Fidelity Preparation Tools

The series of PDF’s below can be downloaded for free and are a requirement for the formal fidelity review.

Consistent with the Ohio Department of Medicaid’s (ODM) rules to promote high-quality service, the IHBT Fidelity Tool was developed to ensure compliance with IHBT service delivery standards. 

Providers choosing to bill services under Medicaid’s IHBT bundled rate must be certified. Certification assures minimum fidelity standards are being met, consistent with the ODM and OhioMHAS IHBT rule.

The Fidelity Tool consists of 17 fidelity standards, with ratings measured on a 1-5 scale. Each rating of 5 indicates best practice for that standard. Minimum fidelity is achieved between ratings 3, 4 and 5 which are highlighted within each standard.

Below is a series of PDFs for free download to assist and inform in preparing for IHBT High Fidelity.


MODIFIED CIP ODM FIDELITY TOOL (SHADED)
This Ohio Department of Mental Health and Addiction Services Intensive Home-Based Treatment Fidelity Rating Tool addresses: Intensity of service, Location of service, Caseload, Crisis response and availability, Safety planning, treatment Partnerships and Youth and Family Engagement, Comprehensive and integrated behavioral health treatment approach, Accessible andFlexible Services and Scheduling, Strength-based assessment and treatment planning, Comprehensive system collaboration & service coordination, Treatment duration & continuing care planning,Supervisory support and availability, Cultural responsiveness, Team composition, Professional training and development, Outcomes monitoring and quality improvement, and Fidelity monitoring. DOWNLOAD MODIFIED CIP ODM FIDELITY TOOL


FIDELITY REVIEW (FR) PROCESS GUIDE
Your IHBT team should be well-established, functioning for at least 6 months and able to provide approximately 10 closed/completed cases for review.Once it is decided the organization is ready for a FR, the on-site visit needs to be scheduled and a review team identified. The primary contact for the organization is identified. Selection of the review date takes into consideration naturally occurring/scheduled opportunities at the organization (e.g. team meeting where IHBT team members, supervisors, and managers will be present or available) as well as the needs of the review staff (e.g. travel and/or other commitments). CIP sends request to primary contact for organization/team to facilitate completion and collection of all activities and documents needed in advance or on site for the Fidelity Review.
DOWNLOAD FIDELITY REVIEW PROCESS GUIDE


IHBT FIDELITY DATA: Sample Data Reports IHBT Monthly Caseloads
Review of caseloads over prior 6 months, recording # of cases on the same calendar day of each month, i.e.: the 15th of each month. Supervisors carrying cases will be included in this table. Staff serve IHBT cases only. For single provider: Averages 7 cases. For team of two: Averages 13-14. Staff serve IHBT cases only. Small caseloads. Staff serve IHBT cases only. For single provider: Caseload averages 4-6 youth/families. For team of two: Caseload averages 8-1.
DOWNLOAD IHBT FIDELITY DATA: Sample Data Reports IHBT Monthly Caseloads

 


IHBT FIDELITY DATA: Sample Data Reports Intensity & Location
This is the sample data reports for intensity of treatment and location of treatment. Agencies have selection discretion for the data review and will be encouraged to choose time frames that avoid vacations and holidays, as well as cases that have fully participated in the program and eliminate outliers. We are looking for a good representative sample of your IHBT service delivery. Cases that have closed before successful completion will be monitored via LOS data.Randomly select 2 cases per practitioner that are actively engaging in your IHBT programming.Date Range (4 weeks within last 6 months).
DOWNLOAD IHBT FIDELITY DATA: Sample Data Reports Intensity & Location



IHBT FIDELITY DATA: Sample Data Reports LOS & Completion Rates
For Length of Stay & Completion Rates Review of ALL IHBT cases closed within last 12 months. Time-limited service and continuing care planning as evidenced by five of the five criteria: a)Episode of care is time-limited based on the mental health needs of youth. b)Programs have written guidelines & procedures for granting extensions. c)IHBT treatment averages 3 to 6 months and exceeds 6-month length of stay in less than 10% of the cases served. d)Continuing care needs are collaboratively planned for in partnership with the youth and family and include informal supports and resources. e)Facilitate linkage to ongoing mental health services as needed.
DOWNLOAD IHBT FIDELITY DATA: Sample Data Reports LOS & Completion Rates


IHBT FIDELITY REVIEW: Individual Staff Training Grid
The Individual Staff Training Grid provides regular assessments for staff members working with IHBT families and clients. Areas include: IHBT Service Philosophy & Phases; IHBT & Trauma Informed Care: Risk Assessment and Crisis Stabilization; Intersystem Collaboration & Coordination; Individual Counseling; Family Systems & Counseling; Skill Building: Youth Behavior; Mgt: Caretakers Resiliency Linkage & Promotion; Cultural & Linguistic Competency; IHWe would like your feedback on your experience with your therapist and the Intensive Home-Based Treatment service you and your family received. Ethics; IHBT Supervision. DOWNLOAD IHBT FIDELITY REVIEW: Individual Staff Training Grid


