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  Vulnerable Children & Adults Final 02-15-11

 
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Vulnerable Children & Adults Final 02-15-11
1. Child Safety
2. Child Care Licensing
3. Mental Health
4. Aging & Disability
Action Plan
  
 
 
Print Version
 
 

 Action Plan Rollup

Performance MeasurePriority AreaTitleAgencyWhoForum DateStatusDue Date
1.2 - Initial ResponseVulnerable Children & AdultsData Quality Plan #1: Initial Response and Monthly VisitsDSHSField Operations Director, Regional Administrators2010-02-18Completed
1.2 - Initial ResponseVulnerable Children & AdultsData Quality Plan #2: Initial Response and Monthly VisitsDSHSChildren's Administration Technology Services, Regional Administrators2010-02-18Completed4/30/2010
1.2 - Initial ResponseVulnerable Children & AdultsPractice Improvement Plan: Initial Response and Monthly VisitsDSHSChildren's Administration Technology Services, Regional Administrators2010-02-18Completed4/30/2010
1.2 - Initial ResponseVulnerable Children & AdultsEnhance Intake Policy, Procedures, and Practice GuideDSHSProgram and Policy Improvement DirectorDeferred4/30/2011
1.3 - Repeat MaltreatmentVulnerable Children & AdultsConduct New Analysis of Repeat Maltreatment RatesDSHSFinance and Operations Support Director2010-01-15Completed12/31/2008
1.3 - Repeat MaltreatmentVulnerable Children & AdultsImprove Child Safety Assessment and PlanningDSHSProgram and Policy Improvement and Field Operations DirectorsIn Progress4/30/2011
1.4 - Monthly VisitsVulnerable Children & AdultsHire and train additional staff DSHSField Operations Director2008-09-30Completed9/30/2008
1.4 - Monthly VisitsVulnerable Children & AdultsIdentify workload reduction strategies DSHSChildren’s Directors and Regional Administrators2008-07-23Completed3/28/2008
1.4 - Monthly VisitsVulnerable Children & AdultsIdentify offices and regions needing additional support DSHSFiscal and Operation Support Director, Field Operations Director2008-07-23Completed
1.4 - Monthly VisitsVulnerable Children & AdultsPractice Improvement Plan: Monthly visitsDSHSRegional Administrators2010-02-18Completed
1.4 - Monthly VisitsVulnerable Children & AdultsCreate Program Evaluation Manager PositionsDSHSFinance and Operations Support DivisionCompleted11/30/2010
1.4 - Monthly VisitsVulnerable Children & AdultsDevelop FamLink Utilization Audit ReportsDSHSTechnology Services DivisionCompleted1/31/2011
1.5 - Median Length of Stay for Children in Out of Home CareVulnerable Children & AdultsImplement Subsidized Guardianships for Children Living with RelativesDSHSProgram and Policy Improvement and Field Operations DirectorsIn Progress12/31/2011
1.5 - Median Length of Stay for Children in Out of Home CareVulnerable Children & AdultsProvide Supervisors with Information, Training, and Expectations for Achieving Timely PermanencyDSHSField Operations and Program and Practice Improvement DirectorsIn Progress12/31/2011
1.5 - Median Length of Stay for Children in Out of Home CareVulnerable Children & AdultsIncrease and Strengthen Permanency Planning PartnershipsDSHSField Operations Director and Regional AdministratorsIn Progress12/31/2011
2.1 - Timely Monitoring Visits Licensed FacilitiesVulnerable Children & AdultsAdditional FamLink training for DEL licensors/office staffDELKarri Livingston, Mary Kay Quinlan, Nancy MylesIn Progress12/31/2010
2.1 - Timely Monitoring Visits Licensed FacilitiesVulnerable Children & AdultsInternal FamLink Issues groupDELFamLeads, Licensing Staff and ManagementCompleted12/31/2010
2.1 - Timely Monitoring Visits Licensed FacilitiesVulnerable Children & AdultsElectronic Licensing FormsDELDEL management2010-02-18Completed1/31/2010
2.3 - Timely Licensing Complaint/Abuse InvestigationsVulnerable Children & AdultsImplement Performance Improvement WorkgroupDELDEL/DSHS (DLR/CPS) Staff2009-04-15Completed3/31/2010
