Quality Matters PA MENTOR Quality Matters A quarterly e-newsletter publication of the Quality Management Steering Committee Spring 2007 Volume 1, Number 2 In This Issue From the Desk of Debra McClure...Page 1 In the Spotlight: WESTERN REGION featuring “Josh’s Story” ……………………..….Page 2 Quality Management Program Vision by Barbara Clark Braxton……Page 3 Quality Kudos – Recognizing Staff for Outstanding Quality Achievements..…Page 4 Clinical Spin by David Dan...…………..…..Page 5 Quality Happenings Across the State……….….Pages 6-7 The Team Approach by Kolleen Dudley ..Pages 7-8 Staff Milestones .Page 9 Education Matters: Learn of Upcoming Educational & Training Opportunities for Employees …….….Page 9 Editor: Mahan Khalsa Contributing Editors: Barbara Clark Braxton Kolleen Dudley Dan Grimm From the Desk of Debra McClure State Director Welcome Laura Kretschmar, PA’s 1st HR Manager! I am pleased to announce that Laura Kretschmar has recently joined the State Management team as PA MENTOR’s Human Resources Manager. This newly created position will offer a more responsive and focused approach to addressing the needs and ideas of our staff at the local level. Although many of you may have had the opportunity to meet Laura during one of her program site visits, I have asked her to introduce herself to all of you via the newsletter as well. Here is what Laura has to say. “Just five weeks ago, I joined The Mentor Network as Pennsylvania's new HR support. This is a new position for the state of Pennsylvania and I am thrilled to be here. In this position, I will be supporting our team in Pennsylvania with any and all Human Resources needs. As I learn more and grow with our company I plan to focus my efforts in the areas of employee relations, onboarding, and recruitment. I see HR as a business partner and although I am here to create consistent practices and ensure fairness and equality, I also want to be involved in this great business that we operate and to see the many lives that we touch. Before joining this company, I researched many other organizations; however none of these seemed to be the right fit for me until I discovered The Mentor Network. Even during the interview process it was easy to see the passion the employees of this company, now my co-workers, put into their jobs on a daily basis. Even though I’ve only been on board for 1 month, it has been apparent that this company truly makes a difference in people’s lives, something that is very important to me. I feel fortunate to be part of such a dedicated and talented team and I hope to play a part in our continued success. I know this organization has a bright future with so many talented team members. I look forward to working with each and every one of you and am anxious to serve your HR needs in any way possible. Thanks for having me!” - Laura Kretschmar Laura has graciously agreed to chair the new Employee Relations Committee and the committee has actively begun to plan how to implement its charge – “to look at mechanisms to positively improve PA MENTOR's employee relations, improve teamwork, enhance communication among the various levels of staff and facilitate a work environment that supports and encourages staff development”. The committee’s primary goal will be to assist the organization in developing strategies geared towards improving staff satisfaction and retention. Plans are already underway to conduct an employee satisfaction survey and to look at Employee Recognition activities. Please join me in welcoming Laura to PA MENTOR. Our mission is to create a system of services that will provide individuals who have complex conditions options for living in the community, supports for attaining independence and opportunities to grow and develop personal connections in natural settings. 1 Quality Matters In the Spotlight Pittsburgh/Waynesburg “Quality is never an accident; it is always the result of high intention, sincere effort, intelligent direction and skillful execution; it represents wise choice of many alternatives.” William A. Foster Each quarter Quality Matters features a region, highlighting this region’s experiences with the quality improvement process and special outcomes. This Quarter we highlight the Western Region of PA MENTOR that consists of the Pittsburgh and Waynesburg offices. Josh, a client with PA MENTOR since 2002 is the featured Person In The Spotlight. The Pittsburgh Office has interviewed many current and past clients who have expressed gratitude to PA Mentor for the excellence and quality of our services. Below is “Josh’s Story”, an article we are proud to submit about one of our recent clients who gratefully acknowledges the services provided by PA Mentor. Josh is a success story for everyone involved. - Linda Pacella Josh’s Story Article by Linda Pacella, Recruiter, Pittsburgh Office Josh appears to be a typical 19-year-old guy but his life, up to this point, has been anything but typical. Since age 12, he has been in psychiatric wards, residential treatment facilities, group homes and foster care. In one foster home placement, Josh described being treated “like a paycheck” with no connection with the family. He has been with Children and Youth Services most of his life; he was removed from his mother’s house when she could no longer handle his behavior and his juvenile court fines. When he was 15, he was referred to PA MENTOR and placed in the home of Mary and Ron Johns. His life eventually turned around, but it took time and a tremendous amount of patience, a quality that abounds at the Johns household. When asked what occurred in the Johns household that was different than all the other placements he had experienced over the years, he stated that he finally “had a family” and that he was treated as if he was their own child. He felt so comfortable in this family setting that he refers to Mary and Ron as mom and dad. He says they have always been “there for him” and allowed him to do the “normal stuff” that other kids do. He has realized that, even though he did not always accept their advice, he knows now that it was beneficial. He still visits them at least once a week. Josh is now on his own and renting a house with several friends and his brother. He works for the PA Conservation Group and is learning carpentry, masonry, and wiring. He has a driving permit and is learning to drive. Josh’s advice for children in foster care would include listening to foster parents, paying attention at all agency meetings and allowing the system to “work for you”. He stated that even though life seems unfair at times, everything would work out eventually if you take advantage of the opportunities that can come your way. Josh has one suggestion for foster parents: get a pet for your foster child. He felt that this taught him to be responsible for another life. He also learned that if he did not take responsibility, the pet would not thrive. He still loves animals and has several pets. Josh is willing to speak to foster children about his experience and what he has learned. Our mission is to create a system of services that will provide individuals who have complex conditions options for living in the community, supports for attaining independence and opportunities to grow and develop personal connections in natural settings. 2 Quality Matters Quality Management Program Vision By Barbara Clark Braxton, Quality Manager, Southeastern and Northeast Regions “We respect the individuals we serve, their families, our employees and Mentors as well as the consumers with whom we do business”--From PA MENTOR’s mission statement The Quality Assurance Steering Committee has developed a vision statement for PA MENTOR’s quality management (QM) program. The new vision statement envisions the QM program as a means of promoting “an environment that supports quality, excellence in services, teamwork and proactively addresses the needs of its stakeholders”. The stakeholders include any person or party that has a “stake” in how services are provided within the organization. As defined in the dictionary a vision is “an image of the future we seek to create”. The Steering Committee’s vision serves as its guide to working with Executive & Senior level management, program staff, Mentors, clients and payers to create a service system that demonstrates to all stakeholders that the organization is committed to providing the highest quality services possible to all its clients. In order to realize this vision the organization has begun to lay the groundwork now. PA Mentor’s senior managerial staff understands that a key component to providing quality services is having well-trained, competent staff with the skills and knowledge needed to provide the appropriate type and level of services that clients need. To assure that staff has the skills and training needed this year a comprehensive training plan was developed to enhance staff knowledge and ability to respond to their clients. Program Managers and supervisors will work with their staff to implement these plans. As described in the Clinical Director’s article PA MENTOR is in process of implementing evidence based practices in the organization. Evidence based practices are practices that over time research has shown have proven results in creating desirable outcomes. Additional valuable resources have been added to the organizational structure to support and enhance its infrastructure. Dan Grimm joined the organization on February as the Billing Compliance Coordinator. As the services that PA MENTOR provides become more varied and complex, and the external regulatory and oversight environment becomes more demanding, there is a need to continuously assess and evaluate the practices that could negatively impact the organization’s ability to remain fiscally viable. His role will