We Have the Results from Our System Performance Measures, Now What? Amanda Sternberg, Homeless Action Network of Detroit (HAND) Matt Simmonds,

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1 We Have the Results from Our System Performance Measures, Now What? Amanda Sternberg, Homeless Action Network of Detroit (HAND) Matt Simmonds, Simtech Solutions Inc.

2 Overview/ Introduction We Have the Results from Our System Performance Measures: Now What?: Presenter Name Need in Detroit: Data-driven decision making Wanted to get more from HMIS 96% adaptation rate In compliance with HUD Goals of Project: Understand Performance in Context Written Standards Renewal Project Scoring Other Policy Priorities Team Members

3 Context: Detroit Annual Counts of Homeless: CY2014: 15,717 CY2015: 16,040 CY2016: Data not yet published, showing overall decrease Continuum of Care Seated first CoC board in January 2016 Representative from City of Detroit is CoC Board Chair HAND is the HMIS Lead agency, Collaborative Applicant, and the CoC Lead Agency Detroit Undergoing a time of revitalization, especially in downtown/midtown areas of the City Good, but also resulting in rapidly increasing housing costs and tighter rental market Reliable public transportation remains a challenge We Have the Results from Our System Performance Measures: Now What?: Presenter Name

4 Homelessness by CoC in Michigan

5 Homelessness by CoC in Michigan

6 Individual and Family Homelessness

7 Beds per Person in Michigan

8 Virtues of System Performance Measures Serve as a barometer for the region s progress Supports peer to peer benchmarking Helps to build a culture of data-driven decision making Unifies regional stakeholders around common goals

9 Shortcomings of the SPMs Overly complex business rules Reliance on self-reported information They allow poor data quality to persist SPMs ignore activities outside of the region Street outreach data capture isn t well suited for HMIS (SPM #7)

10 Overly Complex Business Rules Rationale for Simplicity Helps ensure vendors are producing the same results Reduces the burden on HMIS vendors (and subsequently the cost to users) Makes it easier for people to understand what they are looking at Simpler reports run faster Poor data quality needs to be fixed, or coded around in each and every report

11 HMIS Trivia Question #1 There are only twelve values calculated for SPM 1 yet there are eight pages of programming specifications. How many pages of programming specifications are there for the eight page Point in Time report? Potential Answers: A) 24 B) 12 C) 6 D) 0 (There are no specs)

12 Reliance on Self-Reported Information Concerns with Using 3.17 (or 3.917) Self-reported information tends to lack credibility Creates a new avenue for data conflicts Does not reflect each individual s demand on community resources

13 Reliance on Self-Reported Information Concerns with Using 3.17 (or 3.917) Self-reported information tends to lack credibility Creates a new avenue for data conflicts Does not reflect each individual s demand on community resources

14 Before We Dig In, Is the Data Ready?

15 SPM1 Length of Homelessness Limitations of the measure: Combines both individuals and families into one measure Bookends the length of stay by a lookback stop date of 10/1/2012 Allows for poor data quality to persist Provides no context for which to compare the LOS against. Is 61 days high or low?

16 Virtues of Project Performance Measures Helps to focus the conversation Supports peer to peer benchmarking Enables staff to see trends in their own data Helps regional administrators identify high and low performers Can be produced without sharing client-level information Leverages the common language of APRs Perfect type of data for dashboards & scorecards

17

18 SPM1 Length of Homelessness

19 PPM #1 Data Source for Length of Homelessness Data from an APR shows length of homelessness Over a single project Over a Group of Projects

20 Avg. Length of Homelessness by Project

21 HMIS Trivia Question #2 Agency A plans to end homelessness for 365 clients that each are expected to be homeless for 1 day next year. Agency B plans to end homelessness for 1 client that is expected to be homeless for the entire year. Which can anticipate the greatest decrease in their bed utilization? Potential Answers: A) Agency A B) Agency B C) They will both see the same decrease D) It depends if it is a leap year

22 Total Service Days Service days is equal to the total number of times a clients head hits a pillow during the reporting period.