2.3 - Timely Licensing Complaint/Abuse InvestigationsVulnerable Children & AdultsDevelop and implement changes necessary to add a new DEL measure (2.4 initial response time to complaint inspections). DELBonnie Beukema, Corina McCleary, Bob McClellan2010-11-15In Progress3/1/2011
3.1 - Assaults in State HospitalsVulnerable Children & AdultsFinalize the Effective Treatment Manual outlining the underlying treatment philosophy used at the hospital.CSTCCompleted12/31/2009
3.1 - Assaults in State HospitalsVulnerable Children & AdultsContinue to analyze effectiveness of debriefings completed after every incident of seclusion and restraint.CSTCCompleted9/30/2009
3.1 - Assaults in State HospitalsVulnerable Children & AdultsContinue to implement continuous quality improvement efforts to improve workplace safety.WSHIn Progress6/30/2011
3.1 - Assaults in State HospitalsVulnerable Children & AdultsContinue to provide training to staff on managing patients who may be assaultive.ESHIn Progress6/30/2011
3.1 - Assaults in State HospitalsVulnerable Children & AdultsContinue patient programming in the treatment mall initiative so more patients are engaged in active treatment.ESHIn Progress6/30/2011
3.2 - CLIP Waiting ListDevelop performance based outcomes indicators per 2SSHB 1088 to be incorporated into existing reporting mechanisms.DSHSDBHR In Progress9/30/2011
3.2 - CLIP Waiting ListProvide 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 InstituteDSHSDBHR Completed6/30/2010
3.2 - CLIP Waiting ListIncrease accountability and monitoring of Children's Long-Term Inpatient Program by centralizing administrative control within DBHR.DSHSDBHR Deferred
3.2 - CLIP Waiting ListSelect and implement strategies that are identified by the Intensive Mental Health Services WorkgroupDSHSDBHR Deferred
3.2 - CLIP Waiting ListContinue to evaluate other community-based care and diversion options as budget permits.DBHR Deferred
3.2 - CLIP Waiting ListExplore opportunities to maximize Medicaid funding for mental health services for cross-agency high needs children and youth, especially those with co-occurring developmental disabilitiesDSHSDBHR Completed6/30/2010
3.2 - CLIP Waiting ListIdentify and incorporate a standardized tool to track progress and evaluate outcomes for children and youth in CLIP.DSHSDBHRIn Progress6/30/2011
3.2 - CLIP Waiting ListMaximize access to mental health services for youth returning to community from JRA facilities.DSHSDBHR Completed6/30/2010
3.2.a - CLIP: Length of StayDevelop process for regular review of State-Dependent CLIP children 90 days prior to projected discharge.DSHSDBHR Completed6/30/2009
3.2.a - CLIP: Length of StayUpdate the RSN Allied System Care coordination plans with the Children's Administration.DSHSDBHR & CACompleted12/31/2009
3.3 - WSH & ESH Evaluations: InpatientManage 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.DSHSWSH - T. Fairfield, Inpatient Forensic ManagerIn Progress6/30/2011
3.3 - WSH & ESH Evaluations: InpatientManage 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.DSHSESH - I. Borromeo, MD; S. Maike, Interim COOIn Progress12/31/2010
3.3 - WSH & ESH Evaluations: InpatientReallocate psychologist vacancies to “in-training” positions so that a broader range of candidates can be considered for hiring.DSHSESH J. Williams, Director of Psychology, Eastern State HospitalCompleted6/30/2008
3.3 - WSH & ESH Evaluations: InpatientEstablished workgroup to propose statutory changes to increase efficiencies without decreasing quality.DSHSMHD; WSH: Dr. Dean ESH: Rob Henry, DO, Clinical Dir., Forensic Services UnitCompleted12/30/2007
3.3 - WSH & ESH Evaluations: InpatientThe 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.DSHSESH - I. Borromeo, MD; S. Maike, Interim COOIn Progress6/30/2011
3.3 - WSH & ESH Evaluations: InpatientEastern State Hospital will hold discussions with jail personnel in an attempt to resolve the evaluation location issue.DSHSESH: Forensic Services Unit Clinical DirectorCompleted6/30/2010