be valuable in assuring that we are in compliance with regulatory billing standards. Laura Kretchmar has joined the organization as its first ever Human Resources (HR) Director. This new position will allow us to be more effective in relating to staff issues, concerns and needs. Laura has rapidly begun to address the myriad of HR challenges facing our organization. She has already begun to develop strategies geared towards improving staff satisfaction and retention. In addition she will Chair an Employee Relations Committee whose mandate is to “seek mechanisms to positively improve MENTOR's employee relations, improve teamwork, enhance communication among the various levels of staff and facilitate a work environment that supports and encourages staff development.” Today’s vision is the future we are creating. Our mission is to create a system of services that will provide individuals who have complex conditions options for living in the community, supports for attaining independence and opportunities to grow and develop personal connections in natural settings. 3 Quality Matters “Human Relationships are the basis for growth & change”-- From PA MENTOR’s mission statement Quality Kudos Quality kudos to the professionals leading PA MENTOR through the College of Direct Support (CDS) initiative: ◊Jason Antunes ◊Heather Dugan ◊William Cosgray ◊Suzanne Cosgray ◊James Barnes ◊Mariana Gaul ◊Ann Rankin ◊ Marie Boyd ◊ Kolleen Dudley ◊ Alia Vergel ◊ Amber Latsha ◊ Beth Polonchak ◊ Teri McDonnell What is the College of Direct Support (CDS)? In search of continuous improvement techniques/tools PA MENTOR has enrolled in the College of Direct Support (CDS). The College of Direct Support (CDS) is a national, web-based curriculum designed for individuals who support women and men with developmental disabilities. It was created by some of the leading experts in the field and built on established and validated skill sets. We hope that by using the College of Direct Support, we will begin to build a common language, which will enhance communication and help us better support the people we serve. Because the College of Direct Support is webbased, we will have the freedom to participate at times and in places that are convenient for us. We can learn at a pace that is comfortable, and training can be personalized by assigning specific courses and lessons. Furthermore, the curriculum has been customized to meet the Office of Mental Retardation's regulations, policies, and practices based on a review by a panel of Pennsylvania stakeholders. In order for us to start utilizing the CDS we have identified the group of PA MENTOR employees that will take and give feedback on the courses available through the CDS. Our mission is to create a system of services that will provide individuals who have complex conditions options for living in the community, supports for attaining independence and opportunities to grow and develop personal connections in natural settings. 4 Quality Matters The Clinical Spin By David Dan, State Clinical Director Quality Management Steering Committee Barbara Clark Braxton David Dan Kolleen Dudley Mariana Gaul Dan Grimm Mahan Khalsa Julie Lennon Anne Marie Machion Teri McDonnell Deb McClure Emily Treat Dawn Vitello-Mangan Last issue we talked about developing a PA MENTOR “clinical philosophy.” I’d like to let you know about a partnership we have been developing with Chestnut Hill College. We have been invited to the college on April 13th for a two– part training that their counseling psychology department has put together for us. The first part will give us an overview of evidence-based practices in the children’s services field, and the second part will focus on working with children with autism. Last year’s seminar was well attended and had a very positive response. We have begun implementing one evidencebased practice—Trauma-focused Cognitive Behavioral Therapy (TFCBT)—in all our programs throughout the state. This therapy has been shown through research to have excellent results helping children and their caretakers address the issues that they struggle with relating to traumas they have suffered. The therapy consists of a series of skill-building exercises that develop the child’s strengths, and then takes them through a “trauma narrative,” which is a reenactment of the trauma. With their newly developed skills, they are able to make better sense of the trauma, better manage their emotions in relation to it, and become less susceptible to being “swept away” by thoughts and feelings related to the trauma. If you’d like to join us at Chestnut Hill College on April 13, please let your supervisor know. I’ll be looking to the program managers for a count by Wednesday April 11th. Our mission is to create a system of services that will provide individuals who have complex conditions options for living in the community, supports for attaining independence and opportunities to grow and develop personal connections in natural settings. 