PCOMS Implementation Readiness and Provider Adherence Scale
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PCOMS Implementation Readiness and Provider Adherence Scale

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PCOMS agency implementation checklist. Therapist skills required for implementation. Easy way to ensure data have integrity.

PCOMS agency implementation checklist. Therapist skills required for implementation. Easy way to ensure data have integrity.

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PCOMS Implementation Readiness and Provider Adherence Scale Document Transcript

  • 1. PO Box 6157, Jensen Beach., FL 34957; 772.204.2511; 561.239.3640; barrylduncan@comcast.net Dr. Barry L. Duncan, Director_______________________________________________________________________ Training and Implementation of the Partners for Change Outcome Management System PCOMS Implementation Readiness Checklist 1. The Agency/Organization/Behavioral Health Care System has secured Board of Director approval and support for PCOMS. 2. Has consensus among the agency director and senior managers that consumer partnership, accountability, and PCOMS are central features of service delivery. 3. Has a business/financial plan that incorporates PCOMS, training, and data collection. 4. Promotes regular communication with funders about PCOMS data as it applies to agency effectiveness and efficiency 5. Has a human resource training and development plan that supports ongoing PCOMS education at all levels, including a core group of internal trainers, and that integrates PCOMS into individual development plans, performance appraisals, and hiring practices. 6. Has the infrastructure (support staff, IT, computer hardware, software) to support the collection and analysis of PCOMS data at the individual consumer, therapist, program, and agency levels. 7. Has a supervisory infrastructure that allows PCOMS data to be used to individualize treatment planning, identify at risk clients, proactively address needs, and improve therapist performance. 8. Has a structure to support and a policy for addressing clients who are not progressing that ensures rapid transfer and continuity of care. 9. Has a Mission Statement that incorporates consumer partnership and accountability as central features of service delivery. 10. Has a Client Rights and Responsibilities Statement that emphasizes consumer feedback and partnership to guide all treatment services.
  • 2. 2 PCOMS Provider Adherence Scale 1. Administer and score the Outcome Rating Scale (ORS) each visit or “unit of service.”  Never 1 Sometimes 2 Often 3 Regularly 4 Always 5    2. Ensure that the client understands that the ORS is intended to bring his or her voice into the decision‐ making process and will be collaboratively used to monitor progress.  Never 1 Sometimes 2 Often 3 Regularly 4 Always 5   3. Ensure that the client gives a good rating; i.e., a rating that matches the client’s description of his or  her life circumstance.  Never 1 Sometimes 2 Often 3 Regularly 4 Always 5   4. Ensure that the client’s marks on the ORS are connected to the described reasons for service.  Never 1 Sometimes 2 Often 3 Regularly 4 Always 5   5. Use ORS data to develop and graph individualized trajectories of change.  Never 1 Sometimes 2 Often 3 Regularly 4 Always 5   6. Plot client progress (ORS scores) on individualized trajectories from session to session to determine  which clients are making progress and which are at risk for a negative or null outcome.  Never 1 Sometimes 2 Often 3 Regularly 4 Always 5   7. Use ORS scores to engage clients in a discussion in every session about how to continue to empower  change if it is happening and change, augment, or end treatment if it is not.  Never 1 Sometimes 2 Often 3 Regularly 4 Always 5   8. Administer and score the Session Rating Scale (SRS) each visit or “unit of service.”  Never 1 Sometimes 2 Often 3 Regularly 4 Always 5    
  • 3. PO Box 6157, Jensen Beach., FL 34957; 772.204.2511; 561.239.3640; barrylduncan@comcast.net   9. Ensure that the client understands that the SRS is intended to create a dialogue between provider and  client that more tailors the service to the client‐‐and that there is no bad news on the measure.  Never 1 Sometimes 2 Often 3 Regularly 4 Always 5   10. Use the SRS to discuss whether: the client feels heard, understood, and respected; the service is  addressing the client’s goals for treatment; and whether the service approach matches the client’s  culture or worldview, or theory of change.  Never 1 Sometimes 2 Often 3 Regularly 4 Always 5       Total:  PCOMS Provider Adherence Scale ____________     Date_____________    Provider: ____________________________________________        NOTE: Out of a total possible 50 points, adherence is considered acceptable at 40 or above  at the 6 month mark and 45 or above at one year after implementation. High adherence is  ensured by the PCOMS supervisory process and attention to data integrity.