OUHSC BBMC | Biomedical and Behavioral Methodology Core

CQI Learning Collaborative Overview

The OUHSC has partnered with several Local Implementing Agencies (LIAs) to focus on Continuous Quality Improvement for Oklahoma State Department of Health MIECHV sponsored home visiting programs. Borrowing from HV-CoIIN methodology, LIAs identify novel approaches to improving aspects of family engagements and are encouraged to share their best practices and "steal shamelessly" from one another.

CAP Tulsa

Visit the CAP Tulsa website

Primary LIA contact: Ariane Betancourt and Dana James

Action Period 1 SMART Aim: To increase the number of newly enrolled families who remain in services for 3+ months by 20% within the Action Period period, scripts will be developed and revised to use with families during the initial meeting/early home visits.

Action Period 2 - Family Engagement - SMART Aim: Introduce the ACEs and Resilience Questionnaires beginning Feb 1 to increase the number of families remaining in our program by 5% before July 1, 2018.

Action Period 3 - Family Engagement - SMART Aim: By March 1, 2020, 25% of qualifying families will have a father-figure show up to at least one GC meeting as a result of the new father-figure recruitment procedures.

Action Period 4 - Father Engagement - SMART Aim: By March 1, 2020, 25% of qualifying families will have a father-figure show up to at least one Group Connections meeting as a result of the new father-figure recruitment procedures.

Cherokee PARENTS (SafeCare)

Visit the Cherokee PARENTS (SafeCare) website

Primary LIA contact: Amy Thilges annd Ben King

SMART Aim Action Period 1 - Family Engagement - : Surveys with client feedback will be collected (by supervisors), scored, and used to inform aspects of home visitor performance. This feedback will increase the proportion of clients who maintain participation or graduate the program within a 3 month period by 15%.

SMART Aim Action Period 2 - Family Engagement - : Parent Educators will increase the number of weekly completed visits by 5% by June 30 for all clients in Cherokee County who have been introduced to the Brain Builders video.

SMART Aim Action Period 3 - Family Engagement - : We will implement a new initial contact protocol to increase the rate of referrals to clients by 5% by October 31, 2018.

Latino Community Development Agency - Parents as Teachers

Visit the LCDA Website

Primary LIA contact: Patty DeMoraes-Huffine

SMART Aim Action Period 1 - Family Engagement - : All providers will reduce the number of invalid cancellations by 10% for new families introduced to the missed visit protocol by November 1, 2017.

SMART Aim Action Period 2 - Family Engagement - : Based on our previous experience after a change of parent educators we have lost some families, and we want to improve that by making a check-in call.

SMART Aim Action Period 3 - Family Engagement - : We will implement a new initial contact protocol to increase the rate of referrals to clients by 5% by October 31, 2018.

SMART Aim Action Period 4 - Father Engagement - : By April 1st, 2020 PCG who have completed the 8 foundational planning guides and have less than 12 months in the program will demonstrate a 10% increase in their scores on the knowledge questionnaire that assesses the importance of the role of the father.

Latino Community Development Agency - SafeCare

Visit the LCDA- SafeCare website

Primary LIA contact: Patty DeMoraes-Huffine

SMART Aim Action Period 1 - Family Engagement - : All providers will reduce the number of invalid cancellations by 10% for new families introduced to the missed visit protocol by November 1, 2017.

SMART Aim Action Period 2 - Family Engagement - : Based on our previous experience after a change of parent educators we have lost some families, and we want to improve that by making a check-in call.

SMART Aim Action Period 3 - Family Engagement - : We will implement a new initial contact protocol to increase the rate of referrals to clients by 5% by October 31, 2018.

SMART Aim Action Period 4 - Father Engagement - : By April 1st, 2020 PCG who have completed the 8 foundational planning guides and have less than 12 months in the program will demonstrate a 10% increase in their scores on the knowledge questionnaire that assesses the importance of the role of the father.

Oklahoma City County Health Department - Children First (Nurse Family Partnership)

Oklahoma City County Health Department - Children First (Nurse Family Partnership) website

Primary LIA contacts: Denise Howard , Sally Dixon , and Heather Rosser

SMART Aim Action Period 1 - Family Engagement - :By showing the Brain Builders video during the prenatal period, we hope to increase the proportion of completed prenatal visits by 3%.

SMART Aim Action Period 2 - Family Engagement - : Providers trained in L4L will decrease current client attrition rate of 34% by 5% by June 29, 2018 through introducing the Brain Builder Video to prenatal clients within the first six visits with new clients.

SMART Aim Action Period 3 - Family Engagement - : C-1 hopes to increase 2-month retention by 2% before 12/31/18 through showing the Brain Builders Video follow by scripted questions to encourage discussion from prenatal enrollment to 6 months infancy.

Oklahoma City Public Schools PAT

Visit OKCPS PAT website

Primary LIA contacts: Kethzia Njikam and Yolanda Lucero

SMART Aim Action Period 1 - Family Engagement - :Increase participation to a 4 and above on Family Involvement Scale 75% by November 20 for the clients introduced to ACEs

SMART Aim Action Period 2 - Family Engagement - : OKCPS PAT will increase 10% the number of visits completed by July 15th, 2018 through decreasing the number of invalid cancellations by families

SMART Aim Action Period 3 - Family Engagement - : Parent Educators will incorporate an “informal” intake visit for newly enrolled families starting July 23rd through November 30 , 2018 to increase 3 months retention by at least 12%.

SMART Aim Action Period 4 - Father Engagement - :Increase participation to “at least once a week and above” on the Father Involvement Scale 50% by March 1st, 2020 for the clients introduced to “Activity Pages”

Bethany Public Schools Parents as Teachers

Bethany Public Schools Parents as Teachers website

Primary LIA contacts: Amie Sellers and Jem Balderas

SMART Aim Action Period 1 - Family Engagement - :By October 24, 2017, 75% of clients will access referrals from PE due to ACE score OR the client’s openness score post-ACEs will go up by one point.

