Association for Behavior Analysis International

The Association for Behavior Analysis International® (ABAI) is a nonprofit membership organization with the mission to contribute to the well-being of society by developing, enhancing, and supporting the growth and vitality of the science of behavior analysis through research, education, and practice.


50th Annual Convention; Philadelphia, PA; 2024

Event Details

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Symposium #478
CE Offered: BACB
The Application of Performance Management Strategies Across Service Areas
Monday, May 27, 2024
12:00 PM–12:50 PM
Marriott Downtown, Level 5, Grand Ballroom Salon CD
Area: OBM; Domain: Service Delivery
Chair: Helena L. Maguire (Melmark New England)
CE Instructor: Helena L. Maguire, M.S.

Situated within the field of Organizational Behavior Management (OBM), the area of Performance Management is a science that is dedicated to assessing and changing employee behaviors. The goal of Performance Management is to bridge the gap between current employee performance and the expected business results (Daniels & Bailey, 2014). This symposium will highlight the application of several performance management strategies across a variety of service areas. The first presentation will focus on the application of task clarification and performance feedback to increase timely submission of state regulated medication administration documents. The second presentation will focus on the use of a treatment package consisting of task clarification, a self-management tool, and performance feedback to increase the integrity of direct service professionals transferring client-specific clinical materials. Lastly, the final presentation will focus on the use of the Performance Diagnostic Checklist – Human Services (PDC-HS) to inform intervention selection to reduce delays in service delivery documentation. Overall, attendees will learn how performance concerns can be assessed, and how simple performance management strategies can be embedded into existing systems to help bridge the performance gap.

Instruction Level: Intermediate
Keyword(s): Performance Management
Target Audience:

Attendees should have a basic understanding of organizational behavior management. Those in supervisory roles or those participating in graduate-level programs will benefit from the presentation.

Learning Objectives: 1. Attendees will be able to define organizational behavior management and its subarea of performance management 2. Attendees will be able to discuss performance management assessment tools that can be used for inform intervention selection 3. Attendees will be able to discuss different performance management interventions and how they can be applied to performance concerns
The Use of a Treatment Package to Increase Timely Submission of State Regulated Medication Administration Documentation
JENNIFER RUANE (Melmark), Nicholas Weatherly (SCCi), Mary Jane Weiss (Endicott College), Shawn P. Quigley (Melmark)
Abstract: Regulatory compliance guidelines within human service settings are designed to ensure health and safety of those served via a set of minimum standards of care. Although some recommend the hiring of a compliance officer to ensure regulatory compliance, others suggest the development of a compliance program that is overseen by in-house supervisors and leaders. However, due to the complexity of overseeing compliance, many supervisors report the task to be burdensome. The purpose of this study was to evaluate how performance management strategies can be embedded into current organizational systems to increase regulatory compliance related to the timely submission of medication administration documentation. During the study, each participant was asked to complete a short checklist based on their medication administration caseload, and attend a bi-weekly check-in meeting at which feedback was provided by their supervisor. Results of the study showed that the use of the checklist and feedback system was effective in increasing compliance among all participants. The results extend current literature related to the effectiveness of using in-house supervisors to implement performance management strategies.
The Use of a Multi-Element Treatment Package to Increase Integrity of Staff Transferring Clinical Material Between Shifts
KAITLIN PETERSEN (Melmark ), Kyle Squier (Melmark ), Frances DiProspero (Melmark ), Jill Harper (Melmark New England, Endicott College), Jennifer Ruane (Melmark)
Abstract: Direct service professionals (DSPs) in human service settings provide critical care and treatment (e.g., quality behavioral and academic programming) to those they serve. The transferring of materials is an important part of consistent programming across settings and ensures that DSPs have all necessary materials to run individualized support plans with integrity. An area of science devoted to performance change is Organizational Behavior Management (OBM), particularly the subarea known as Performance Management. Drawing from the OBM literature and studies on Performance Management, there are different training methods that have demonstrated success in improving staff performance that managers can use to increase treatment fidelity. The purpose of this study was to evaluate a comprehensive treatment package, including task clarification, self-management, and performance feedback on the integrity of staff transferring clinical materials between shifts. Three residential staff working in a residential treatment facility were evaluated in a multiple baseline design across participants. The results demonstrated that all three staff made improvements in their integrity when completing material checks between shifts. Future directions for study should include social validity on the treatment package and addressing maintenance through probes.

Utilizing the Performance Diagnostic Checklist - Human Services (PDC-HS) to Inform Intervention for Improving Staff Completion of Service Notes

KELLY TRUCKSESS (Melmark ), Lindsey Jean Feeley (Melmark ), Opeyemi Fajemilehin (Melmark), Alusine Kamara (Melmark ), Sulaiman Johnny (Melmark), Jill Harper (Melmark New England, Endicott College)

Human service providers often document the delivery of services in the form of service notes in order to receive reimbursement from funding agencies. To receive reimbursement in a timely manner, direct service professionals are required to complete all sections of the note thoroughly and accurately. Incomplete or inaccurate notes can cause delays in reimbursements and require front-line managers to spend large amounts of time following up with staff. To address this performance concern, managers must assess and select an intervention that best addresses the maintaining variables. The Performance Diagnostic Checklist – Human Services (PDC-HS) is a tool that assesses and informs more targeted support by assessing environmental variables that may be contributing to performance issues (Carr et al., 2013). The current study utilized a reversal design (ABA) to determine the efficacy of a visual aid as indicated by the PDC-HS. Results indicated an increase in service note completeness for 4 out of 9 participants following the introduction of the visual aid. Future studies should evaluate the incorporation of all interventions identified by the PDC-HS to create a combined treatment package.




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