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Tazewell County CPMT directs members to document responses after CSA audit finds missing assessments
Summary
The Tazewell County CPMT reviewed a self‑assessment audit that flagged a missing CANS assessment and gaps in minute‑level documentation. The CSA coordinator instructed members to complete CQI forms, identified specific corrective steps, and said quarterly reports will be provided starting April 2022.
The Tazewell County Community Policy and Management Team met March 28, 2022, and directed members to complete formal continuous quality improvement documentation after a state self‑assessment audit identified a missing Child and Adolescent Needs and Strengths (CANS) assessment and gaps in meeting documentation, the CSA coordinator said.
Margo Trigg, the CSA coordinator, told the CPMT she had filled in portions of the CQI (Continuous Quality Improvement) form and asked each member to add their observations. "Completed IFSP/Review and updated CANS by Case Manager must be presented at FAPT meeting," Trigg said, describing one corrective action she has recorded and assigning follow‑up responsibilities to the FAPT chair, the program supervisor and the CSA coordinator.
Trigg summarized the audit finding that a client case file lacked a CANS assessment and CPMT funding authorization and that the CPMT minutes for the audit period did not explicitly document discussions of adopted strategic goals and measurable criteria. She proposed three specific responses: require completed IFSPs and updated CANS at FAPT review before CPMT funding decisions; institute a monthly CPMT review of IFSPs and funding approvals with required supporting documents; and use the OCS CQI Dashboard to track finance, demographics, utilization and outcomes. Trigg said she had prepared the initial CQI entries and asked members to complete the "CPMT Observations" column and return the form.
Some members asked procedural questions and raised concerns. Edwinna Crawford asked how many case files were sampled for the audit and said the audited case was one of hers; she said she had not been asked previously for the CANS. Sheri Hale, foster care supervisor, said the CANS program can be difficult to use and at times even super users could not access it; Trigg asked that those difficulties be recorded on the CQI form. Lori Gates‑Addison said members regularly cover community outreach topics in their announcements and offered to share a Russell County model; Roberta Boyd said a CPMT strategic plan already exists and urged following it. Several members said they lacked time to complete CQI documentation during the meeting and would email observations afterwards; Trigg emphasized the audit required documented responses and that the minutes should reflect the work.
Trigg also noted that beginning with the April 25, 2022 CPMT meeting, the CSA finance, demographic/utilization and outcome measure reports would be provided quarterly for CPMT review.
The discussion concluded as the CPMT moved into a closed session to hear individual cases and funding requests. The coordinator and CPMT chair assigned responsibilities to ensure the audit responses and CQI documentation are recorded in meeting minutes and tracked by the CPMT going forward.
The CPMT scheduled its next meeting for April 25, 2022, at 10:00 a.m.