5 Quality Matters Happenings Across the State Pittsburgh/Waynesburg: Safety Teams in the Pittsburgh and Waynesburg Your Program Contacts: Beverly Walthour, Pittsburgh Bonnie Rosenthal, Pittston/BHV Offices have been diligently working on having a major SAFETY blitz and promotion for all foster homes, group homes and staff offices. As a result, May 2007, has been declared “Safety Month”. During May, official trainings will be held in the PA Mentor offices and safety-themed modules will be available for take-home trainings. The training curriculum was obtained through use of the EPICENTER as well as national safety resources. Our goal is to assure that staff and mentors in all offices and homes are aware of and compliant with all Safety Regulations so that we may provide the absolute best care for our clients. --Beverly D. Walthour - Administrative Assistant Pittston/Brodheadsville: On March 25, 2007 we had our Annual Mentor Karen Palonis, Lehigh Michelle Schmidbauer, BHRS Janine Mitchell, SBBH Melissa Kaiser, Harrisburg/Lancaster Mahan Khalsa, Center City Philadelphia Appreciation Dinner. We have the dinner to recognize our mentors and their families for all they do for our consumers. Robyn Brown, Administrative Assistant, provided the Welcome to start the festivities. Tony Nardella, Regional Program Manager, spoke about March MH/MR Awareness Month. Presentations were made to recognize Mentors who have been providing services for three years, five years and ten years. Two of our Mentors, Barbara Coletta and Kerri Race, have opened their homes to clients for 16 years. 177 attendees enjoyed a wonderful dinner and especially the desert table. A DJ provided the entertainment playing favorite songs for dancing and leading karaoke. All who attended had an excellent time. Congratulations to the Pittston Office MR/DD Group Home program for receiving a full license with no citations. Welcome to new staff – Danica Fosko, Program Coordinator MR/DD services, and Desiree Goode, CS Service Coordinator. Amy Parola has accepted the position of Clinical Coordinator Supervisor for both the Pittston and Brodheadsville Offices -congratulations on your promotion. - Bonnie Rosenthal BHRS/SBBH: The theme in recent months of the BHRS division has been growth. Recently, the BHRS division hired Stephanie Kovatich to head recruitment efforts. With the newly developed recruitment coordinator position, PA MENTOR has been able to participate in career fairs throughout Philadelphia and its surrounding areas. This not only helps with recruiting employees, but it also helps in building our relationship with the public. In addition to recruitment, PA MENTOR has solidified plans to coordinate three therapeutic day camps this summer. PA MENTOR prides itself in servicing clients, and, now, with three camps of varying ages and levels of functioning, children with autistic spectrum disorders will thrive. The BHRS division…tailored to servicing the needs of our ever-growing population. - Michelle L. Schmidbauer, BS/BA - Case Manager Center City Philadelphia: It’s hard to believe but we are already at the end of our second quarter of FY ’07 and some exciting changes are in process. One of these changes is the expansion into additional office space. As of March 1, 2007, PA MENTOR – Center City has a new Training Room on the 5th floor, Suite 505, of the Sheridan Building. Our MRDD Department is currently in the process of moving downstairs into the newly renovated office space. On another note, 2006 saw a lot of positive outcomes for the Children and Adolescents in our Children’s programs. In 2006, Thirty-five (35) children/adolescents were reunified with their families. Thirteen (13) obtained Permanent Legal Custodianship (PLC) and/or were Adopted providing them with permanency. Seven (7) were discharged to independent living situations. Mentors can all be proud of the work they do in supporting the Children/Adolescents and Adults in our programs and assisting them in a smooth transition to more permanent environments. - Mariana Gaul, M.S., M.Ed. – Regional Program Manager Our mission is to create a system of services that will provide individuals who have complex conditions options for living in the community, supports for attaining independence and opportunities to grow and develop personal connections in natural settings. 