Metro Quality Improvement Work


The Metro Regional Quality Council (MRQC) conducted 240 Person-Centered Quality Reviews between November 2017 and January 2020. Quality Reviews are interviews with people about their quality of life. The reviews asked about choice and control in different topic areas such as housing, daily routine, community involvement, employment, relationships, support staff, safety, transportation, case management, future life planning, services and supports, and hopes, dreams and goals. 

The MRQC reviewed the results of the Quality Reviews and voted to focus efforts on two priority areas: employment and the direct support staff shortage.   The council has been working on employment efforts since January 2019 and started working on the support staffing shortage efforts in April 2020.  To complete this work, the council has devoted workgroups to focus on each area.

Are you interested in the results of the Quality Reviews? 

Find infographics, recommendations, and reports here:


Equity and Social Justice Framework:

The Metro Regional Quality Council acknowledges and honors that many people with disabilities have intersecting identities.  The council utilizes a social justice framework and is committed to intentionally reaching and equitably supporting Black, Indigenous, and People of Color who have disabilities.

To support this effort, the MRQC staff developed an Equity Glossary.  This resource is intended to be a guide to common terms used in community engagement, quality improvement, and equity work. You can find the fluid document here

Metro Regional Quality Council staff also developed a two-part Cultural Responsiveness training for MRQC Staff, interns, and members as well as The Arc MN staff and interns.  These trainings can help anyone who wants to learn more about the significance of culture within our work and the best practices for navigating cultural diversity. It is vital to note that this cultural responsive training provides tools and knowledge to help participants represent the values of the Metro Regional Quality Council and The Arc Minnesota, but it is not an exhaustive resource and should only be viewed as a basic framework.

Cultural Responsiveness Training Part 1

Cultural Responsiveness Training Part 2



Background and Introduction

As of 2018, more than 600,000 Minnesota residents reported having at least one disability, comprising 11 percent of the state’s population. When examining Minnesota’s overall workforce, residents with disabilities have lower levels of labor market participation, lower employment-to-population ratios, and substantially higher unemployment rates. This leads to higher poverty levels for people with disabilities than those without disabilities.

The Metro Regional Quality Council gathered employment-related information through listening sessions, focus groups, informational interviews, and Person-Centered Quality Reviews.  This information guided the employment work completed by the MRQC.


We Work! Employment Campaign

This campaign will be a journey through employment experiences, emphasizing capability and power while also bringing to light current unfair but legal practices.

The We Work! Campaign will be a series of short videos from different stakeholder groups such as self-advocates/people with disabilities, family members of people with disabilities, employers, providers, and council members. The purpose of this campaign is to educate the public and employers on the benefits and best practices of employing people with disabilities. 

Watch the We Work! campaign videos here:


To keep up to date with the videos and what we have been up to, follow us on Facebook!

To share this opportunity, you can download our We Work! Campaign Flyer.


Data and Information

Are you interested in the findings of the Metro Regional Quality Council?  Check out some of the employment reports and presentations: 

Employment Tracking:



The Metro Regional Quality Council developed the following resources to support employment for people with disabilities.  All resources are free to share:


Staffing Shortage

Background and Introduction

The direct care workforce is large and is one of the highest-demand and anticipated growth sectors in the U.S. and Minnesota. Over the last two decades, the service sector for people with IDD has grown 290%.  Looking ahead, from 2018 to 2028, the long-term care sector is expected to add a further 1.3 million direct care jobs, primarily personal care aide positions — more new jobs than any other occupation in the U.S. economy.

 The Metro Regional Quality Council recognizes the importance of quality direct care staff in every facet of life for people with disabilities and their families.  The MRQC is gathering information to determine where we fit in the fight for high quality support staff.


Best practices and Resources

The Metro Regional Quality Council has started to develop a fluid best practices and resources document related to the support staff shortage.

  • Support Staff Best Practices and Resources (in development – to come shortly)


Data and Information

The MRQC analyzed the Support Staff section of 240 Quality Reviews.  The results can be found below:


Other Quality Improvement Work

 Though the Metro Regional Quality Council has devoted efforts to employment and the support staff shortage, the MRQC staff have participated in quality improvement work in other areas.

Abuse and Neglect Prevention

The MRQC staff have been involved in various efforts to change the systems around abuse and neglect for people with disabilities.

  • Policy work legislating robust abuse prevention training during orientation for direct care staff
  • Conducting focus groups around the Vulnerable Adults Act redesign efforts by DHS
  • Tracking Monthly Maltreatment Reports


Self-Advocacy Efforts

The MRQC staff have been closely involved in self-advocacy efforts at The Arc Minnesota by providing support, guidance, and technical assistance in the following areas:

  • Guidance and supervision to various self-advocacy meetings such as the monthly Self-Advocate Advisory Committee Meeting, Calling All Self-Advocates statewide meeting, and weekly self-advocate happy hour meetings.
  • Developed Plain Language Voting Resources to help people with disabilities know their rights, understand accessibility requirements of voting, and how to seek help with voting if needed. Access the voting resources here:
  • Worked closely with the self-advocacy initiative where we created a dedicated space on The Arc Minnesota’s website for resources to help keep people with disabilities advocating, engaged, and learning during COVID-19. Access the Self-Advocacy Page here:
  • Participated in the development of the “Be a Self-Advocacy Superhero”: A virtual conference geared towards youth and young adults with disabilities. More information to come.


Resources for information on this page:

Employment Background and Information:

Support Staff Shortage Background and Information:

Direct Support Worker Survey 2019 Final Report. Retrieved from:

IMPACT winter/spring 2018, Volume 31, Number 1. Retrieved from: