Performance & Quality Improvement

The Free Will Baptist Children’s Home staff is committed to providing quality care for all the children we serve.  We accomplish this through a PQI Plan as a part of our accreditation process with the Council on Accreditation. We are committed to ensuring timely, periodic, and organized reviews of the quality of our services. These reviews enable us to implement needed changes to ensure this quality of care. We value stakeholder feedback, and you can comment on the contact tab of this website.  

July – December 2024 PQI Activities

• For the 2024-25 fiscal year, the agency’s PQI team will focus on 3 areas of growth and activity in alignment with the agency’s strategic plan:

  • Explore and implement training opportunities for continued leadership and staff development as well as improved onboarding experiences and training for new hires.

  • Explore and evaluate refined data reporting and logic model metrics in order to produce better measurable outcomes by program. This is to include assessment of the attainment of stakeholder feedback.

  • PQI will explore evidence-based models of care for a recommendation of implementation across all programs by FY 2025-26.

• An active threat workgroup met multiple times and evaluated the entire campus community for ways to improve response to an active threat situation. Final policy adoption, implementation and training is anticipated in the spring of 2025.

• Campus-wide fiber and VOI phone system project was completed in December 2024.

• A workgroup was formed to update semi-annual employee surveys in order to attain more specific feedback. New employee surveys will be utilized in the May 2025 semi-annual survey.

• A new annual programs and services review template was developed and implemented to be completed by directors at the annual reporting period each July. This new format will give a more objective method to review programs and services on an annual basis and also give opportunity for directors to make recommendations as well.

• Discussions concerning semi-annual consumer surveys and program discharge surveys for youth led to the development of a workgroup that will create a new age appropriate survey to administer to children under the age of 12.

• Review of medication administration reports over time and the discussion of these reports led to the recommendation of a new pharmacy provider for medications as well as an investment in agency owned hardware and subscription to a new E-MAR system. Implementation expected to be complete in February 2025.

• In response to the need for more specific measurement of program outcomes and program review:

  • All programs constantly review person centered logic models naming specific inputs and activities as well as what outputs were produced, and outcomes measured by the program to ensure quality service delivery.

  • All programs monitor and report quarterly on safety, medication review for compliance, client record review for compliance, grievances, referrals, admissions and discharges.

  • Refinement of Referrals, Admissions and Discharges report across programs was instituted in order to better track reasons for discharges as well as decline of referrals.

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