The Onsite Review Instrument

The Onsite Review Instrument (OSRI) is the tool that reviewers use to collect information during their case record review. Its structure is organized into a Face Sheet, which is used to document general case information, and three sections that correspond to the outcome domains of safety, permanency, and child and family well-being. Each outcome domain is further divided into individual outcomes (for example, Safety Outcome 1 and Safety Outcome 2), which are themselves divided into individual items that relate to the outcome.

The OSRI is used to rate both in-home and foster care cases. For in-home cases, the safety and well-being sections are completed for all the children in the family, and the permanency section is not applicable. For foster care cases, the safety section is completed for all the children in the family, but the permanency and well-being sections are completed only for the target child. In both instances, though, reviewers must distinguish between events that took place over the life of the case and events that took place during the period under review.

Each review pair completes one OSRI per case assigned, assessing and rating items based on information and standards provided in the instrument instructions. They draw equally from two information sources to complete the instrument: documentation from the case record itself, and case-related interviews with children, parents, foster parents, caseworkers, service providers, and other professionals knowledgeable about the case. As the reviewers complete the instrument, item and outcome ratings are assigned and rating documentation must be provided to support those ratings.

It is essential that reviewers become thoroughly familiar with the entire OSRI before arriving on site for the review week. While there are some differences between the layout of the paper instrument and the automated OSRI that will be used on site, learning the paper instrument will provide the foundation of knowledge that reviewers require to work efficiently while on site.