IDD/Autism Support Services CQI Cycle
PLAN
Beginning of 90-Day CycleTier 1 (Basic):
- Review Logic Model
- Set TBRI®-aligned goals
- Develop intervention strategies
IDD-Specific:
- Plan developmental assessments
- Schedule specialized therapies per T3C p.125
- Coordinate with RN for care plans
- Plan life skills training modules
- Review communication strategies within TBRI®
DO
Days 1-75Tier 1 (Basic):
- Implement TBRI® Connecting daily
- Document all services
- Family engagement per TBRI®
IDD-Specific:
- Conduct specialized therapy sessions (required)
- Implement behavioral interventions using TBRI® Correcting
- Provide life skills training
- Support communication development
- Monitor medical/nursing needs per RN care plan
STUDY
Days 76-85Tier 1 (Basic):
- Analyze data
- Compare to model
- Identify trends
IDD-Specific:
- Review 90-day CANS results
- Assess developmental progress (≥85%)
- Evaluate life skills achievements
- Analyze communication gains
- Review educational outcomes
ACT
Days 86-90Tier 1 (Basic):
- Refine TBRI® implementation
- Adjust service approaches
- Enhance training as needed
IDD-Specific:
- Adjust developmental interventions per needs
- Update behavioral plans with TBRI® strategies
- Modify communication strategies based on data
- Revise life skills curriculum
- Plan transitions or aftercare services
- Document Program Director confirmation (15-day)
IDD/Autism
Logic Model
TBRI® Foundation
+ Developmental Services
90-Day Review Cycle
IDD/Autism Support Services CQI Timeline
Beginning of 90-Day Cycle
Program Director, Treatment Director, RN, QA Team
- • Review IDD service delivery
- • Set developmental targets
- • Plan therapy schedules
- • Review RN care plans
- • Update communication strategies
Days 1-75
Therapists, RN, Case Managers, Foster Parents
- • TBRI® implementation
- • Specialized therapy sessions
- • Life skills training
- • Communication interventions
- • Behavioral support
- • RN care plan monitoring
Days 76-85
QA Coordinator, Treatment Director, RN
- • Compile developmental data
- • Analyze CANS results
- • Review therapy attendance
- • Assess skill achievements
- • Evaluate communication progress
- • Determine continued stay
Day 86-90
Full IDD CQI Team
- • Treatment team meeting
- • Review all outcomes
- • Adjust developmental plans
- • Modify therapy approaches
- • Update behavioral supports
- • Plan transition services
IDD/Autism Support Services CQI Metrics
| Logic Model Component | IDD-Specific Metrics | Target/Threshold | Review Frequency |
|---|---|---|---|
| TBRI® Implementation | • Staff TBRI® Practitioner competency • TBRI® fidelity with IDD adaptations • Caregiver TBRI® implementation scores • Crisis de-escalation using IDEAL Response® | ≥90% competency Documented in sessions ≥85% fidelity 100% utilization | Quarterly assessment Monthly review |
| Developmental Progress | • Developmental milestone achievements • Adaptive behavior assessments • Life skills goal attainment • Independence in daily activities | Documented progress ≥15% improvement ≥70% goals met Increasing trend | Monthly monitoring 90-day comprehensive |
| Therapeutic Services | • IDD-specialized therapy attendance • Speech/communication therapy • Occupational therapy participation • Family therapy engagement | ≥85% attendance Per care plan As prescribed Monthly minimum | Weekly monitoring Monthly review |
| CANS Assessment | • 90-day CANS completion (vs 6-month Basic) • Developmental domain improvements • Life skills progress • Strengths development | 100% on time ≥15% improvement Measurable gains Increase in scores | Every 90 days |
| Communication Development | • Communication skill improvements • Alternative communication methods • Social interaction progress • Receptive/expressive language gains | Documented gains Successfully implemented Measurable progress Per assessment tools | Monthly |
| Medical/Nursing Care | • RN consultations completed • Medical care plan updates • Medication management • Adaptive equipment utilization | 24/7 availability Monthly minimum Per physician orders As prescribed | Weekly/Monthly |
Program Director - IDD Responsibilities
- • Oversee IDD service package delivery per T3C Blueprint
- • Monitor TBRI® implementation across all services
- • Review continued stay criteria every 90 days
- • Provide written confirmations within 15 business days
- • Lead IDD-specific CQI reviews with TBRI® focus
- • Approve Logic Model modifications based on CQI
Treatment Director - IDD Specific
- • Supervise IDD-specialized therapists
- • Review developmental interventions
- • Oversee behavioral support plans
- • Coordinate with special education
- • Lead treatment team meetings
- • Approve transition planning
Registered Nurse - IDD Team
- • Provide 24/7 consultation availability
- • Develop and update custom care plans
- • Train caregivers on medical needs
- • Oversee medication protocols
- • Coordinate with developmental specialists
- • Participate in 90-day Service Plan reviews
Case Managers - IDD Enhanced
- • Implement TBRI® with IDD adaptations
- • Coordinate all IDD services per Service Plan
- • Ensure therapy attendance (≥85% target)
- • Monitor developmental progress daily
- • Document skill achievements using TBRI® framework
- • Facilitate family engagement per TBRI® Connecting
IDD/Autism Support Services CQI Outcomes
🧩 Developmental Progress
Achieved through specialized interventions and consistent support
💬 Communication Gains
Supported by speech therapy and alternative communication methods
🎯 Life Skills Mastery
Accomplished via structured training and practice opportunities
🏡 Community Integration
Enabled by adaptive supports and comprehensive aftercare
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Last Revised: September 2025