Quality Assurance System Monitoring

Florida Agency for Health Care Administration

In partnership with the Delmarva Foundation

Florida ACHA website

Delmarva website

The Situation

In 2001, Florida’s Agency for Health Care Administration (ACHA) issued a request for proposals to establish a Statewide Quality Assurance Program for the Developmental Disabilities Home and Community Based Services (HCBS) Waiver. ACHA’s vision represented a departure from typical, program-based developmental services systems. This program would be designed to measure the success of services and supports from the individual’s perspective. The goal of this person-centered approach was to enhance the quality of services for people living with developmental disabilities.

Knowing of CQL’s work over many years with Florida’s Agency for Persons with Disabilities (APD) in areas of data collection, analysis, training and other technical assistance, ACHA made the use of Personal Outcome MeasuresSM and collection of reliable and valid interview data an integral part of the overall quality assurance system.

What CQL Did

The Delmarva Foundation was award the contract in 2001 (that continues to the present) and entered into a partnership with CQL to provide initial training, ongoing monitoring, coaching, reliability assessments, and interviewer certification for project staff.

The full scope of the project includes on-site performance reviews of providers and person-centered reviews for thousands of individuals receiving services through the Home and Community Based Services Medicaid Waiver throughout Florida.

CQL works in collaboration with Delmarva and other project partners, and with the Interagency Quality Council of stakeholders acting as an advisory group for system development, implementation, and to provide oversight to the contracted quality assurance entity.

“[CQL has partnered with Delmarva] assisting in the establishment of a more person-centered quality assurance program that can provide the basis for quality initiatives in the state. During this time, [CQL] has proven to be knowledgeable, effective and professional in providing all levels of support, training and consultation. Their values and vision are consistent with that of the Agency and lend power to the direction and goals that we wish to accomplish.”

Shelly Brantley, Director, Agency for Persons with Disabilities