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APHA Scientific Session and Event Listing

Recorded presentation

Larry M. Gant, PhD, LMSW, School of Social Work, University of Michigan, 1080 S. University, Ann Arbor, Michigan, MI 48109, 734-763-5990, Lmgant@umich.edu

The CQI initiative provides standardized concepts of quality of care,operative criteria defining quality of care,indicators (CQI) for Title IV Case Management Programs, ways to collect data from all funded Case Management Programs,methods for benchmarking performance indicators, simple procedures for visualizing performance, and an accessible database for CQI indicators.

We created an iterative Appreciative Inquiry evaluation process that involved input from all funded Title IV case management providers in southeastern Michigan. This resulted in a consensus set of working case management quality indicators. A CQI protocol was created and iteratively revised. We developed a data extraction procedure using 243 existing Title IV case management files across three identified Title IV providers. An experienced case manager conducted the file review and data extraction, establishing 90% interrater reliability using the protocol. A web-based secure database enabled direct (and offline) data entry, notes function, generated multiple report formats, and generated a dataset for data analysis. Two-year benchmark pattern scores were highest for CQI performance indicators 7 and 8 (Client/Family Eligibility and Case Manager Eligibility) moderate for indicators 1,2 and 3 (Quality of Life, Client/Family Goal Attainment, Resource Matching), and lowest for indicators 4, 5, 6 and 9 (Client/Family Self-Advocacy, Improvement/ Impact on Client Stability, Clinic Team Collaboration, Problem Identification and Change Readiness). The benefits and costs of CQI methods are discussed. With careful use, CQI can provide measures of growth and improvements in quality of care regardless of the configuration of provider services or provider organization.

Learning Objectives: At the conclusion of this session, the participant in this session will be able to

• Develop a strategy for a collaborative approach in outlining and developing standardized concepts of quality of care, generating working definitions of care quality indicators, and creating a mechanism for data collection and review from funded case management providers.
• List nine benchmark quality care indicators for Title IV case management services.
• Discuss the strengths, limitations and implications for deploying evidence based program assessment/evaluation models in administrative practice.

Keywords: Case Management, Evidence Based Practice

Presenting author's disclosure statement:

Any relevant financial relationships? No

Recorded presentation