SMART Aim Action Period 2 - Family Engagement - : By July 31, 2018, 10% increase in self-identified goals completed or partially completed for clients with whom a L4L Resiliency Plan was completed.

SMART Aim Action Period 3 - Family Engagement - : By implementing plans for self-care activities with established clients, primary caregivers will see a mean score reduction of at least 4 points on the Parenting Stress Scale after 4 months of self-care activities by 12-1-18.

SMART Aim Action Period 4 - Father Engagement - : By March 1, 2020, 30% of qualifying families will have a father-figure show up to at least one GC meeting as a result of the new father-figure recruitment procedures.

Parent Promise Parents as Teachers

Parent Promise Parents as Teachers webpage

Primary LIA contact: Shawna Norman

SMART Aim Action Period 1 - Family Engagement - :To have home visitors to complete 75% of scheduled home visits.

SMART Aim Action Period 2 - Family Engagement - :To have home visitors complete 75% of scheduled home visits by 6/30/2018.

SMART Aim Action Period 3 - Family Engagement - : Parent Promise will increase average group connection attendance by 10%, compared to the past 6 months average, using a multi-faceted GC recruitment approach (reminders, topic appeal, incentives, creating fliers etc.) to be implemented through Dec.

SMART Aim Action Period 4 - Father Engagement - : SMART Aim: Improve father involvement ratings, based on a satisfaction questionnaire by 5% by September 2020.

NorthCare SafeCare

NorthCare webpage

Primary LIA contact: Dwan McDonald

SMART Aim Action Period 1 - Family Engagement - :To have a 10% increase of intakes completed from self-referrals received two weeks prior to October 20, 2017.

SMART Aim Action Period 2 - Family Engagement - :Providers trained in L4L will improve parenting motivation of all clients by June 30, 2018 as measured by an increase of the Parent Satisfaction Score through introducing the Brain Builder Video and ACES between the 6th and 8th visit.

SMART Aim Action Period 3 - Family Engagement - : Provider will assist consumer in setting repeated reminders to increase number of completed visits and decrease in no show visits in a 3 month period by 5 %.

SMART Aim Action Period 4 - Father Engagement - : Using welcome packets and letters and father materials, we will increase the father-figure engagement (a yes response to any of the questions listed below) to 50% among new clients, initially, and after ramp-up, all clients within 5 months.

Parent Child Center of Tulsa - SafeCare

Primary LIA contact: Sheri Davis

SMART Aim Action Period 1 - Family Engagement - :To have a 10% increase of intakes completed from self-referrals received two weeks prior to October 20, 2017.To accomplish the goal of having clients complete 3 out of 4 weekly visits per month, scripts to present ACE questionnaires will be created and deployed, and ACE questionnaires will be administered between the second and fifth client visit. The script will be revised pending feedback from parent educators and clients.
- Action Period 1 - Family Engagement - PDSA
- Action Period 1 - Family Engagement - Final Presentation of Results
SMART Aim Action Period 2 - Family Engagement - :Diversify and educate referral sources to know more about SafeCare services so they can make quality referrals to the program to reach more families & increase caseload capacity by 10%.

SMART Aim Action Period 3 - Family Engagement - : Provider will assist consumer in setting repeated reminders to increase number of completed visits and decrease in no show visits in a 3 month period by 5 %.

SMART Aim Action Period 4 - Father Engagement - : Use father/father figures welcome letters, referrals to Group Connections and the Fatherhood Coalition as well as provide handouts relevant to fatherhood to increase father engagement in parenting roles as reported by mother’s satisfaction reports for 10% of families by March 2020.

Parent Child Center of Tulsa - Parents as Teachers

Parent Child Center of Tulsa - Parents as Teachers webpage

Primary LIA contact: Marisol Ibarra

SMART Aim Action Period 1 - Family Engagement - :To increase the percentage of scheduled home visits that happens after showing the Brain Builder, team will employ use of the Brain Builder video clients enrolled for 3 months or less.

SMART Aim Action Period 2 - Family Engagement - :Use first contact script to increase enrollment conversions by 5% in six months compared to control group not using script.

SMART Aim Action Period 3 - Family Engagement - : All providers will increase the number of goals completed with families by 5% for clients who have used the Hope Map.

SMART Aim Action Period 4 - Father Engagement - : Use father/father figures welcome letters, referrals to Group Connections and the Fatherhood Coalition as well as provide handouts relevant to fatherhood to increase father engagement in parenting roles as reported by mother’s satisfaction reports for 10% of families by March 2020.

Tulsa County Health Department Children First

Primary LIA contact: Cathy Sullivan

SMART Aim Action Period 1 - Family Engagement - :Within this Action Period, the goal is to increase all completed home visits by 5% by utilizing the “How’s it Going” Facilitator handout. It is hoped that program content and schedule can be altered to meet the client’s needs, particularly during infancy (8 weeks – 12 months).

SMART Aim Action Period 2 - Family Engagement - :Use first contact script to increase enrollment conversions by 5% in six months compared to control group not using script.

SMART Aim Action Period 3 - Family Engagement - : Use the ACE script, ACE survey & L4L tools once during Infancy phase will increase the current 2m client retention of 91% by 5% & during Ramp up, increase current 3m client retention of 88% in the toddler phase by 3%

Frontline

CQI Learning Collaborative Overview

BBMC

OU Children's Physicians' Building

1200 Children's Ave., Suite 12300, Oklahoma City, OK 73104

405-271-8001

bbmc@ouhsc.edu