T3C Short-Term Assessment Support Services
Continuous Quality Improvement Model
Time-Limited Assessment Package-Specific CQI Process per T3C Blueprint Requirements
Short-Term Assessment CQI Framework
This CQI model is specifically designed for monitoring and improving time-limited assessment placements (30-45 days maximum).
Uses Basic Foster Family Home TBRI foundation with enhanced assessment coordination and rapid transition planning metrics.
Short-Term Assessment Support Services CQI Cycle
PLAN
Day 1-3 of PlacementTier 1 (Basic):
- Review TBRI Logic Model
- Set stabilization goals
- Plan family engagement
STASS-Specific:
- Develop comprehensive assessment plan per T3C p.68
- Schedule all evaluations within timeframe (21-30 days)
- Coordinate STAR Health assessment services
- Plan educational enrollment and testing
- Establish observation/documentation protocols
- Set transition planning timeline (max 30-45 days)
DO
Days 1-30 (or 1-45)Tier 1 (Basic):
- Implement TBRI Connecting
- Provide predictable routines
- Document services
STASS-Specific:
- Conduct CANS 3.0 within 21-30 days (age-dependent)
- Coordinate all assessments (medical, educational, behavioral)
- Transport to multiple appointments
- Document behavioral observations daily
- Facilitate evaluations through STAR Health
- Complete school enrollment and testing
- Engage family in assessment process
- Develop initial and monthly Service Plan reviews
STUDY
Days 25-35 (or 40-50)Tier 1 (Basic):
- Review data
- Analyze TBRI fidelity
- Identify trends
STASS-Specific:
- Review all assessment results
- Analyze CANS 3.0 findings
- Synthesize evaluation data
- Determine appropriate Service Package
- Identify placement needs based on assessments
- Review placement stability during assessment
- Assess transition readiness
ACT
Days 30-45 (or 45-60)Tier 1 (Basic):
- Adjust TBRI approach
- Enhance supports
- Update training
STASS-Specific:
- Finalize Service Package recommendation
- Complete transition plan with receiving agency
- Transfer all assessment data
- Brief receiving placement on child's needs
- Document family engagement for permanency planning
- Complete transition within time limits
- Track outcomes for program improvement
STASS
Logic Model
TBRI Foundation
+ Assessment Focus
Time-Limited
(30-45 days max)
STASS CQI Timeline
Days 1-3
Program Director, Licensed Therapist, Case Manager
- • Review assessment needs
- • Schedule evaluations
- • Plan CANS 3.0 timeline
- • Coordinate STAR Health
- • Establish documentation protocols
Days 1-30/45
Case Managers, Foster Parents, Licensed Therapist
- • TBRI implementation
- • Conduct all assessments
- • Complete CANS 3.0
- • Document observations
- • School enrollment/testing
- • Family engagement
Days 25-35/40-50
Licensed Therapist, Treatment Director
- • Compile assessment data
- • Analyze all results
- • Review CANS findings
- • Determine Service Package
- • Identify placement match
- • Assess transition readiness
Days 30-45/45-60
Full STASS Team
- • Finalize recommendations
- • Complete transition plan
- • Transfer assessment data
- • Brief receiving placement
- • Execute transition
- • Track outcomes
STASS CQI Metrics
| Logic Model Component | STASS-Specific Metrics | Target/Threshold | Review Frequency |
|---|---|---|---|
| Referral & Admission | • Referrals by source (SSCC vs DFPS) • Admission rate from referrals • Denial reasons documented • Time from referral to admission | Tracked per source Target ≥80% 100% documented <48 hours | Monthly aggregate Per placement |
| Length of Service | • Average days by child • % within 30-day limit (ages ≤5) • % within 45-day limit (ages 6+) • Extension utilization rate | Tracked per child 100% compliance 100% compliance <20% extensions | Per placement Monthly aggregate |
| Assessment Completion | • CANS 3.0 within timeframe (21-30 days age-dependent) • Comprehensive assessments coordinated • Medical evaluations completed • Educational testing arranged • STAR Health coordination documented | 100% on time 100% within timeframe 100% completed 100% enrolled/tested 100% documented | Per placement Monthly aggregate |
| Service Planning | • Initial Service Plan within 30 days • Monthly Service Plan reviews • Licensed Therapist oversight documented • Assessment goals met | 100% on time 100% monthly 100% documented ≥95% achieved | Per placement |
| Stabilization During Assessment | • Placement stability (no moves during STASS) • Crisis interventions required • TBRI fidelity maintained • Behavioral observations documented | 100% stable Minimize frequency ≥85% fidelity 100% daily | Per placement Weekly review |
| Family Engagement | • Family identification efforts • Family participation in assessments • Engagement documented in Service Plan • Information shared with SSCC/DFPS | 100% attempted When safe/appropriate 100% documented 100% shared | Per placement |
| Service Package Determination | • Appropriate package identified • Recommendation based on assessment data • Placement match identified • Timeline for determination | 100% determined 100% data-driven 100% matched By day 30-45 | Per placement Quarterly analysis |
| Transition Success | • Successful transitions to identified placement • Assessment data transferred • Receiving placement briefed • Transition within time limits | ≥95% successful 100% transferred 100% briefed 100% on time | Per placement Quarterly aggregate |
| Program Efficiency | • Assessment coordination timeliness • Transportation efficiency • Documentation quality • Foster parent STASS competency | 100% on schedule No missed appointments ≥90% quality score ≥85% competency | Weekly tracking Monthly review |
Extension Tracking and Analysis
Monitoring extension requests indicates assessment coordination efficiency
Extension Rate
<20%
of placements • Monthly tracking
Documentation
100%
PD written approval • Per extension
Justification Quality
100%
Meets T3C Blueprint p.72 criteria
Extension Criteria (per policy):
- • Additional assessments pending and cannot be expedited
- • Appropriate receiving placement identified but not yet available
- • Service Planning team documents specific reason extension serves child's best interest
- • Program Director approves in writing
Unknown History Crisis Monitoring
| Metric | Purpose | Data Source |
|---|---|---|
| Crisis incidents in first 72 hours | Identify unknown history impacts | Incident reports |
| Expedited Safety Plan completion | Verify 72-hour timeline | Case records |
| Behavioral pattern documentation | Quality of observations | Foster parent logs |
| Crisis-to-assessment integration | Data informing recommendations | SP Recommendation form |
Program Director - STASS Responsibilities
- • Oversee STASS time-limited service delivery per T3C Blueprint
- • Monitor assessment coordination effectiveness
- • Track length of service compliance (30-45 day limits)
- • Review referral/admission/denial data monthly
- • Lead STASS-specific CQI reviews
- • Approve Logic Model modifications based on outcomes
Treatment Director - STASS Specific
- • Supervise Licensed Therapist assessment coordination
- • Review assessment completion timelines
- • Oversee Service Package determinations
- • Ensure assessment quality and thoroughness
- • Monitor TBRI fidelity during short-term placement
Licensed Therapist - STASS Team
- • Oversee comprehensive assessment coordination
- • Administer or coordinate CANS 3.0 within timeframe
- • Lead Service Planning team meetings
- • Synthesize assessment data for recommendations
- • Determine appropriate Service Package
- • Document assessment findings comprehensively
Case Managers - STASS Enhanced
- • Implement TBRI for stabilization
- • Coordinate all assessment appointments (1:12 ratio)
- • Document behavioral observations daily
- • Facilitate STAR Health coordination
- • Support school enrollment and testing
- • Engage family in assessment process
- • Execute transition plan within timeline
Short-Term Assessment CQI Outcomes
Assessment Completion
Comprehensive evaluations within required timeframes for informed placement decisions
Placement Stability
Zero moves during assessment period through TBRI-based stabilization
Service Package Match
Data-driven recommendations ensuring appropriate long-term placement
Successful Transitions
Smooth handoffs with complete assessment data transfer within time limits
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Last Revised: December 10, 2025