HMIS 301 Advanced HMIS Improvement through Innovation Agenda

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HMIS 301: Advanced HMIS Improvement through Innovation

HMIS 301: Advanced HMIS Improvement through Innovation

Agenda • • • Program Evaluation Client Level Database Self Sufficiency Matrix Innovative ways

Agenda • • • Program Evaluation Client Level Database Self Sufficiency Matrix Innovative ways to collect data AIRS Taxonomy/data mapping Other questions?

Innovation in Program Evaluation • Show what works to improve PATH participant outcomes •

Innovation in Program Evaluation • Show what works to improve PATH participant outcomes • Showcase effectiveness of program to community and funders • Improve staff to client interaction • Help plan for the future • Build knowledge of program, outcomes and processes • Identify unmet needs and gaps in service delivery • Inadequate funding for services, lack of service coverage in rural areas

HMIS Client Database • Detailed, client level data about everyone served • Track program

HMIS Client Database • Detailed, client level data about everyone served • Track program entries/exits and PATH project interventions • Ability to look at client data individually, in aggregate and longitudinally • Current status and trends • Develop detailed and customized reports, charts • Develop report libraries for reuse • Produce PATH Annual Report

Innovation in Data Quality • Computers will unquestionably process the nonsensical data (garbage in)

Innovation in Data Quality • Computers will unquestionably process the nonsensical data (garbage in) and produce nonsensical output (garbage out) • Data Good – Bad Data Bad: its all about data quality • Produce an accurate story of annual PATH program activity • Example Strategies: o Provider data quality report card, published so all providers can see who is most successful o Link payment to HMIS data o Reporting Tools: Missing data reports (name, demographics, services provided) o Develop required fields that must be completed o On-going training and technical assistance – 30% staff turnover in PATH reporting staff from 2008 to 2009

Evaluation measures • • Length of Stay (LOS) Exit destination - positive destination Demographic

Evaluation measures • • Length of Stay (LOS) Exit destination - positive destination Demographic (age, race, gender) analysis Income and employment Funding and availability of services and supports Service bundles provided leading to positive outcomes Enhanced case management and follow up Recidivism rates for people returning back to homelessness

Advanced features of HMIS for Monitoring Programs • Detailed client based information on everyone

Advanced features of HMIS for Monitoring Programs • Detailed client based information on everyone served by PATH • Real-time access to data for reporting and analysis • Record detailed client profiles, assessments, referral, historical information, and outcome measurements • Generate reports for internal use, reporting to funders and community organizations • .

Self Sufficiency Matrix Two key features • 18 domains in the Matrix • Client's

Self Sufficiency Matrix Two key features • 18 domains in the Matrix • Client's status on each domain is measured on a 5 point scale • Provides standardized outcomes measurement • Measurement taken at program entry and periodically to measure progress

Self Sufficiency Matrix History • Developed by the Arizona Homeless Evaluation project, the Self

Self Sufficiency Matrix History • Developed by the Arizona Homeless Evaluation project, the Self Sufficiency Matrix has been tested for validity and reliability • A matrix is completed for each adult in the household who is age 18 or older • Data is analyzed to measure participants progress • In use for more than six years

Domain 1. Income 2. Employment 3. Housing 4. Food 5. Childcare 6. Children’s Education

Domain 1. Income 2. Employment 3. Housing 4. Food 5. Childcare 6. Children’s Education 7. Adult Education 8. Legal 9. Health Care 10. Life Skills 11. Mental Health 12. Substance Abuse 13. Family Relations 14. Mobility 15. Community Involvement 16. Safety 17. Parenting Skills 18. Credit (Optional) Scale 1 = In Crisis 2 = Vulnerable 3 = Safe 4 = Building Capacity 5 = Empowered

Example Using the Matrix 17 Domains of Participant Self-sufficiency • When Data Are Collected:

Example Using the Matrix 17 Domains of Participant Self-sufficiency • When Data Are Collected: Upon any program entry and at program exit. Transitional housing programs must also collect the information every 3 months after entry. Permanent housing programs must collected the data set every 6 months after entry. • Subjects: All persons over the age of 16

