For More Information:
Randall Messier, MT, MSA, PCMH CCE, Quality Improvement Specialist
randallm@vpqhc.org
randallm@vpqhc.org
Funded By:
Howard Center
A Partnership with Howard Center to Strengthen Residential Program Quality
The Bed-Based Quality Improvement Program (BB-QIP) is a collaborative initiative between VPQHC and Howard Center to improve the quality, consistency, and regulatory alignment of procedures across Howard Center's bed-based residential programs. This effort reflects Howard Center’s leadership commitment to high-quality care and staff support, and VPQHC’s role in facilitating systems-level quality improvement.
Launched in fall 2024, BB-QIP began with a Core Process Survey that identified gaps in residential procedures. This informed the development of a curated, online procedure catalog to support real-time access, continuous updates, and alignment with required standards. A key milestone was the Fall 2024 Procedure Collaborative, where house leaders received direct support in drafting, editing, and reviewing procedures with a focus on sustainability and staff ownership.
Ongoing work includes aligning all procedures with state regulatory requirements, supporting staff in continuous procedure development, and embedding a monitored annual review process within the agency’s quality infrastructure. The BB-QIP strengthens a culture of consistency and accountability while enhancing staff capacity to lead continuous improvement in residential care.
Launched in fall 2024, BB-QIP began with a Core Process Survey that identified gaps in residential procedures. This informed the development of a curated, online procedure catalog to support real-time access, continuous updates, and alignment with required standards. A key milestone was the Fall 2024 Procedure Collaborative, where house leaders received direct support in drafting, editing, and reviewing procedures with a focus on sustainability and staff ownership.
Ongoing work includes aligning all procedures with state regulatory requirements, supporting staff in continuous procedure development, and embedding a monitored annual review process within the agency’s quality infrastructure. The BB-QIP strengthens a culture of consistency and accountability while enhancing staff capacity to lead continuous improvement in residential care.
"BB-QIP exceeded expectations—revealing deep staff commitment and producing champions across programs. With strong partnership from VPQHC, we now have the foundation, data, and momentum to continue evolving toward a high reliability organization. This collaboration has been a wise investment with clear, lasting impact." Trevor, MA, LCMHC, Manager of Quality Improvement, Howard Center
"BB-QIP has empowered our staff to co-create procedures, improving efficiency, training, and supervision. Shifting to a streamlined drafting process led to 11 procedures completed. This work strengthens audits, supports staff success, and enhances care. The team is now using these tools to launch a new micro residential model." Rebecca, Senior Manager - Developmental Services, Pennington House
"Staff and leaders learned that clear, step-by-step procedures require collaboration and regular updates. Early staff engagement was strong but declined over time. Shifting initial drafting to the residential manager, with team review, improved efficiency. Including both staff and leadership perspectives proved essential for creating sustainable procedures that evolve with the program." Jane, Residential Manager, Pennington House
"BB-QIP has empowered our staff to co-create procedures, improving efficiency, training, and supervision. Shifting to a streamlined drafting process led to 11 procedures completed. This work strengthens audits, supports staff success, and enhances care. The team is now using these tools to launch a new micro residential model." Rebecca, Senior Manager - Developmental Services, Pennington House
"Staff and leaders learned that clear, step-by-step procedures require collaboration and regular updates. Early staff engagement was strong but declined over time. Shifting initial drafting to the residential manager, with team review, improved efficiency. Including both staff and leadership perspectives proved essential for creating sustainable procedures that evolve with the program." Jane, Residential Manager, Pennington House
