HBFT Fidelity Program

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The HBFT Partnership will no longer be able to offer trainings to providers in Kansas due to budget cuts.  We have appreciated the opportunity to provide training and resources to the clinicians of Kansas for the last 10 years.  We realize there will be questions regarding fidelity and KDADS has requested that you direct your questions to John Hostetler, at: This email address is being protected from spambots. You need JavaScript enabled to view it..  Again, thank you for the opportunity to work with all of you and all the best as you continue to serve the families of Kansas.

 -HBFT Partnership Team

 

Program Purpose

The purpose of the fidelity program is to examine how consistently clinicians are following the concepts learned in the HBFT Core Training and how the use of these concepts impacts their professional quality of life and therapeutic relationship with clients.

As of November 1st, 2014, the Kansas Department of Aging and Disabilities Services (KDADS) introduced a new policy stating that home-based family therapy providers who currently bill the 90847-HK in-home family therapy code are required to show fidelity to the HBFT in-home family therapy model to continue billing the code.

To do this providers must contact the HBFT Partnership by either phone (785-532-7695) or email (This email address is being protected from spambots. You need JavaScript enabled to view it.) with the intention of continuing to provide in-home family therapy and bill at the specified code.

Those who are participating in the fidelity project are required to take the HBFT Core Training for Medicaid Providers. Those who have taken the training in previous years do not need to retake the training. Likewise, those who have taken a KHS approved HBFT training will need to provide a copy of certification to the HBFT Partnership. The HBFT Partnership will add all KHS alternative trainings and add licensed practitioners to the approved list.

If you will be participating in the fidelity project please contact the HBFT Partnership, at 785-532-7695 or email This email address is being protected from spambots. You need JavaScript enabled to view it., and provide the following information and our staff will include you in our database:

-Name

-Agency/private practice

-Date attended the Core Training

-Phone

-Email

-Address

-NPI #


Introductory Presentation Detailing the Fidelity Program

See the link below for more information detailing the fidelity program.

 HBFT Partnership Fidelity Presentation

 


 Fidelity Program Documents

If you are new to the program click below for our welcome letter and instruction sheet.

Welcome Letter and Written Instructions

In order to continue improving the HBFT Partnership and the fidelity program we are requesting the use of the required fidelity scores to be used in a research study to help us determine the effectiveness of the Core Training and fidelity. Participation is optional and choosing to not have your scores included does not impact your participation in the fidelity program. If you are interested in learning more or would like to give consent please see the recruitment letter and consent form below. 

Recruitment Letter

Consent Form

Click the link below for a breakdown of the levels of fidelity.

Levels of Fidelity

See the links below for a electronic copy of the fidelity program's forms.

Monthly reporting form (physical form where you can keep track of your scores for the month before reporting them).

ORS and SRS with scripts

ORS and SRS with scripts in Spanish

Fidelity Program Links

Click on the links below to fill out the appropriate monthly form

HBFT Fidelity Monthly Reporting Form

Monthly Did Not Bill Survey


Fidelity Program FAQs

Here is a list of the questions most frequently asked about the fidelity program. If you have a question and you don't see it here, please let us know so that we can add it.

  • How will I know when it is time to take the HBFT Model Fidelity Evaluation?
    • The HBFT Model Fidelity Evaluation will now be standardized so that clinicians will no longer have to keep track of when they last completed it. On the months the evaluation is due, the questions will automatically appear at the end of the HBFT Fidelity Monthly Reporting Form. 
  • Do I still need to fill out the monthly reporting form if I didn't see any clients for the month?
    • If you bill even one hour using the 90847-HK code then you will need to fill out the HBFT Fidelity Monthly Reporting Form survey. If you do not bill any hours for any given month then there is a Did Not Bill survey that should be filled out. One of these two surveys are required each month in order to meet requirements of the fidelity program.
  • What do I need to do if I see less than 5 in-home clients?
    • Therapists who have less than 5 cases but see them at least once per month should contact the HBFT Partnership and let us know how many cases they have. This will not change what they do, but it will change how we determine fidelity.
  • How can supervisors support the HBFT Fidelity Program through regular supervision process?
    • All supervisors can make it commonplace to discuss self-care, self of the therapist, and HBFT principles in supervision to support their therapists in providing these services.
  • How long will I need to fill out the required forms?
    • At this time, KDADS has not yet determined the length of the fidelity program. Therefore, the program will be implemented as designed for all therapists participating.
  • What are the different levels to fidelity and how will I know which one I am in?

    • All clinicians in the program are considered meeting fidelity when they start in the program. Their scores determine their status going forward. Clinicians will fall into one of three categories:
      • Meeting Fidelity
        • Clinicians who are meeting fidelity have no additional requirements than to submit scores on time.
      • Meeting Fidelity with Consultation
        • For those who are meeting fidelity but needing consultation, additional support and resources will be provided
        • For those needing consultation: you will receive an email notifying you of your status, and providing instructions for completing consultation.
        • Consultations will be provided via support and resources in specific clinical areas that need attention based on the scores submitted by the clinician:
          • Therapeutic alliance
          • Treatment planning
          • Treatment outcomes
          • Self-care
        • The goal of consultation is to provide individualized support to clinicians to further strengthen each clinician’s professional quality of life while reducing fatigue and burnout.
      • Not Meeting Fidelity
        • If the clinician should fall below a certain point based on their scores, that clinician is considered to not be meeting fidelity.
        • A clinician will be considered not meeting fidelity by not submitting the required information each month/quarter. This includes submitting ORS, SRS, Self-Care, and ProQOL scores each month. Additionally, clinicians will be required to submit the Fidelity Evaluation survey quarterly when prompted online. Failure to submit all information will result in not meeting fidelity. If a clinician does not bill on any given month, their requirements are to submit the Did Not Bill survey for that month.
        • If fidelity is not met after 90 days, the clinician will be removed from the list of those approved to bill the HBFT family therapy code 90847-HK. Clinicians can, however, continue to work towards fidelity.
        • If therapists do not submit all required scores to HBFT Partnership, they are automatically not meeting fidelity.

 

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