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 integrity.

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PCOMS Implementation Readiness and Provider Adherence Scale

  1. 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. 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     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    
  3. 3. PO Box 6157, Jensen Beach, FL 34957; 772.204.2511; 561.239.3640; barrylduncan@comcast.net 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.

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