IM4Q – The Ingredients
for Success
NANCY THALER
NASDDDS
JULY 24, 2014
Ingredient #1
A Plan
The MultiYear Plan
1997
“All county MR Programs, or
local managing entities, must
be required to have in place a
local monitoring team that is
independent of the local
service system and that is
made up of a majority of
individuals/family members.
Outcomes for people and
individual/family satisfaction
should be the major focus of
the assessments.”
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The PAC – Planning Advisory Committee
Ingredient #2
DD Council
P&A
Temple UCED
Partnership
Self Advocacy Groups
Family Groups
County Administrators
Providers
Ingredient #3
Somebody
willing to try
the idea to
prove it will
work
The Penna. Council on
Developmental Disabilities –
Graham Mulholland was
willing to fund a pilot to prove
it could work.
Ingredient #4
Champions
 Kevin Casey at the P&A
 Self Advocacy Groups
 Family Groups
 Celia Feinstein Temple UCED
Ingredient #5
Someone to
design & run
it
Worked with self-advocates,
families, advocates,
counties, providers and
state staff to design and
pilot the idea.
Ingredient #6
Willing
government
entities
Pa. County Administrators
never hesitated to implement
an over sight system that
evaluated their performance!
Ingredient #7
Willing
providers
Pa. Providers, while
legitimately concerned about
objectivity and fairness,
opened their doors freely.
Ingredient # 8
Support in
the State DD
Agency
The Deputy believed in it
The senior staff believed in it
They proposed and defended
the budget for IM4Q
They contracted with Temple U.
 They built into the states QM
system
 They made it a county
requirement
Ingredient #9
Support of
the Governor
and Secretary
of DPW
Secretary Feather Houston
supported the idea…..because
she heard from everyone
 Governor Ridge funded
IM4Q
Ingredient #10
People who
do the work
day-in and
day- out with
commitment
 The IM4Q Entities
 Self-Advocates
 Families
 Friends and Neighbors
 Interested Citizens
National Core indicators
National Core Indicators
http://www.nationalcoreindicators.org/
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Data to Act On
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Improving Quality
PEOPLE TO PEOPLE ACCOUNTABILITY
 Personal attention to how people are living
their lives
 Local problem resolution process
 Involvement of citizens
 The protection that comes with letting the
“sun shine in”
DATA-BASED ACCOUNTABILITY
 Data on health, employment, friends and
family contact
Participation in a Quality Improvement
process
THE GOAL
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Nancy Thaler
National Association of State Directors of
Developmental Disabilities Services
113 Oronoco Street
Alexandria, VA 22314
703-683-4202
nthaler@nasddds.org
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