Performance & Quality Improvement

The Free Will Baptist Children’s Home staff is committed to providing quality care for all the children we serve.  We accomplish this through a PQI Plan as a part of our accreditation process with the Council on Accreditation. We are committed to ensuring timely, periodic, and organized reviews of the quality of our services. These reviews enable us to implement needed changes to ensure this quality of care. We value stakeholder feedback, and you can comment on the contact tab of this website.  

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July 2025 – June 2026 PQI Activities

• For the 2025-26 fiscal year, the agency’s PQI team’s focus was on 3 areas of activity in alignment with the agency’s strategic plan:

  • Explore and make recommendations for an improved and streamlined employee onboarding experience as well as recommendations for increased staff retention.

  • Explore and evaluate process for program and person-centered outcomes development. This is to include recommendations of training and current outcomes evaluation.

  • Explore and make recommendations for improvement of internal processes for manual review and updates, use of technology and artificial intelligence usage by employees across all programs.

• A new employee survey was administered in November 2025 with a more dedicated interest toward feedback on training.

• The new process for Annual Review of Programs and Services was fully implemented in July with all program directors supplying fiscal year information for their program as well as making recommendations for the new year.

• There was a renewed interest in evaluating the campus recycling program and offering additional trainings for both staff and youth in order to obtain higher rates of recycling use.

• All consumer surveys were evaluated and changes implemented to more properly reflect current data needs for decision making (i.e. youth under 12 survey addition, adding length of time in care and ensuring consistency across all surveys for data measurement and comparison.

• Workgroups were formed to make recommendations for (1) employee recruitment, onboarding and retention as well as (2) artificial intelligence and technology policy and usage recommendations. These workgroups made recommendations which were reviewed by the PQI team and will be finalized for implementation in 2026-27.

• The Active Threat workgroup was reformed to further review the plan approved previously and make recommendations on how best to implement at the departmental level. Departments were also asked to prepare their staff in how to respond based on building and role and the PQI team approved 2 campus wide realistic active threat drills each year.

• A new security system was installed for campus.

• A new fire alarm system was installed in the Administration Building.

• The new medication administration software and pharmacy provider was monitored regularly for effectiveness and compliance.

• Changes were made to Foster Care reporting in order to allow for more consistent reporting across programs and for comparison, especially in case file review.

• Based on the agency’s new strategic plan, the PQI team approved the following goals for the PQI Annual Plan for FY 2026-27

  • Explore and make recommendations for an improved and streamlined employee onboarding experience as well as recommendations for increased staff retention.

  • Explore and evaluate process for programs person-centered outcomes development that reflect clients “change of status” criteria.

  • Explore and make recommendations for improvement of internal processes for manual review and updates, use of technology and artificial intelligence usage by employees across all programs.

• In response to the need for more specific measurement of program outcomes and program review:

  • All programs constantly review person-centered logic models naming specific inputs and activities, as well as what outputs were produced, and outcomes measured by the program to ensure quality service delivery.

  • All programs monitor and report quarterly on safety, medication review for compliance, client record review for compliance, grievances, referrals, admissions and discharges.

  • Refinement of Referrals, Admissions and Discharges report across programs was instituted in order to better track reasons for discharges as well as decline of referrals.