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Practical Uses of HMIS. Cindy Burdine , Serenity House of Clallam Co. David Lewis, City of Spokane Sola Plumacher, City of Seattle Mary Schwartz, Department of Commerce. What are we using HMIS for now?. Serenity House Coordinated Intake Case Manager’s Tool Funder Reports

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Practical uses of hmis

Practical Uses of HMIS

Cindy Burdine, Serenity House of Clallam Co.

David Lewis, City of Spokane

Sola Plumacher, City of Seattle

Mary Schwartz, Department of Commerce


What are we using hmis for now
What are we using HMIS for now?

  • Serenity House

    • Coordinated Intake

    • Case Manager’s Tool

    • Funder Reports

    • HPRP Requirement

    • Tracking Performance

    • Living up to a guiding principle of Clallam County’s Ten Year Plan

  • Spokane

    • High Volume Shelters


What are we using hmis for now1
What are we using HMIS for now?

  • Seattle/King County

    • HPRP Evaluation/Certification

    • Waitlist/Coordinated Entry

    • Evaluation of Programs for Funding

  • Department of Commerce:

    • HPRP Reporting

    • Reduce paper reporting (ESAP, THOR, etc)

    • Checking invoices for HPRP against HMIS data

    • Report on State Plan Measures


Performance measurement process

Activities

Outreach

Shelters

Case Management

Rent Subsidies &

Services

Inputs

Outputs

$ (CoC and Other)

Programs

Infrastructure

Staff

# Clients Served by Program

Service Linkages

New PSH Units/Subsidies

Vacancy Statistics

Outcomes

30% exited to PH

40% increased income

25% reduction in CH

25% shorter LOS

< recidivism

Performance Measurement Process

Should we adjust how we spend our resources?

How do we document our efforts?

Should we add or change use of resources to expand our impact?

What did our efforts achieve?

2008 NAEH Family Conference - Outcomes Workshop


Use hmis to define your concepts whenever possible
Use HMIS to Define Your Concepts Whenever Possible

  • For example, “Destination” data element (4.10) narrowly defines “Stably Housed” for you:

    • Permanent supportive Housing for formerly Homeless persons

    • Rental by client, no housing subsidy

    • Owned by client, no housing subsidy

    • Rental by client, VASH subsidy

    • Rental by client, other (non-VASH) subsidy

    • Owned by client, with housing subsidy

    • Staying or living with family, permanent tenure

    • Staying or living with friends, permanent tenure


Steps to calculate system length of stay

Step 3

Step 1

Calculate LOS for each Stay

De-duplicate clients across programs

Step 2

Step 4

Create table with all Entry/Exit Dates by Client

Consolidate sequential stays into single episode (gaps < 30 days = same episode)

114

Step 5

Calculate mean (168 days), low (81 days), high (309 days)

Steps to Calculate System Length of Stay

LOS

229281309

Entry Exit Date Date

5/8/06 5/30/07

6/1/07 9/01/07 3/1/07 5/21/07

2/1/06 12/7/06

2008 NAEH Family Conference - Outcomes Workshop


Sample impact measures
Sample Impact Measures

  • Incidence of homelessness - Is homelessness declining?

  • Incidence of street or CH - Is street or chronic homelessness declining?

  • Length of stay in system, across all homeless programs - Do people stay homeless for shorter periods of time?

  • Prevention – Are fewer people experiencing homelessness for the first-time?

  • Rates of Recidivism – Are repeat occurrences of homelessness avoided or declining?

    Cross-tabulate results by core characteristics to understand if/how results vary for different subpopulations

2008 NAEH Family Conference - Outcomes Workshop


Washington state 10 year plan measures 2009 2010
Washington State 10 Year Plan Measures 2009-2010

  • Outcomes of people exiting housing (short term, transitional, and permanent supportive):

    • Housing outcomes

    • Income (below, at or above self-sufficiency)

  • % and # returning to homelessness after exiting to permanent housing after one, two and three years

  • % and # of people identified as homeless for the first time in HMIS year to year

  • # Homeless within one week of release from institutions (hospitals, jail, etc)


What are we using hmis for in the future
What are we using HMIS for in the future?

  • Bed Management/Registration

  • Data Sharing

  • Assessment & referral

  • Multi-use program performance (beyond “Homeless”)

  • Self-Sufficiency Matrix

  • DSHS Data Matching Outcomes:

    • % homeless while served by DSHS

    • Data quality measures

  • Homeless Prevention study

    • Outcomes of those not served vs. those served


Some notes of caution
Some notes of caution…

  • There is more to performance measurement than conducting the analysis

    • Educate, train, obtain buy-in

  • Be careful about how you interpret and use the data

    • Jump in, but don’t be careless in how you use the results

    • Look at the results within the context of all the outputs, interim measures and impact measures to validate the interpretation that’s being made

    • Vet the results before publicly releasing anything

    • Appropriately caveat the limitations of the data and analysis

2008 NAEH Family Conference - Outcomes Workshop


Questions contact info
Questions & Contact Info

Cindy Burdine

Serenity House of Clallam Co.

[email protected]

360/452-9866

David Lewis

City of Spokane

[email protected]

509/625-6051

Sola Plumacher

City of Seattle

[email protected]

206/733-9404

Mary Schwartz

Department of Commerce

[email protected]

360/725-2982


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