CoC Performance Improvement

1. CoC Performance Improvement VCEH Conference October 21, 2010 Suzanne Wagner Housing Innovations

2. Principles of Performance-Based Contracting • Accountability • Outcomes vs. outputs • Fairness • Simplicity • Indicators and scoring periodically re-evaluated • Transparency of method • Efficient systems for tracking and reporting data • Accuracy • Prompt Payment if funding is tied to performance

3. CT CoC Renewal Evaluation Process • Can be conducted after NOFA is completed • Focus on improving performance • Steering Committee decides on evaluation criteria • Criteria shared with providers • Agencies submit: • HUD Annual Performance Reports (APRs) • Consumer Surveys • Info on compliance with HMIS standards • HMIS data quality report provided by HMIS Administrator • Debrief meeting held and final scores shared with providers • If score below threshold, corrective action plan is required • Performance/outcomes improve each year

4. CT CoC Renewal Evaluation Process - 2 Renewal Projects evaluation criteria: • APR data – 50 points • Eligibility of participants • 90% Occupancy Rate • 85% Retention > 6 months in PSH • 75% of exits to permanent housing – TH • 30% of people Leave with Health Insurance • 50% leave with Food Stamps • 25% Employed at Exit • Income Amounts Increased for Participants who Exited • 75% of participants had Positive Exit

5. CoC Renewal Evaluation Process - 3 • Consumer Satisfaction surveys – 15 points • Results and at least 35% response rate • Accuracy of charts/budgets from Exhibit II – 15 points • HMIS – 20 points • Data Quality - < 10% of UDE’s are null/empty • Compliance with HMIS Data and Technical Standards

6. CoC Renewal Evaluations Corrective Action • If a project scores below threshold (70%), corrective action plan must be submitted • Corrective Action Plan includes actions to be taken to improve weak area/s, staff involved, and timeframe for completion • Steering Committee meets with agency, reviews plan, additional support/TA is provided • Agency may not apply for new HUD project until out of corrective action status

7. NYC Department of Homeless Services Performance-based contracting Outreach and Housing Placement Program • Objectives: Place clients into permanent housing and/or long term transitional setting. Meet street homeless census target. • Services: Canvassing for, engaging, assessing clients, emergency and crisis intervention, counseling, case management - entitlements, linkages, transportation • Data driven management – emphasis on data and statistical reporting • Expectations and requirements are explicit

8. NYC Department of Homeless Services Performance-based contracting Payment • Year 1 – 10% of budget paid based on milestones: • $850 - CH person placed in SA treatment, Safe haven, or DHS program (Level I) for at least 30 of 45 days • $1900 - permanent placement from Level I for at least 90 days • $2,740 - directly into permanent housing for at least 90 consecutive days • Year 2 – 25% of budget paid based on milestones: • $2000 - CH person placed in SA treatment, Safe haven, or DHS program (Level I) for at least 30 of 45 days • $5000 for permanent placement from Level I for at least 90 days • $7000 - directly into permanent housing for at least 90 consecutive days • If CH clients go down in area, DHS will negotiate targets and payment amounts

9. Improving Performance • Collect baseline data • Establish program outcomes and system outcomes • To reduce length of stay, focus on immediate barriers to housing access • Start talking about leaving as soon as people come in • Ask people what their plan is • Provide services once housed that focus on Housing Stabilization • Apply Critical Time Intervention techniques

10. Questions? Housing Innovations Suzanne Wagner suzanne.wagner@earthlink.net Tel: (917)612-5469