6 Quality Matters Harrisburg/Lancaster: CRR Pilot Rolls Out In Central Region In late 2006 the Central Region of PA MENTOR began training staff on Trauma Focused CBT in preparation for starting a new trauma informed CRR Pilot. In Mid February that pilot came to life when the first Mentors began to undergo the specialized trainings that are at the core of the new trauma informed pilot. Initially Mentors reported they expected to hear a lot of the “same old stuff” but they were in for a real surprise! The Mentors received training on Cognitive Behavioral Therapy, Trauma Informed Cognitive Behavioral Therapy and how to implement Cognitive Behavioral Therapy in their homes. Clinical Coordinators have begun using Trauma Focused Cognitive Behavioral Therapy throughout the Central Region and the children are responding well. Recently we broke new ground by having the first few clients reach the point of writing a trauma narrative, a hallmark of Trauma Focused Cognitive Behavioral Therapy. The initial feedback from Mentors, Counties, and clients is overwhelmingly positive. Mentors are calling to say that the interventions they have learned are working, and children seemed pleased to finally tell their stories. The Central Region looks forward to continuing the process of learning about trauma and growing this new program in the coming year. - Mindy I. Forman - Clinical Supervisor “The goals of the QM program are to promote quality care for all consumers.., provide a mechanism for evaluating the quality of services rendered, and promote compliance with all regulatory, credentialing and payor requirements”. From PA. MENTOR’s Quality Management plan goal statement Lehigh: Graduation News from the Lehigh Valley Office The Lehigh Valley office is proud to announce the upcoming high school graduation of two special young adults from the Children’s CRR program. Eric, a seventeen year-old senior, has been working for less than one year at a local restaurant and has been doing such a great job that the company is considering him for a management position following his graduation in June. He has excelled as an employee and has earned the respect of his colleagues and managers, making him a prime candidate for a management position. Eric has been successfully balancing his schoolwork and community employment over the last several years and has stood out amongst his peers as a committed student and highly motivated up and coming professional. He will graduate in June and is looking forward to starting his new career in restaurant management. Janice, a nineteen year-old senior, is looking forward to beginning college classes at a local community college in the fall and plans to transfer to a university after two years to pursue her goal of becoming a teacher. Janice is actively involved in a variety of school activities to include the school band, cross-country and track. She also holds a part time job at the local YMCA providing childcare. She’s been doing a great job balancing school projects, work responsibilities and community activities and seems to be well on her way to achieving great success. We wish them both the best of luck in their future endeavors. - Karen M. Palonis, M.S. - Clinical Coordinator Supervisor The Team Approach By Kolleen Dudley, Quality Assurance Manager, Central & Western Regions Have you ever wondered why you are a part of statewide groups with so many other duties in the day-to-day operations? I like to believe we have a TEAM approach to problem solving. A team is a group of people who perform interdependent tasks to work toward a common mission. Some teams have a limited life: for example, a design team developing a new product, or a process improvement team organized to solve a particular problem. Others are ongoing, such as a department team that meets regularly to review goals, activities and performance. Understanding the many interrelationships that exist between organizational units and processes, and the impact of these relationships on quality, Our mission is to create a system of services that will provide individuals who have complex conditions options for living in the community, supports for attaining independence and opportunities to grow and develop personal connections in natural settings. 7 Quality Matters productivity and cost, makes the value of teams apparent. ark B Types of Teams Many of today’s team concepts originated in the United States during the 1970s, through the use of quality circles or employee involvement initiatives. But the initiatives were often seen as separate from normal work activities, not as integrated with them. Team designs have since evolved into a broader concept that includes many types of teams formed for different purposes. Three primary types of teams are typically used within the business environment: 1.Process improvement teams are project teams that focus on improving or developing specific business processes. These teams come together to achieve a specific goal, are guided by a well-defined project plan and have a negotiated beginning and end. 2.Work groups, sometimes called “natural teams,” have responsibility for a particular process (for example, a department, a product line or a stage of a business process) and work together in a participative environment. The degree of authority and autonomy of the team can range from relatively