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.  

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January - July 2024 PQI Activities

• For the 2023-24 fiscal year, the agency’s PQI team focused on 4 areas of growth and activity in alignment with the agency’s strategic plan:

  • Pursuit of additional training opportunities for leadership and staff development.

  • Improvement of health and safety measures.

  • Review and improvement of agency communication methods within departments, among different departments and with stakeholders.

  • Exploration of an evidence-based model of care for implementation across all programs.

• A highlight from earlier in the fiscal year include agency reaccreditation by Council on Accreditation in October 2023 with expedited status. Of the 806 standards or areas/sections of review, the agency received full compliance/implementation ratings of “1” in over 91% of the areas. Only 9% of the areas/standards were rated as “2” with sound practices noted. No areas were noted for significant improvement. The scale of compliance ranged from 1-4, with 1 as the highest rating. Of particular note, Adoption Services and Thrive Independent Living were accredited for the first time.

• The agency’s biennial licensure review for Residential Care, Foster Care, Adoptions and Independent Living was successfully completed in March 2024. Bridge Learning Center received high ratings in the February 2024 unannounced compliance visit. PQI reviews all related licensure items by program.

• Foster Care and Adoptions continued specific training for foster families by credentialed therapy providers in order to provide a broader array of relevant trainings. PQI reveals training progress annually and makes recommendations for improved training for staff and programs.

• Residential Care Social Workers received substance abuse training.

• Agency Training Coordinator was certified in Therapeutic Crisis Intervention and developed a more structured training schedule for Residential staff across all disciplines of training curricula.

• An active threat workgroup met multiple times and evaluated the entire campus community for ways to further improve a response to an active threat situation. Final policy adoption, implementation and training is anticipated in the fall of 2024.

• Narcan administration training was added to the agency’s core training curricula, all frontline staff were trained and Narcan was added to first aid kits.

• Campus wide fiber and VOI phone system project began in May 2024 with expected completion by fall 2024.

• A workgroup was formed to update semiannual employee surveys in order to attain more specific feedback.

• Stakeholder consumer surveys are to be reviewed and updated by program ahead of the November 2024 semiannual survey in order to attain more specific program feedback.

• 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. 

• For the 2024-25 fiscal year, the PQI team adopted the following initiatives 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.