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 quality committees
  • Serving as chair to each Regional Quality Council (RQCs)
  • Providing technical assistance and consultation to quality subcommittees
  • Directing, mentoring, and strengthening quality improvement in 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 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 community-based providers
  • Participating in community-based quality review processes for DBHDS including the Community Service Board Quality Record Review
  • Assisting in the evaluation of service quality


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


Training and Resources

Are you a provider looking for training on root cause analysis, quality improvement and risk management? Check out DBHDS Office Licensing Training and Technical Assistance (https://dbhds.virginia.gov/quality-management/Office-of-Licensing)

Are you a provider looking for DSP and Supervisor Orientation Training and Competencies? Check out the Centralized Training for Providers webpage.