4.1 - Adult Protective Services InvestigationsVulnerable Children & AdultsRevise workload modelDSHSADSA Home & Community Services Division DirectorDeferred8/1/2009
4.1 - Adult Protective Services InvestigationsVulnerable Children & AdultsDevelop an APS case management component and QA activitiesDSHSADSA Home & Community Services Division DirectorDeferred8/1/2008
4.1 - Adult Protective Services InvestigationsReplace current outdated abuse/neglect tracking systemDSHSADSA Home & Community Services Division DirectorDeferred7/1/2009
4.1 - Adult Protective Services InvestigationsVulnerable Children & AdultsExpand APS AcademyDSHSADSA Home & Community Services Division DirectorIn Progress9/1/2008
4.1 - Adult Protective Services InvestigationsVulnerable Children & AdultsImplement quality assurance monitoring systemDSHSADSA Home & Community Services Division DirectorDeferred7/1/2009
4.1 - Adult Protective Services InvestigationsVulnerable Children & AdultsImprove APS Training Academy (within existing funds)DSHSADSA Home & Community Services Division DirectorIn Progress10/31/2011
4.1 - Adult Protective Services InvestigationsVulnerable Children & AdultsImplement limited quality assurance reviews (within existing funds)DSHSADSA Home & Community Services Division Director2010-08-15Completed7/1/2009
4.1 - Adult Protective Services InvestigationsCreate a Systematic Quality Assurance Program for APS Investigations (per 2011 legislation and budget request)DSHSADSA Home & Community Services Division DirectorWaiting on someone else9/13/2010
4.1 - Adult Protective Services InvestigationsVulnerable Children & AdultsImprove analysis of abuse and neglect/replace outdated tracking system (per 2011 legislation and budget request)DSHSADSA Home & Community Services, Residential Care Services, and Management Services Division DirectorsWaiting on someone else9/13/2010
4.1 - Adult Protective Services InvestigationsVulnerable Children & AdultsAbuse/Neglect Work GroupDSHSADSA Home and Community Services and Residential Care Services Division DirectorsCompleted9/15/2010
4.1 - Adult Protective Services InvestigationsVulnerable Children & AdultsRegional monitoring of cases open more than 90 daysDSHSADSA Home and Community Services Division Director2010-08-15Completed3/26/2010
4.1.a - APS Investigations By RegionVulnerable Children & AdultsTrack regional action plansDSHSADSA Home & Community Services Director2009-10-14In Progress
4.1.b.1 - APS Investigations by Type by RegionVulnerable Children & AdultsTrack regional action plans DSHSADSA Home & Community Services Division Director 2009-10-14Completed10/15/2008
4.2 - Licensing Re-InspectionsVulnerable Children & AdultsImplement revised Adult Family Home inspection processDSHSADSA Residential Care Services Division Director2010-02-18In Progress7/1/2010
4.2 - Licensing Re-InspectionsVulnerable Children & AdultsComplete early inspections of facilities with recent change of ownershipDSHSADSA Residential Care Services Division Director2010-02-18Not Started
4.2 - Licensing Re-InspectionsVulnerable Children & AdultsConduct in-person training of field managersDSHSADSA Residential Care Services Division Director2010-02-18In Progress4/30/2010
4.2 - Licensing Re-InspectionsVulnerable Children & AdultsDevelop guidebook for adult family home providers and staff to report abuse and neglectDSHSADSA Residential Care Services Division Director2010-02-18In Progress3/31/2011
4.2 - Licensing Re-InspectionsVulnerable Children & AdultsImprove on-site consumer information DSHSADSA Residential Care Services Division Director2010-02-18Completed8/31/2010
4.2 - Licensing Re-InspectionsVulnerable Children & AdultsIncrease notification time to residents of the impending sale of an adult family homeDSHSADSA Residential Care Services Division Director2010-02-18Completed8/31/2010
4.2 - Licensing Re-InspectionsVulnerable Children & AdultsPost enforcement letters on the internetDSHSADSA Residential Care Services Division Director2010-02-18Completed4/30/2010
