Final fiesta brodhead

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Final fiesta brodhead

  1. 2. Increasing Data Completion in a Group Home By Matt Brodhead
  2. 3. HomeLife, Inc <ul><li>Based out of Battle Creek </li></ul><ul><li>Owns 6 group homes in Southwest Michigan </li></ul><ul><li>Mostly funded by Community Mental Health (CMH) agencies </li></ul><ul><ul><li>Your tax dollars at work </li></ul></ul><ul><li>Behavioral systems program designed to maintain, and sometimes modify, behavior </li></ul><ul><ul><li>Most residents suffer from traumatic brain injury, or </li></ul></ul><ul><ul><li>They engage in risky behavior and cannot live without supervision </li></ul></ul>
  3. 4. The Problem <ul><li>Staff do not complete data sheets </li></ul><ul><li>Why is this important? </li></ul><ul><ul><li>CMH offices use data to asses HomeLife’s services </li></ul></ul><ul><ul><li>For every error, a CMH office can refuse pay HomeLife for that entire day of care </li></ul></ul><ul><ul><li>Three errors = $300 in fines </li></ul></ul><ul><li>Staff fill out approximately 100 data points every eight hours </li></ul><ul><ul><li>300 data points each day </li></ul></ul><ul><ul><li>9,000 data points each month </li></ul></ul><ul><ul><li>27,000 data points every 3 months </li></ul></ul>
  4. 5. Reason to Intervene <ul><li>Errors are costly </li></ul><ul><ul><li>Fixed rates for care of residents stays the same for years </li></ul></ul><ul><li>Fines take away from resources necessary for the organization to succeed </li></ul><ul><ul><li>More training for staff </li></ul></ul><ul><ul><li>Better opportunities for residents </li></ul></ul><ul><ul><li>Repairs to the home </li></ul></ul><ul><ul><li>Other modifications that increase the quality of life </li></ul></ul>
  5. 6. Ineffective Natural Contingency Staff fills out one data sheet Given amount of data completed Infinitesimally more data completed
  6. 7. Natural Competing Contingency Staff fills out one data sheet Given time to monitor safety Less time to monitor safety Staff fills out one data sheet Given time to distribute medication Less time to distribute medication
  7. 8. Natural Competing Contingencies <ul><li>Priorities: </li></ul><ul><ul><li>Monitor for inappropriate behavior </li></ul></ul><ul><ul><ul><li>Sexually inappropriate behavior </li></ul></ul></ul><ul><ul><ul><li>Aggressive behavior </li></ul></ul></ul><ul><ul><li>Medication </li></ul></ul><ul><ul><li>Appointments </li></ul></ul>
  8. 10. Performance Objectives <ul><li>Staff </li></ul><ul><li>Complete data before end of shit </li></ul><ul><li>Home Managers </li></ul><ul><li>Consistently review data completion every day </li></ul><ul><li>Implement performance management contingencies for staff every week </li></ul>
  9. 11. Input-Process-Output Model <ul><li>(Data sheets completed) [Output] </li></ul><ul><li>|____ Filling out data sheets [Process] </li></ul><ul><li>|_____ (Data sheets not completed) [Input] </li></ul>
  10. 12. Goal Specification Form Output Data sheets completed Standards Quality Current Ideal N/A N/A Quantity 99% of data 100% of data Timeliness After end of shift Before end of shift Cost N/A $360/three months 10 minutes/week for each staff 60 minutes/week for Home Manager Process Filling out data sheets Production: X Distribution R&D Input Data sheets not completed
  11. 13. Design the Intervention <ul><li>Staff </li></ul><ul><li>On the job training </li></ul><ul><li>“ Buddy system” </li></ul><ul><ul><li>Supervisor monitors subordinate staff </li></ul></ul><ul><li>Weekly drawing for bonus of $5.00 for 100% completion </li></ul><ul><li>Home Manager </li></ul><ul><li>Look over previous day’s data before end of shift </li></ul><ul><li>Supervise “buddy system” </li></ul><ul><li>$100 bonus for every CMH evaluation with no errors in data sheets </li></ul>
  12. 14. Design the Intervention Staff fills out one data sheet Will lose opportunity for $5.00 bonus Will not lose opportunity for $5.00 bonus S D : Before end of shift Home Manager reviews data Will lose opportunity for $100 bonus Will not lose opportunity for $100 bonus S D : Before end of day
  13. 16. Evaluate the Intervention <ul><li>Hypothetically </li></ul><ul><ul><li>Staff enjoy their $5.00 bonus </li></ul></ul><ul><ul><li>Managers enjoy their $100 bonus </li></ul></ul><ul><ul><ul><li>Social validity is a huge factor due to the inherent nature of “high turn-over” in group homes </li></ul></ul></ul>
  14. 17. Hypothetical Recycle <ul><li>The company removed the $100 bonus for Home Managers </li></ul><ul><ul><li>Because “they should want to do it” </li></ul></ul>
  15. 19. Evaluate the Recycle <ul><li>Obviously, the bonus for the Manager was crucial </li></ul><ul><li>The bonus should be reinstated </li></ul>
  16. 20. THE END

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