Office of Community Quality Management

As part of the DBHDS Office of Clinical Quality Management, the Office of Community Quality Improvement (OCQI) supports DBHDS’ Quality Management System through:

  • Participating either as members or as advisory members to all Developmental Disabilities (DD) quality committees
  • Serving as chair to each Regional Quality Council (RQCs)
  • Providing technical assistance and consultation to DD quality subcommittees
  • Mentoring, and strengthening quality improvement in DD community-based service providers
  • Making data driven decisions to improve the quality of services at a system, provider, and individual level
  • Providing technical assistance and consultation to internal and external state partners, and DD community-based licensed providers related to developing, implementing, and monitoring quality improvement programs
  • Developing and/or offering resources for evidence-based best practice guidance and training related to quality improvement for use by DD community-based providers
  • Participating in DD community-based quality review processes for DBHDS including the Support Coordination Quality Record Review
  • Assisting in the evaluation of service quality

Quality Improvement Specialists (QIS) are assigned to each region to focus on regional and statewide quality improvement efforts through case management data review, quality improvement initiatives (QIIs), and Support Coordinator Quality Review (SCQR) look-behind reviews. Regional QIS are responsible for overseeing the multi-agency review team (MART) process and new developmental disability (DD) provider quality management training and serve as chairs for regional quality councils (RQCs).

Jamie Rupe                     Jamie.Rupe@dbhds.virginia.gov                    804-584-0064

  • Region 1 (Western Region)
    • Alleghany Highlands CSB, Encompass Community Services, Harrisonburg-Rockingham CSB, Horizon Behavioral Health, Northwestern CSB, Rappahannock Area CSB, Region Ten CSB, Rockbridge Area Community Services, Valley CSB

Ramona DeFonza           Ramona.DeFonza@dbhds.virginia.gov          804-512-8459

  • Region 2 (NOVA)
    • Alexandria CSB, Arlington County CSB, Fairfax-Falls Church CSB, Loudoun County Department of Mental Health, Substance Abuse and Developmental Services, Prince William County CSB

Christi Lambert              Christi.Lambert@dbhds.virginia.gov               804-972-1593

Associate Director for Community Quality Improvement

  • Region 3 (Southwest Region)
    • Blue Ridge Behavioral Healthcare, Cumberland Mountain CSB, Danville-Pittsylvania CSB, Dickenson County Behavioral Health Services, Highlands CSB, Mount Rogers CSB, New River Valley Community Services, Piedmont CSB, Planning District One Behavioral Health Services, Southside CSB

Pebbles Brown             Pebbles.Brown@dbhds.virginia.gov                 804-314-2065

  • Region 4 (Central Region)
    • Chesterfield CSB, Crossroads CSB, Goochland-Powhatan Community Services, Greater Reach Community Services, Hanover County CSB, Henrico Area Mental Health and Developmental Services Board, Richmond Behavioral Health Authority

Ricky Jones                   Ricky.Jones@dbhds.virginia.gov                     757-513-2453

  • Region 5 (Eastern Region)
    • Chesapeake Integrated Behavioral Healthcare, Colonial Behavioral Health, Eastern Shore CSB, Hampton-Newport News CSB, Middle Peninsula-Northern Neck CSB, Norfolk CSB, Portsmouth Department of Behavioral Healthcare Services, Virginia Beach CSB, Western Tidewater CSB

Expanded Consultation and Technical Assistance (ECTA) Team works with licensed providers and CSBs on 12VAC35-105-450, 12 VAC35-105-520 and 12VAC35-105-620 regulations as identified through Licensing reviews and through Quality Service Reviews (QSRs). Participation in ECTA does not guarantee compliance with regulations or QSR. This team consists of twelve staff who work across the Commonwealth. Expansion to include licensed Behavioral Health providers is in development.

For additional information contact:

ECTA@dbhds.virginia.gov 

Kara Clemons, supervisor Western: Kara.Clemons@dbhds.virginia.gov 

Teena Harris, supervisor Eastern: Estina.Harris@dbhds.virginia.gov

Support Coordination Quality Reviews are conducted at each CSB as part of the comprehensive quality improvement program. CSB case management/support coordination (SC) supervisors/QI specialists complete these quality reviews. DBHDS identifies a statistically significant stratified statewide sample of individuals receiving HCBS waiver services and provides each CSB with the names of individuals to be reviewed. CSB supervisors/QI specialists complete a portion of the reviews each quarter. These reviews include an assessment of core case management requirements. Data from the reviews is used by the CSB and the DBHDS Case Management Steering Committee (CMSC) to analyze implementation of case management processes and to develop quality improvement initiatives to strengthen areas of weakness. In order to ensure the integrity of the CSB quality reviews, OCQI staff complete a retrospective review of a sample of records reviewed by each of the CSBs at least once per year using the same review process in order to measure agreement quantitatively. DBHDS provides technical assistance to SC supervisors/QI specialists to increase reliability of the results in future reviews and to identify any CSB specific improvements needed. CMSC analyzes data throughout the process to determine systemic areas in need of improvement, including, as needed, recommendations for enforcement actions pursuant to the CSB Performance Contract and licensing regulations.  To find announcements on SCQRs: https://groups.google.com/forum/#!forum/dds-provider-network

RQC5

RQC4 Falls Prevention: Resources for Health and Fitness

Evidence-Based Therapeutic Program Presentations

RQC2 & RQC4

QI Training and Resources

Looking for information on QI training and resources? Please visit Clinical and Quality Management QI Library.

Module 1: Hand Hygiene/Handwashing

Module 2: Perineal Care for Males and Females

Module 3: Timely Medical Care

Module 4: Obtaining a Clean Urine Catch