HCBS Training

Evaluating Effort, Fidelity, and Outcomes

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Evaluation plans include information that can be organized into three major areas:

Efforts to teach person-centered practices and change HCBS: What efforts are you making?

  • List of steps taken to put person-centered practices in place,
  • The number of trainers available to support person-centered methods and other positive supports,
  • The number of trainings that occur in a given year,
  • Documents edited or changed to be more person-centered,
  • Number of On-Page Descriptions created,
  • Number of person-centered and positive support plans that were facilitated in a given year, and
  • Types of positive supports embedded into HCBS.

Fidelity of Implementation: How well are person-centered practices used?

  • List of key elements of person-centered practices that teams use to move forward at an organizational level,
  • List of key elements included for each person’s plan of care in HCBS,
  • Monitor key elements dedicated to each person-centered plan models used ad assess whether it is completed in the manner intended, and
  • Record whether each intervention with a person's positive support plans are implemented by making a list of the key steps.  

Outcome Measure examples: What changes are observed before and after person-centered practices are put in place?

  • Improvements in quality of life,
  • Increases in use of social and emotional skills,
  • Decreases in challenges (e.g. incidents, 911 calls, injuries, workers compensation claims),
  • Increases in staff retention, and
  • Decreases in staff attrition.