4.2 - Licensing Re-InspectionsVulnerable Children & AdultsRefer public inquiries about specific homes to regional administrator or field managerDSHSADSA Residential Care Services Division Director2010-02-18Completed4/15/2010
4.2 - Licensing Re-InspectionsVulnerable Children & AdultsDevelop statewide review of adult family home licensing processDSHSADSA Residential Care Services Division Director2010-02-18In Progress7/1/2010
4.2 - Licensing Re-InspectionsVulnerable Children & AdultsRequire new adult family home license applicants and all workers to meet long-term care training and certification standardsDSHSADSA Home and Community Services Division Director2010-02-18In Progress1/1/2011
4.2 - Licensing Re-InspectionsVulnerable Children & Adults2010 Supplemental Budget and Legislation RequestDSHSADSA Assistant Secretary2010-02-18Waiting on someone else4/1/2010
4.2 - Licensing Re-InspectionsVulnerable Children & AdultsPotentially Develop 2011-13 Budget and Legislation requestsDSHSADSA Assistant Secretary2010-02-18Not Started9/1/2010
4.2 - Licensing Re-InspectionsVulnerable Children & AdultsAFH Quality Assurance ImprovementsDSHSADSA Residential Care Services Division Director2010-02-18In Progress4/15/2010
4.2 - Licensing Re-InspectionsVulnerable Children & Adults1. Revise adult family home inspection process DSHSADSA Residential Care Services Division DirectorCompleted7/1/2010
4.2 - Licensing Re-Inspections2. Require adult family homes that have a change of ownership (CHOW) to undergo an initial inspectionDSHSADSA Residential Care Services Division DirectorIn Progress12/31/2010
4.2 - Licensing Re-InspectionsVulnerable Children & Adults3. Conduct in-person training of field managersDSHSADSA Residential Care Services Dvision DirectorIn Progress12/31/2010
4.2 - Licensing Re-Inspections4. Develop guidebook for adult family home providers and staff to report abuse, neglect, abandonment, and exploitation. DSHSADSA Residential Care Services Division DirectorCompleted3/31/2011
4.2 - Licensing Re-Inspections5. Improve on-site consumer informationDSHSADSA Residential Care Services Division DirectorCompleted8/31/2010
4.2 - Licensing Re-Inspections6. Increase notification time to residents of the impending sale of an adult family homeDSHSADSA Residential Care Services Division DirectorCompleted8/31/2010
4.2 - Licensing Re-InspectionsVulnerable Children & Adults7. Improve electronic consumer information by posting adult family home enforcement letters on DSHS’s public websiteDSHSADSA Residential Care Services Division DirectorCompleted4/30/2010
4.2 - Licensing Re-Inspections8. Refer public inquiries about specific adult family homes to regional administrator or field managerDSHSADSA Residential Care Services Division DirectorCompleted4/15/2010
4.2 - Licensing Re-InspectionsVulnerable Children & Adults9. Internal Quality Review (within existing resources)DSHSADSA Residential Care Services Division DirectorIn Progress12/31/2010
4.2 - Licensing Re-Inspections10. Require new adult family home license applicants and all workers to meet long-term care training and certification standardsDSHSADSA Home & Community Services and Residential Care Services division directorsDeferred1/1/2011
4.2 - Licensing Re-Inspections11. Implement 2010 Supplemental Budget and legislation to prevent reductions to AFH licensing, and adjust fees for licensed settingsDSHSAssistant SecretaryCompleted7/1/2010
4.2 - Licensing Re-Inspections12. Develop 2011-13 budget requests and legislation to improve safety for vulnerable adults in licensed settingsDSHSAssistant SecretaryWaiting on someone else9/13/2010
4.2 - Licensing Re-InspectionsVulnerable Children & Adults13. Utilize new Abuse/Neglect workgroup to address how to improve protections for vulnerable adultsDSHSADSA Residential Care Services Division DirectorCompleted9/15/2010
4.2 - Licensing Re-InspectionsVulnerable Children & Adults14. Revise boarding home inspection process DSHSADSA Residential Care Services Division DirectorIn Progress12/31/2010