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The Quality Service Review (QSR)

CPORT uses the “Quality Service Review” (QSR), or a “service testing” method, for measuring service delivery outcomes, and for understanding the status of children and families being served by our state.  The QSR is an action-oriented learning process that provides a way of knowing what is working, or not working, in practice and why for selected children and families receiving services.

The QSR protocol is a tool to guide a professional appraisal of a child and their family, and system of care performance for individual children and their parent/caregivers in a specific service area at a given point in time by combining evidence gathered through interviews, observations and documentary analysis to render findings of:

    1. The current status of the focus child;
    2. Recent progress made by the focus child;
    3. The status of the parent/caregiver; and
    4. How well the service system of care functioned for the focus child and family.

QSR is a result oriented progress which provides synergy of planned strategies, supports, and services, thereby promoting opportunities for practice development and progress in child well-being and family independence.  The protocol is an appraisal organizer that achieves high levels of inter-rater reliability when used by CPORT reviewers who are all well-trained and certified reviewers. 

CPORT collects quantitative data by examining 11 status indicators for the child and family and 11 system indicators, which pertain to how the system functions and its capabilities of servicing a child and their family.  Reviewers rate each indicator on a 6-point rating scale with values of 4-6 being in the acceptable range and values of 1-3 in the unacceptable range.  A 6 is defined as the most desirable or optimal rating on an indicator and a1 is defined as a serious and worsening situation and the least desirable rating on an indicator.  A rating of a 4 is considered minimally adequate, and a rating of a 3 is considered minimally inadequate.  Indicators falling in these ranges are in a refinement area, and if issues are not addressed there is potential for case deterioration.  Information on all the status and system indicators and their definitions is available here