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Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process Gathering Information Conducting Interviews Indicators of Deception

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Page 1: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Wisconsin Department of Health & Family ServicesBureau of Quality Assurance

The Investigative Process

�Gathering Information�Conducting Interviews� Indicators of Deception

Page 2: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

What is an interview???

Conversation

Page 3: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Interview

Page 4: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Interrogation

Page 5: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Attitude is everything…

�Self-determination�Interest�Non-judgmental�Genuineness�Empathy�Respect

Page 6: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Your approach...�Professional�Polite�Friendly�Impartial�In control�Not intimidating�Stay focused�Informal, low-key�Listen with interest

Page 7: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Interviews...

�Salutation�Body�Closing

Page 8: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Interviewing Skills�STEP 1: Preparation

�What information areyou looking for?

�Know as much as youcan before theinterview

�Plan it - How will youopen? Where will yougo? How will youend?

�Outline it

Page 9: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Strategy or Plan

�Which interviews do you need to do?�Order of interviews?�Format of interview?�Order of issues?�What will you disclose … or not disclose?�How will you record it … Notes? Other?�Written witness statement?

Page 10: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Opening Questions

�Establish a rapportwith the interviewee�who you are�why you are

interviewing� learn about the

interviewee - putsthem at ease; helpsyou learn how theycommunicate

�Ask general questionsabout theirbackground and job…�What do they do?�How did they learn

their job skills?�How do they feel

about their job? Theiremployer? Their co-workers?

Page 11: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Step 2: Setting up an interview

�Reconstruct thecircumstances

�Allow the person to“tell the story” fromstart to finish

�Avoid interruptions;just listen

Page 12: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Step 3: Echo

�Paraphrase what youheard.

Page 13: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Step 4: Obtain details

Page 14: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

The 6 Key Questions...

�Who?�What?�When?�Where�Why?�How do you know?

Page 15: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Interview Questions

�Questions must be designed to help theinterviewee understand what you want toknow and how he or she can give you theinformation.

�Organize the questions in a logicalsequence to help you get to the point andget what you need.

�Order counts!

Page 16: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Getting to the Point...� How will you proceed? General to specific or reverse?� Distracting tactics - don’t get thrown off course� Be patient� Be persistent� Stay focused� Be alert for corroborating information� Anticipate alternative explanations or reasons� Check your understanding� Use silence� Use soft rather than harsh terms� Be empathetic

Page 17: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Types of interview questions

�Open-ended�Closed�Primary

Page 18: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Types of interview questions

�Secondary�Encouragement�Probing�Reflective�Neutral�Directed (leading or

loaded)

Page 19: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

TIP ~

�Practice!

�Practice!!

�Practice!!!

Page 20: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Effective “listening”...

�Watch for non-verbalcommunication� facial color�movements� combinations of

features

Page 21: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Verbal cues … be alert!

�Speech pattern�Repetition�Comments�Selective memory�Excuses�Oaths�Character statements�Questions

�Denials�Failure to

deny�Tolerant

attitudes�Unconcern�Avoidance�Minimizing�Challenging

Page 22: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Barriers to effective listening

�Filters�Emotions�Buzzwords�Listener’s behaviors�Ability to listen

Page 23: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Possible Indicators ofDeception

Page 24: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

�Freudian slips

�Offensive vs. Defensive

Page 25: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

�Embellishing�Qualifying�Implying�Pace

Page 26: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

�hands, arms, legs�open gestures�animation

Page 27: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

�closed gestures�stoicism�mechanical�artificial

movements

Page 28: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

�Hand over mouth�Signs of anxiety - touching

nose, ears, eyes�Inappropriate head nods

or shakes

Page 29: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

�Posture

�Barriers

�“Distancing”

Page 30: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

�Fingerpointing...

Page 31: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Evaluate the interview

�Internal consistency�Story details�External consistency

Page 32: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Key questions

�Don’t end the interview until you know...�How do you know that?�Why do you think that?�Why did it happen that way?�Is there anything else I should know?�Is there anyone else I should talk with?�Is information about this in any other location?

Page 33: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Close the interview

�Know when you haveobtained what youneed or what you canget.

�Let the intervieweeknow that theinterview is concludedand what will follow

Page 34: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t
Page 35: The Investigative Process - CMS...Wisconsin Department of Health & Family Services Bureau of Quality Assurance The Investigative Process G a t h e ri ng I nf o rm at i o n Conduc t

Interviewing…