Appendices for QSR Process Manual
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Appendix 1 - Self-Assessment for Participation in PA's CQI Effort
Appendix 2a - Communication Regarding the Notification Meeting
Appendix 2b - Notification Meeting Facilitator's Agenda
Appendix 2c - Notification Meeting Agenda
Appendix 3a - QSR Team Chart Template
Appendix 3b - QSR Reviewer Brochure
Appendix 3c - Reimbursement for County Staff for their participation as a QSR reviewer
Appendix 4a - First Orientation Meeting Facilitator's Agenda
Appendix 4b - First Orientation Meeting Agenda
Appendix 4c - Second Orientation Meeting Facilitator's Agenda
Appendix 4d - Second Orientation Meeting Agenda
Appendix 4e - Third Orientation Meeting Facilitator Agenda
Appendix 4f - Third Orientation Meeting Agenda
Appendix 5a - CQI and QSR Overview PowerPoint
Appendix 5b - PA's Child Welfare Practice Model
Appendix 5c - PA's Child Welfare Practice Model Visual
Appendix 6 - PA QSR Overview
Appendix 7 - QSR Timeline
Appendix 8 - Stratification of Counties for Quality Service Reviews
Appendix 9a - In-home Sample
Appendix 9b - In-Home Working Case List
Appendix 9c - Out-of-Home Sample
Appendix 9d - Out-of-Home Working Case List
Appendix 9e - Case Elimination Tracking Sheet
Appendix 9f - Case Sampling and Exclusion Process-Frequenty Asked Questions
Appendix 10 - Case Summary
Appendix 11 - Case Contact Sheet
Appendix 12a - ParentCaregiver's Authorization to Obtain and Release Information
Appendix 12b - Youth's Authorization to Obtain and Release Information
Appendix 12c - Consent to ObtainRelease Confidential Drug and Alcohol Information
Appendix 13a - QSR Completed Interview Schedule
Appendix 13b - QSR Blank Interview Schedule
Appendix 14a - Guidelines for Talking to Families about QSR
Appendix 14b - Guidelines for Talking to Families about QSR
Appendix 14c - Introductory Letter to Parent (Open Case)
Appendix 14d - Introductory Letter to Parent (Closed Case)
Appendix 14e - Introductory Letter to Service Provider
Appendix 14f - Interview Confirmation Letter
Appendix 14g - QSR Brochure (ParentsCaregivers)
Appendix 14h - QSR Brochure (Youth)
Appendix 14i - QSR Brochure (System Partners)
Appendix 15 - Honorarium Protocol for Participation in the PA QSR Process
Appendix 16a - Focus Group Email (Caseworkers)
Appendix 16b - Focus Group Email (Supervisors)
Appendix 16c - Focus Group Email (Public Agencies)
Appendix 16d - Focus Group Email (Private Providers)
Appendix 16e - QSR Focus Group Questions
Appendix 17 - Case Record Preparation
Appendix 18 - Review Week Schedule
Appendix 19 - Indicator Rating Rationale
Appendix 20 - QSR Roll-Up Sheet
Appendix 21 - QSR Electronic Roll-Up Sheet Guidance
Appendix 22 - Local Area Information at a Glance
Appendix 23 - Confidentiality Form
Appendix 24 - QSR Reviewer Feedback Form
Appendix 25 - QSR Participant Feedback Form
Appendix 28a - Request for Additional Analysis of QSR Results
Appendix 28b - QSR Result Highlights Template
Appendix 29 - Key Questions for Bridge to Planning
Appendix 30a - PowerPoint Template for Next Steps Meeting
Appendix 30b - PowerPoint Template for Next Steps Meeting with LIS
Appendix 31 - County Improvement Plan