IHBT FIDELITY REVIEW: Caregiver Feedback Survey
We would like your feedback on your experience with your therapist and the Intensive Home-Based Treatment service you and your family received. Questions include: I felt the therapist understood and respected our family and culture; Therapist listened to and valued our opinions and ideas; Therapist gave my family hope; I felt supported and safe while talking with our therapist; Therapist identified and acknowledged our strengths; Therapist was responsive and available when our family was in crisis; Therapist worked with me to identify safety concerns and to develop a safety plan; Therapist helped me with strategies to better monitor my child’s safety; Therapist met with and talked to our whole family; Therapist understood my child’s/family’s problems and worked with us to develop helpful solutions; I feel better equipped to handle my child’s problems; and Therapist worked with my child to develop new ways to better manage their emotions and/or behavior.
DOWNLOAD IHBT FIDELITY REVIEW: Caregiver Feedback Survey


IHBT FIDELITY REVIEW: Caregiver Feedback Survey (Spanish Language Version)
Nos gustaría recibir sus comentarios sobre su experiencia con su terapeuta y con el servicio de tratamiento intensivo en el hogar que usted y su familia recibieron. Las preguntas incluyen: Sentí que el terapeuta entendía y respetaba a nuestra familia y cultura; El terapeuta escuchó y valoró nuestras opiniones e ideas; El terapeuta le dio esperanza a mi familia; Me sentí apoyado y seguro al hablar con nuestro terapeuta; El terapeuta identificó y reconoció nuestras fortalezas; El terapeuta era receptivo y estaba disponible cuando nuestra familia estaba en crisis; El terapeuta trabajó conmigo para identificar problemas de seguridad y para desarrollar un plan de seguridad; El terapeuta me ayudó con estrategias para controlar mejor la seguridad de mi hijo; El terapeuta se reunió y habló con toda nuestra familia; El terapeuta entendió los problemas de mi hijo / familia y trabajó con nosotros para desarrollar soluciones útiles; Me siento mejor equipado para manejar los problemas de mi hijo; y el terapeuta trabajó con mi hijo para desarrollar nuevas formas de manejar mejor sus emociones y / o comportamiento.

DESCARGAR LA VERSIÓN EN LENGUA ESPAÑOLA DE LA REVISIÓN DE LA FIDELIDAD IHBT: Encuesta de comentarios de los cuidadores


Child and Adolescent Needs and Strengths (CANS) Comprehensive Worksheet
The Child and Adolescent Needs and Strengths (CANS) is a multi-purpose tool developed for children’s services to support decision making, including level of care and service planning, to facilitate quality improvement initiatives, and to allow for the monitoring of outcomes of services. Versions of the CANS are currently used in 50 states in child welfare, mental health, juvenile justice, and early intervention applications. A comprehensive, multi-system version exists as well. The CANS was developed from a communication perspective so as to facilitate the linkage between the assessment process and the design of individualized service plans including the application of evidence-based practices. The CANS is easy to learn and is well liked by parents, providers and other partners in the services system because it is easy to understand and does not necessarily require scoring in order to be meaningful to an individual child and family. The way the CANS works is that each item suggests different pathways for service planning. There are four levels of each item with anchored definitions; however, these definitions are designed to translate into the following action levels (separate for needs and strengths). DOWNLOAD (CANS) Comprehensive Worksheet


Navigating the CANS Training Website
The CANS was developed from a communication perspective so as to facilitate the linkage between the assessment process and the design of individualized service plans including the application of evidence-based practices. The CANS is easy to learn and is well liked by parents, providers and other partners in the services system because it is easy to understand and does not necessarily require scoring in order to be meaningful to an individual child and family. The way the CANS works is that each item suggests different pathways for service planning. There are four levels of each item with anchored definitions; however, these definitions are designed to translate into the following action levels (separate for needs and strengths). DOWNLOAD Navigating the CANS Training Website


1 FR Agency and Staff Excel Chart
The 1 FR Agency and Staff Excel Chart is designed to help organizations and individual staff members to provide regular assessments for staff members working with IHBT families and clients. Areas include: IHBT Service Philosophy & Phases; IHBT & Trauma Informed Care: Risk Assessment and Crisis Stabilization; Intersystem Collaboration & Coordination; Individual Counseling; Family Systems & Counseling; Skill Building: Youth Behavior; Mgt: Caretakers Resiliency Linkage & Promotion; Cultural & Linguistic Competency; IHWe would like your feedback on your experience with your therapist and the Intensive Home-Based Treatment service you and your family received. Ethics; IHBT Supervision.
DOWNLOAD 1 FR Agency and Staff Excel Chart


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