limited to full self-management. The participative approach is based on the belief that employees will be more productive if they have a higher level of responsibility for their work. 3.Self-managed teams directly manage the day-to-day operation of their particular process or department. They are authorized to make decisions on a wide range of issues (for example, safety, quality, maintenance, scheduling and personnel). Their responsibilities also include processes traditionally held by managers, such as goal setting, allocation of assignments and conflict resolution. CONTACT US: Mahan.Khalsa@thementornetwork.com Barbara.Braxton@thementornetwork.com Kolleen.Dudley@thementornetwork.com Dan.Grimm@thementornetwork.com The Value of Teams Team processes offer the Individuals can gain the following benefits following benefits to the from teams: Enhanced problem-solving skills. organization: Synergistic process design or Increased knowledge of interpersonal problem solving. dynamics. Objective analysis of problems or Broader knowledge of business opportunities. processes. Promotion of cross-functional New skills for future leadership roles. Increased quality of work life. understanding. Improved quality and Feelings of satisfaction and commitment. A sense of being part of something productivity. Greater innovation. greater than what one could accomplish Reduced operating costs. alone. Increased commitment to organizational mission. More flexible response to change. Increased ownership and stewardship. Reduced turnover and absenteeism Excerpted from Duke Okes and Russell T. Westcott, editors, Certified Quality Manager Handbook: Second Edition, ASQ Quality Press, 2001, pages 37-41. Our mission is to create a system of services that will provide individuals who have complex conditions options for living in the community, supports for attaining independence and opportunities to grow and develop personal connections in natural settings. 8 Quality Matters Staff Milestones – Recognizing Staff who have worked at MENTOR for at least 10 years “Our staff are one of our most valuable & NAME POSITION LENGTH OF SERVICE Tammy Monney Kolleen Dudley Emily Treat Denise Morrisey-Mueller Danny Sharps Melissa Kaiser Beth Plum DSE Quality Manager Program Manager DSE Maintenance Supervisor Service Coordinator House Manager 10 + years almost 11 years almost 11 years 11 years 12 Years 13 years 15 years important resources” Education Matters One Child,Many Hands: A Multidisciplinary Conference on Child Welfare - May 30 – June 1, 2007 For Information Contact: Mindy Berman, 215-573-7199 To Register online: www.SP2.UPENN.EDU/ONECHILD 6th PA MH/MR Conference, Enhancing Treatment & Support for persons with developmental/intellectual disabilities and mental health needs - May 16 & 17, 2007 Toftrees Resort and Conference Center, State College, PA Sponsored by NADD For information contact: Registrar @ 215831-4055 A new initial certified investigator course has just been added to the LMS for Central Region. The details are as follows – April 10 – 13, 2007 at the Child Welfare Training Center in Mechanicsburg. Registration should be available now on LMS Evidence-Based Practices in the Children’s Services Field and Working with Children with Autism are two topics that will be presented on April 13, 2007 at Chestnut Hill College, Chestnut Hill, PA 19118. Time: 1pm-5pm. Please contact your Program Manager for additional information. Are you aware that The Mentor Network Epicenter offers you numerous free training opportunities? The Epicenter’s website is: http://epicenter/login.asp. Once in the site, click on the Training link or the Corporate Training Calendar link. You may also want to check out the Training Resource Library link that takes you to hundreds of clinically oriented books/videos/DVDs that can be used for Mentor Pre-Service/ Continuing Education as well as for Staff training. Our mission is to create a system of services that will provide individuals who have complex conditions options for living in the community, supports for attaining independence and opportunities to grow and develop personal connections in natural settings. 9 Quality Matters We are on a Quest for Quality! Do you know someone who works at PA MENTOR who exemplifies teamwork and encourages quality? Are you aware of a program/service at PA MENTOR that you feel represents a quality service? Are you aware of any dreams that have come true as a result of the help of PA MENTOR? If you answered yes to any of these, or if you have an idea for a feature in an upcoming edition of Quality Matters, contact Barbara Clark Braxton, Kolleen Dudley, or Dan Grimm. Our mission is to create a system of services that will provide individuals who have complex conditions options for living in the community, supports for attaining independence and opportunities to grow and develop personal connections in natural settings. 10