23 Pillow Count Histogram

24 SPM #2 - Returns To Homelessness

25 SPM #2 - Returns To Homelessness

26 We Have the Results from Our System Performance Measures: Now What?: Presenter Name Project -Type Level Returns to Homelessness has two components: Housing from homelessness Exits to PH from ES & TH If PH placement is low, then the returns to homelessness will also be low. How to do both? Retention in Permanant Housing Data reviewed as part of Detroit s Written Standards & Renewal Project Scoring

27 Positive Exit Destinations by Project

28 PPM #3 Data Source from the APR

29 SPM #3 Number of Homeless Persons

30 People Served by Project The influence/weight that each project has on the average length of homelessness for the region is a byproduct of both the total clients served and the average length of homelessness for the project.

31 SPM #4 - Changes in Income

32 PPM #4 Data Used for Income Changes

33 PPM #4 Changes in Income

34 SPM #5 Number of Newly Homeless

35 PPM #5 Data Source from the APR

36 PPM #5 Number of New Homeless

37 How else might we look at the data? Run the SPMs by project type Filter the SPMs to run by target population Count days since a person first appears in HMIS Track total service days / pillow counts Create prioritized by-name lists Pull project performance measures from APRs

38 By-Name Lists Prioritized by LOS

39 This is the Title of the Presentation Presenter Name

40 ALL SLIDES FROM HERE ON ARE EXTRAS, ONLY TO BE INCORPORATED IF WE REALLY NEED THEM

41 Project Comparison Comparing different measures across project types allows for: Policy priorities Targeting of resources Peer-to-peer benchmarking Project Ranking requirements Can be run using unidentified or identified data: When using csv data with identifiable information, can also create a by-name list

42 We Have the Results from Our System Performance Measures: Now What?: Presenter Name Data Review This section will include a review of system, project type, project and client data. Bullet 1 Bullet 2 Bullet 3

43 We Have the Results from Our System Performance Measures: Now What?: Presenter Name Aggregate vs Client Level Information Working with privacy considerations Public vs Internal facing dashboards

44 This is the Title of the Presentation Presenter Name Using APR data for PPM Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vivamus sit amet fringilla velit. Cras scelerisque tellus ac aliquam pellentesque. Duis mollis arcu turpis, ultricies ultrices lectus pulvinar ac. Phasellus velit nisi, dapibus et tellus in, posuere efficitur urna ipsum. Mapping APR results to SPMs Technical approach

45 We Have the Results from Our System Performance Measures: Now What?: Presenter Name Data Quality Review Prior to running reports and evaluating measures, the data needs to be reviewed to ensure that it is: Comprehensive Complete Accurately reflecting the client universe

46 We Have the Results from Our System Performance Measures: Now What?: Presenter Name Key Findings Bullet 1 Bullet 2 Bullet 3

47 This is the Title of the Presentation Presenter Name Next Steps This slide will highlight the next steps for HUD and CoCs to continue to work with System Performance Measures in order to meet the goals of ending homelessness as articulated in the HEARTH Act and in Opening Doors. Bullet 1 Bullet 2 Bullet 3

48 We Have the Results from Our System Performance Measures: Now What?: Presenter Name When csv 5.1 data is not available Ideally, HMIS vendors can produce csv data in the standardized format, in compliance with the data exchange standards. However, when this is not available, the ecart output, which is required by all vendors, can still get results but with the following limitations: DQ monitoring and SPM reports can only be done within HMIS ecart output can not be generated across multiple projects APRs would be run one at a time and output posted to the data cube Cumbersome for getting and maintaining longitudical data for all projects in the region Client level information is not included so unable to develop by-name lists or integrate with external Coordinated Entry systems SPMs cannot be run over just the clients that are within a project CAN view APR results at the project level and show length of homelessness CAN NOT obtain length of homelessness across multiple projects in the system

49 We Have the Results from Our System Performance Measures: Now What?: Presenter Name This is a Headline Lorem ipsum dolor sit amet, consectetur adipiscing elit. Vivamus sit amet fringilla velit. Cras scelerisque tellus ac aliquam pellentesque. Duis mollis arcu turpis, ultricies ultrices lectus pulvinar ac. Phasellus velit nisi, dapibus et tellus in, posuere efficitur urna ipsum. Bullet 1 Bullet 2 Bullet 3

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