Quality Assurance (QA) staff apply a tiered review of cases that were processed using the Nebraska Safety Intervention System (NSIS) to monitor adherence to the model: an initial review of 15 safety assessments from each supervisor; a second review of five assessments from each supervisor; and ongoing case reviews thereafter.
QA staff completed the second round of initial assessment reviews in April 2009. This round included a review of 155 initial assessments throughout the state. The Nebraska Safety Intervention System was implemented in the panhandle area of the Western Service Area (WSA) first and then in the eastern part of the WSA. As a result, reviews are conducted and reported separately for the two areas.