HCBS Training

Evaluating Fidelity of Implementation at Tier 1

Add alt text

The second type of evaluation in HCBS is called Fidelity of Implementation. Fidelity of implementation is  a way to assess whether person-centered practices or other positive supports are being used effectively. You have been introduced to one tool already that guides teams through Tier 1 evaluation, the Minnesota Team Checklist. This checklist is referred to as a self-assessment because teams decide what the score is for each item.

There are 36 items on the checklist. Teams that score an item on the checklist as not started receive zero points for that item. If an item is scored as “in progress,” it is worth one point. Each completed item is worth 2 points . This graph shows progress by subscales, which are the groups of items that related to a checklist topic. The bar graphs show the different times that checklists were completed. A total score is available on the right side of the graph.

Alt text describing bar graph

Review this graph with your team and discuss the following questions:

  • What can the team celebrate based on these data?
  • What areas need more attention?
  • What questions would you ask the team about this graph?


Please use the HCBS Planning Tool to complete the activity.

Use Appendix E to record your MN Team Checklist Self-Assessment Answers. This worksheet is set up to graph the results of the Minnesota Team Checklist.

Minnesota Team Checklist

HCBS Planning Tool

Appendix E

If you haven't already done so please use these links to access the tools.