Self-Determination and Skills - Income 1. No Income 2. Inadequate income and/or spontaneous or

Self-Determination and Skills - Income 1. No Income 2. Inadequate income and/or spontaneous or inappropriate spending. o 3. Can meet basic needs with subsidy; appropriate spending. (If the client is receiving income supports like SSI, but still lacks enough income to meet all basic expenses use a 3 rating) o 4. Can meet basic needs and manage debt without assistance. (If the client is receiving income supports like SSI, and is able to balance their budget use 4) o 5. Income is sufficient, well managed; has discretionary income and is able to save. o o

Self-Determination and Skills - Income Does the client have income? No #1 Is the

Self-Determination and Skills - Income Does the client have income? No #1 Is the income adequate to at least meet basic needs? #2 No Can client meet basic needs without assistance? No #3 Does client have discretionary income and can save? No #5 #4

Innovative ways to collect data • How to collect data out of doors, under

Innovative ways to collect data • How to collect data out of doors, under bridges, and other places not computer friendly: o Scannable forms processing: design scannable paper form that can be faxed and converted to electronic format. o Portable computers (laptops, netbooks, smartphones) to collect data and transmit to central database o Wireless connection to database for real-time collection using portable computers o Digital imaging o Client Id cards for clients

AIRS Taxonomy - What is it? • AIRS = Alliance for Information and Referral

AIRS Taxonomy - What is it? • AIRS = Alliance for Information and Referral Systems, a national association, develops standards and definitions for information and referral agencies. • Taxonomy is a standard used by agencies to communicate human services in a standard language across program areas. • Each service has a term, code and description: • Term: rent payment assistance • Code: BH-3800. 7000 (B= Basic Need, H=Housing/Shelter, 3800=Housing Expense Assistance) • Description: "Programs that make rental payments for people who are at risk of eviction without assistance. Rent payment assistance programs may have age, income, disablility, need or other eligibility requirements. "

Why use AIRS? • Required by HMIS implementations • Standardizes reporting across programs for

Why use AIRS? • Required by HMIS implementations • Standardizes reporting across programs for better analysis, accountability and reporting. • No more apples and oranges • Supports accreditation and certification • Improves program quality through better data and reporting • Allows for measurement of PATH activities within programs and across jurisdictions • Updated and supported on a regular basis

Michigan's Use of AIRS for PATH

Michigan's Use of AIRS for PATH

PATH Report to AIRS Mapping PATH Outreach Services (Ca) Outreach Programs (TJ-6500. 6300) Street

PATH Report to AIRS Mapping PATH Outreach Services (Ca) Outreach Programs (TJ-6500. 6300) Street Outreach Programs (PH-8000) Information and Referral (TJ-3000) PATH Screening and Diagnostic (Cb) Mental Health Evaluation (RR-5000) Habilitation and Rehabilitation (Cc) Rehabilitation/Habilitation Services (LR) Community MH Services (Cd) Psychiatric/Mental Health Support Services (RR) Alcohol or drug treatment (Ce) Substance abuse Services (LX) Staff Training (Cf) Job Training Formats (ND-2000. 3500)

Mapping continued PATH Case Management (Cg) Case/Care Management (PH-100. 450) Psychiatric Case Management (RR-6500)

Mapping continued PATH Case Management (Cg) Case/Care Management (PH-100. 450) Psychiatric Case Management (RR-6500) PATH Supportive/supervisory services (Ch) Basic Needs (B) PATH Referrals (Ci) Health Care Referrals (LH-2600) Housing Search and Information (BH-3900) Job Training Resource Lists (ND-2000. 3510) Educational Support Services (HL) PATH Housing services (Cj 1) Home Rehabilitation Services (BH-3000. 3550. 390) PATH Housing services (Cj 2) Housing Counseling (BH-3700)

Questions? • David Youngs – dave@dynsinc. com • James Mc. Nemar – jmcnemar@center 4

Questions? • David Youngs – dave@dynsinc. com • James Mc. Nemar – jmcnemar@center 4 si. com