIP Waiting List | | Select and implement strategies that are identified by the Intensive Mental Health Services Workgroup | DSHS | DBHR | | Deferred | |
| 3.2 - CLIP Waiting List | | Continue to evaluate other community-based care and diversion options as budget permits. | | DBHR | | Deferred | |
| 3.2 - CLIP Waiting List | | Explore opportunities to maximize Medicaid funding for mental health services for cross-agency high needs children and youth, especially those with co-occurring developmental disabilities | DSHS | DBHR | | Completed | 6/30/2010 |
| 3.2 - CLIP Waiting List | | Identify and incorporate a standardized tool to track progress and evaluate outcomes for children and youth in CLIP. | DSHS | DBHR | | In Progress | 6/30/2011 |
| 3.2 - CLIP Waiting List | | Maximize access to mental health services for youth returning to community from JRA facilities. | DSHS | DBHR | | Completed | 6/30/2010 |
| 3.2.a - CLIP: Length of Stay | | Develop process for regular review of State-Dependent CLIP children 90 days prior to projected discharge. | DSHS | DBHR | | Completed | 6/30/2009 |
| 3.2.a - CLIP: Length of Stay | | Update the RSN Allied System Care coordination plans with the Children's Administration. | DSHS | DBHR & CA | | Completed | 12/31/2009 |
| 3.3 - WSH & ESH Evaluations: Inpatient | | Manage Western State Hospital's inpatient forensic beds to ensure that those patients who are ready to be returned to the jail do not hold beds that could be utilized for a new admission. | DSHS | WSH - T. Fairfield, Inpatient Forensic Manager | | In Progress | 6/30/2011 |
| 3.3 - WSH & ESH Evaluations: Inpatient | | Manage Eastern State Hospital's inpatient forensic beds to ensure that those patients who are ready to be returned to the jail do not hold beds that could be utilized for a new admission. | DSHS | ESH - I. Borromeo, MD; S. Maike, Interim COO | | In Progress | 12/31/2010 |
| 3.3 - WSH & ESH Evaluations: Inpatient | | Reallocate psychologist vacancies to “in-training” positions so that a broader range of candidates can be considered for hiring. | DSHS | ESH J. Williams, Director of Psychology, Eastern State Hospital | | Completed | 6/30/2008 |
| 3.3 - WSH & ESH Evaluations: Inpatient | | Established workgroup to propose statutory changes to increase efficiencies without decreasing quality. | DSHS | MHD; WSH: Dr. Dean ESH: Rob Henry, DO, Clinical Dir., Forensic Services Unit | | Completed | 12/30/2007 |
| 3.3 - WSH & ESH Evaluations: Inpatient | | The FSU Clinical Director will initiate regular discussion with the Sanity Commission members to identify barriers and opportunities for improvement relating to reducing the waiting list. | DSHS | ESH - I. Borromeo, MD; S. Maike, Interim COO | | In Progress | 6/30/2011 |
| 3.3 - WSH & ESH Evaluations: Inpatient | | Eastern State Hospital will hold discussions with jail personnel in an attempt to resolve the evaluation location issue. | DSHS | ESH: Forensic Services Unit Clinical Director | | Completed | 6/30/2010 |
| 4.1 - Adult Protective Services Investigations | Vulnerable Children & Adults | Revise workload model | DSHS | ADSA Home & Community Services Division Director | | Deferred | 8/1/2009 |
| 4.1 - Adult Protective Services Investigations | Vulnerable Children & Adults | Develop an APS case management component and QA activities | DSHS | ADSA Home & Community Services Division Director | | Deferred | 8/1/2008 |
| 4.1 - Adult Protective Services Investigations | | Replace current outdated abuse/neglect tracking system | DSHS | ADSA Home & Community Services Division Director | | Deferred | 7/1/2009 |
| 4.1 - Adult Protective Services Investigations | Vulnerable Children & Adults | Expand APS Academy | DSHS | ADSA Home & Community Services Division Director | | In Progress | 9/1/2008 |
| 4.1 - Adult Protective Services Investigations | Vulnerable Children & Adults | Implement quality assurance monitoring system | DSHS | ADSA Home & Community Services Division Director | | Deferred | 7/1/2009 |
| 4.1 - Adult Protective Services Investigations | Vulnerable Children & Adults | Improve APS Training Academy (within existing funds) | DSHS | ADSA Home & Community Services Division Director | | In Progress | 10/31/2011 |
| 4.1 - Adult Protective Services Investigations | Vulnerable Children & Adults | Implement limited quality assurance reviews (within existing funds) | DSHS | ADSA Home & Community Services Division Director | 2010-08-15 | Completed | 7/1/2009 |
| 4.1 - Adult Protective Services Investigations | | Create a Systematic Quality Assurance Program for APS Investigations (per 2011 legislation and budget request) | DSHS | ADSA Home & Community Services Division Director | | Waiting on someone else | 9/13/2010 |
| 4.1 - Adult Protective Services Investigations | Vulnerable Children & Adults | Improve analysis of abuse and neglect/replace outdated tracking system (per 2011 legislation and budget request) | DSHS | ADSA Home & Community Services, Residential Care Services, and Management Services Division Directors | | Waiting on someone else | 9/13/2010 |
| 4.1 - Adult Protective Services Investigations | Vulnerable Children & Adults | Abuse/Neglect Work Group | DSHS | ADSA Home and Community Services and Residential Care Services Division Directors | | Completed | 9/15/2010 |
| 4.1 - Adult Protective Services Investigations | Vulnerable Children & Adults | Regional monitoring of cases open more than 90 days | DSHS | ADSA Home and Community Services Division Director | 2010-08-15 | Completed | 3/26/2010 |
| 4.1.a - APS Investigations By Region | Vulnerable Children & Adults | Track regional action plans | DSHS | ADSA Home & Community Services Director | 2009-10-14 | In Progress | |
| 4.1.b.1 - APS Investigations by Type by Region | Vulnerable Children & Adults | Track regional action plans | DSHS | ADSA Home & Community Services Division Director | 2009-10-14 | Completed | 10/15/2008 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | Implement revised Adult Family Home inspection process | DSHS | ADSA Residential Care Services Division Director | 2010-02-18 | In Progress | 7/1/2010 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | Complete early inspections of facilities with recent change of ownership | DSHS | ADSA Residential Care Services Division Director | 2010-02-18 | Not Started | |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | Conduct in-person training of field managers | DSHS | ADSA Residential Care Services Division Director | 2010-02-18 | In Progress | 4/30/2010 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | Develop guidebook for adult family home providers and staff to report abuse and neglect | DSHS | ADSA Residential Care Services Division Director | 2010-02-18 | In Progress | 3/31/2011 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | Improve on-site consumer information | DSHS | ADSA Residential Care Services Division Director | 2010-02-18 | Completed | 8/31/2010 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | Increase notification time to residents of the impending sale of an adult family home | DSHS | ADSA Residential Care Services Division Director | 2010-02-18 | Completed | 8/31/2010 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | Post enforcement letters on the internet | DSHS | ADSA Residential Care Services Division Director | 2010-02-18 | Completed | 4/30/2010 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | Refer public inquiries about specific homes to regional administrator or field manager | DSHS | ADSA Residential Care Services Division Director | 2010-02-18 | Completed | 4/15/2010 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | Develop statewide review of adult family home licensing process | DSHS | ADSA Residential Care Services Division Director | 2010-02-18 | In Progress | 7/1/2010 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | Require new adult family home license applicants and all workers to meet long-term care training and certification standards | DSHS | ADSA Home and Community Services Division Director | 2010-02-18 | In Progress | 1/1/2011 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | 2010 Supplemental Budget and Legislation Request | DSHS | ADSA Assistant Secretary | 2010-02-18 | Waiting on someone else | 4/1/2010 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | Potentially Develop 2011-13 Budget and Legislation requests | DSHS | ADSA Assistant Secretary | 2010-02-18 | Not Started | 9/1/2010 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | AFH Quality Assurance Improvements | DSHS | ADSA Residential Care Services Division Director | 2010-02-18 | In Progress | 4/15/2010 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | 1. Revise adult family home inspection process | DSHS | ADSA Residential Care Services Division Director | | Completed | 7/1/2010 |
| 4.2 - Licensing Re-Inspections | | 2. Require adult family homes that have a change of ownership (CHOW) to undergo an initial inspection | DSHS | ADSA Residential Care Services Division Director | | In Progress | 12/31/2010 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | 3. Conduct in-person training of field managers | DSHS | ADSA Residential Care Services Dvision Director | | In Progress | 12/31/2010 |
| 4.2 - Licensing Re-Inspections | | 4. Develop guidebook for adult family home providers and staff to report abuse, neglect, abandonment, and exploitation. | DSHS | ADSA Residential Care Services Division Director | | Completed | 3/31/2011 |
| 4.2 - Licensing Re-Inspections | | 5. Improve on-site consumer information | DSHS | ADSA Residential Care Services Division Director | | Completed | 8/31/2010 |
| 4.2 - Licensing Re-Inspections | | 6. Increase notification time to residents of the impending sale of an adult family home | DSHS | ADSA Residential Care Services Division Director | | Completed | 8/31/2010 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | 7. Improve electronic consumer information by posting adult family home enforcement letters on DSHS’s public website | DSHS | ADSA Residential Care Services Division Director | | Completed | 4/30/2010 |
| 4.2 - Licensing Re-Inspections | | 8. Refer public inquiries about specific adult family homes to regional administrator or field manager | DSHS | ADSA Residential Care Services Division Director | | Completed | 4/15/2010 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | 9. Internal Quality Review (within existing resources) | DSHS | ADSA Residential Care Services Division Director | | In Progress | 12/31/2010 |
| 4.2 - Licensing Re-Inspections | | 10. Require new adult family home license applicants and all workers to meet long-term care training and certification standards | DSHS | ADSA Home & Community Services and Residential Care Services division directors | | Deferred | 1/1/2011 |
| 4.2 - Licensing Re-Inspections | | 11. Implement 2010 Supplemental Budget and legislation to prevent reductions to AFH licensing, and adjust fees for licensed settings | DSHS | Assistant Secretary | | Completed | 7/1/2010 |
| 4.2 - Licensing Re-Inspections | | 12. Develop 2011-13 budget requests and legislation to improve safety for vulnerable adults in licensed settings | DSHS | Assistant Secretary | | Waiting on someone else | 9/13/2010 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | 13. Utilize new Abuse/Neglect workgroup to address how to improve protections for vulnerable adults | DSHS | ADSA Residential Care Services Division Director | | Completed | 9/15/2010 |
| 4.2 - Licensing Re-Inspections | Vulnerable Children & Adults | 14. Revise boarding home inspection process | DSHS | ADSA Residential Care Services Division Director | | In Progress | 12/31/2010 |