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  • Feedback Readiness Index & Fidelity Measure

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  • Introduction

    The Feedback Readiness Index and Fidelity Measure (FRIFM) is an organizational readiness checklist and evaluation tool for behavioral health agencies, services and/or systems of care specifically designed to assist in the implementation of FIT. The FRIFM addresses six realms, each of which is an important organizational component in evaluating a system’s readiness to implement or fidelity to a feedback informed approach to services.

    The FRIFM provides detailed indicators of issues likely to impede successful implementation of FIT practice. By completing this tool, agency managers are able to quickly and easily:

    • Identify a system’s strengths and weaknesses important to using the FIT approach. 
    • Prioritize realms in need of consultation and training.
    • Set specific objectives and goals necessary for successful implementation of FIT.
    • Measure progress of and identify barriers during implementation.

    Administering and then comparing the responses of the clinical staff, supervisors, and managers, can help identify and foster discussion regarding the successes, challenges, and barriers to implementing FIT. It is recommended that the FRIFM be used not only as a tool to assess readiness for FIT implementation but also as a means of evaluating whether all necessary steps and structures are in place to support FIT in the agency throughout the installation and implementation stages. The FRIFM document provides a clear picture of an agency in “full and sustainable operation.”

    Completing the online assessment

    Once you have completed the assessment you will receive a report detailing the scores. Since the report may take some time to complete your data is saved and you can return to it later to complete.

    We realise that this is a substantial amount of information to share online about an agency. This data is stored on a secure server. Any concerns or questions please email us at info@centerforclinicalexcellence.com.

    Assessment results

    Once you have completed the FRIFM you will see your results.

  • Feedback Readiness Index and Fidelity Measure Instructions

  • The Feedback Readiness Index and Fidelity Measure (FRIFM) is an organizational readiness checklist and evaluation tool for behavioral health agencies, services and/or systems. The FRIFM addresses six realms, each of which is an important organizational component in evaluating a system’s fidelity or readiness to implement a feedbackinformed (FIT) approach to services. The six realms are:

    • Realm 1 - Clinical Implications
    • Realm 2 - Administrative
    • Realm 3 – Information Systems/Paperwork/Documentation/IT
    • Realm 4 – Regulatory and Accreditation
    • Realm 5 - Consumers
    • Realm 6 - Funders

    Each realm consists of a series of statements that serve to:

    1. Identify a system’s strengths and weaknesses important to using a FIT approach.
    2. Enhance a strategic planning process that will assist an organization to:
      • Identify initial steps necessary to transition to FIT services.
      • Prioritize which realms need consultation and training to adjust.
      • Project timelines, strategic objectives and goals to implement formal client feedback on the quality and outcome of services.
    3. Determine what resources, training and consultation would be helpful to:
      • Implement systems driven by client feedback and outcomes data.
      • Identify and provide necessary areas of staff development.
      • Establish documentation and information policies and procedures to achieve a FIT approach while reducing time spent in documentation tasks.

    How to Use the FRIFM:
    The checklist and self-evaluation can be used in a number of ways:

    1. As a tool for generating discussion among the clinical and administrative staff regarding the challenges or shortfalls in implementing FIT:
      • Staff and administration could meet and work through each realm.
        Current realities, attitudes, opportunities or obstacles are raised and discussed as the team rates each item as Not Applicable; or from 1 to 5 with rating 5 representing full agreement. 
      • Relevant personnel for each realm could rate each section in separate meetings. Final evaluation scores could then be discussed with the whole group.

    2. In conjunction with onsite training and consultation to clarify and address
      whatever challenges are shortfalls are identified in process of completing the form: 
      • Telephone or onsite consultation clarifies with the executive team of the organization what priorities, resources, and strategies are needed to initiate action for change in the system.
      • Timelines, deliverables and responsibilities are delineated from this
        interactive consultation process.

    3. As an organizing tool to engage and enlist the input, planning and change
      strategies of relevant team members for each FRIFM realm.
      • The importance of administration support and buy-in to successful
        implementation of FIT is, for example, highlighted as management
        addresses the items in realm 2. 
      • Either alone or with consultation assistance, the organization uses the realms and resulting ratings to plan implementation strategies for each segment of the organization and for each stakeholder area.

    4. As a fidelity and progress measure, the FRIFM can be completed as
      implementation occurs:
      • Re-evaluation and rating of items provides a measure of progress to help modify the plan based on the results of organizational change.
  • Realm 1 - Clinical Implications

    Components related to counselors / therapists; supervision of clinicians; training of staff.

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  • Realm 2 - Administrative

    Components related to the agency’s structures and levels of commitment.

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  • Realm 3 - Information Systems/Paperwork/Documentation/IT

    Components related to modalities for data collection

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  • Realm 4 – Regulatory and Accreditation

    Components related to regulatory and accreditation entities.

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  • Realm 5 – Consumers

    Components related to consumers as stakeholders.

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  • Realm 6 – Funders

    Components related to funding agencies.

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  • Should be Empty: