Block Grant Independent Peer Review 2014 Project Overview and Introduction to Young Adults February...

Peer Review 2014

Agenda

• Overview of the Peer Review project – 5 min• What we know about Young Adults – 5 min• Self-study and Chart Review– 7 min• Peer Reviews and Group Discussion – 3 min• NIATx change projects and optional tools

(Walk-through as YA, Nominal Group Technique for staff discussion) – 5 min

• Questions and next steps – 5 min

Overview

• Independent Peer Review is a requirement of the Federal Substance Abuse Block Grant

• 5% sample every year• Efficacy, Appropriateness, Quality of Service• Independent of licensing or evaluation by state• Expertise – match by modality• NIATx principles used since 2006 – walk-throughs,

process mapping, sociograms, NGT• Data gathering through Chart Review and Self-Study• Mutual Reviews on 5/16 will use all the material in

written and in person format – conversation is keyPage 3

Peer Review 2014

Calendar

• Now! Kickoff Call• February 12 - April 15, 2014: Chart Review visits

and Self-studies • April 15 - May 16: sift through material, prepare to

do Reviews• May 16, 2014, 10 am - 2 pm: in-person Reviews,

Group Discussion

Page 4Peer Review 2014

Young Adults

• Young Adults are a growing part of the population served by BSAS-funded treatment programs: over 20% of clients

• Starting younger (90% <18 yo, 50% <15 yo; 14 avg age 1st alcohol) • 77% report at least 1 prior tx admission• Unique developmental stage apart from Adolescence• Higher sexuality, prescription drug, opiate usage (52% report prior

needle use, almost double since 2004)• Educational and vocational support needs• Housing and homeless issues• Co-occurring MH conditions (underreported/underdiagnosed)• Higher media usage• More programming needed to avoid boredom• DYS (21%) other CJ, DMH, DCF (2.6%)

Read further in the 2011 BSAS reportPage 5

Peer Review 2014

Self-Study

• Answer based on your understanding of your staff’s experience (except for the staff discussion at end)

• Flex to meet your needs and fit your program

• Options: – Consider Nominal Group Technique for generating ideas and

ensuring participation in staff discussion– Consider imagining each step in engagement and treatment

as if you were 18-25.

• Staff Discussion – What do we do well? What could we do better? What change would we like to try?

• Submit via unique Survey Monkey links; PDF will be sent to you partner


Chart Review

• Confidentiality– Agency-specific forms as required– BSAS Peer Review Confidentiality form

» Send a copy to Deborah Strod at DMA Health

• Review the questions first so you have them in mind as you read through the chart

• Consider the format, and what each chart shows about the care given


Peer Reviews and Group Discussion May 16th

• Peer reviewer will discuss with the reviewee– Self-study documentation including process map– Chart Review results– Complete Reviewer Feedback form on reviewed program

• After about an hour roles will switch, and the reviewer becomes the reviewee for the second hour

• Lunch will follow the reviews• Group Discussion about the review: Common issues? Common

strengths? What surprised you? What did you learn?• An aggregated report summarizing the strengths and opportunities,

without identifiers, will be prepared for the Block Grant Application, and shared with participants who request it


Peer Review 2014

NIATx Change Projects

Plan Do

StudyAct

1. Gather a team

2. Pick something that matters

3. Select a small change, with measurable effects

4. Collect baseline data

5. Try it out! Briefly

6. Look at your data

7. If it worked, spread it further; if it didn’t, either modify or just go back to what you were doing.

For more info see www.niatx.net

Optional NIATx Tools

• Walk-through – Experience your program through the eyes, ears, smells, touches, tastes, and social experiences of your clients

• Nominal Group Technique – Ensure participation and idea generation


Next Steps

• Contact your partner to schedule the Chart Review visits – Your review of their charts– Their review of your charts

• Begin your own Self-Study• Join the online group if you have not already! • Add "[email protected]" to your address

book so emails from the online group don't get filtered as spam.


Peer Review 2014

Questions?

If you have questions, contact

Deborah Strod DMA Health Strategies

339-970-0302

[email protected]

Michael A. EllisBureau of Substance Abuse Services

617-624-5097

[email protected]

Block Grant Independent Peer Review 2014 Project Overview and Introduction to Young Adults February...

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