D H S 3 Initiatives


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D H S 3 Initiatives

  1. 1. Georgia Department of Human Services DHS New Initiatives Presented By Kenneth F. Joe, Sr.
  2. 2. New DHS Initiatives <ul><li>Georgia Provider-G Meetings </li></ul><ul><li>Performance-Based Permanency Initiative </li></ul><ul><li>Performance-Based Contracting </li></ul>
  3. 3. Georgia Provider- G Meetings <ul><li>Purpose: To allow Georgia DHS to collaborate with our provider partners to form and test hypotheses surrounding CFSR standards and Kenny A outcomes to further improve these outcomes for our children and families. </li></ul>
  4. 4. Georgia Provider-G Meetings <ul><li>Provider-G Process </li></ul><ul><ul><li>Begins with a Question </li></ul></ul><ul><ul><li>Usage of data to describe, explain and hypothesize and/or predict </li></ul></ul><ul><ul><li>Examples of Data Usage </li></ul></ul><ul><ul><li>Source of Data </li></ul></ul><ul><ul><li>End with a Question </li></ul></ul>
  5. 5. Provider-G Meetings <ul><li>DHS began hosting 2 monthly Provider-G meetings in October 2009 </li></ul><ul><li>The meetings are divided into two groups: </li></ul><ul><ul><li>CCI-Child Caring Institution </li></ul></ul><ul><ul><li>CPA-Child Placement Agencies </li></ul></ul><ul><ul><ul><li>Each group’s Provider meetings is specialized for their data </li></ul></ul></ul><ul><li>DHS is reviewing global data for CPA’s and CCI’s but focuses on the data of the top 15 CPA providers and Top 20 CCI providers. </li></ul><ul><li>These providers represent over 50% of the children in CCI/CPA homes across the state </li></ul>
  6. 6. Performance-Based Permanency Initiative <ul><li>Purpose: To Improve Georgia’s performance on CFSR outcomes related to reunification and permanency for children in foster care and allowing provider partners the opportunity to share in the responsibility. </li></ul>
  7. 7. Performance-Based Permanency Initiative <ul><li>Performance-Based Permanency Initiative Process </li></ul><ul><ul><li>Authorization Stage </li></ul></ul><ul><ul><li>Monitoring Stage </li></ul></ul><ul><ul><li>Accounting Stage </li></ul></ul>
  8. 8. Performance-Based Permanency Initiative <ul><ul><li>Agencies who currently have youth in their </li></ul></ul><ul><ul><li>care that meet all of the following criteria are </li></ul></ul><ul><ul><li>eligible to apply for the initiative: </li></ul></ul><ul><ul><ul><li>13 years of age or older </li></ul></ul></ul><ul><ul><ul><li>24 or more months in care </li></ul></ul></ul><ul><ul><ul><li>With a primary or concurrent permanency plan of Reunification or APPLA </li></ul></ul></ul><ul><ul><ul><li>In a group home, child care institution, or CPA foster home </li></ul></ul></ul>
  9. 9. Performance-Based Permanency Initiative <ul><li>DHS submitted to provider partners a list of youth our records indicated they currently have in their care, meeting the previously mentioned criteria </li></ul><ul><ul><li>Over 150 agencies received a list of children </li></ul></ul><ul><ul><ul><li>498 children in CCI’s </li></ul></ul></ul><ul><ul><ul><li>248 children in CPA’s </li></ul></ul></ul><ul><li>Agencies were advised the need to further assess the child to determine if the Performance-Based Permanency Initiative is appropriate for the child. </li></ul>
  10. 10. Performance-Based Permanency Initiative <ul><li>All agencies interested in participating in the permanency initiative were required to attend the Permanency Initiative Training Session on December 8, 2010. </li></ul><ul><ul><li>105 agencies attended </li></ul></ul><ul><li>CCI Agencies began enrolling on December 14, 2009 </li></ul><ul><ul><li>As of January 6, 2010 </li></ul></ul><ul><ul><ul><li>6 agencies have been approved </li></ul></ul></ul><ul><li>CPA Agencies will begin enrolling February 2010 </li></ul>
  11. 11. Performance-Based Permanency Initiative <ul><li>Office of Provider Utilization and Outcome Management (OPUOM) will review all agency readiness forms and approve/disapprove the agency to participate in the Permanency initiative. </li></ul><ul><li>If agency is approved Agency must submit Permanency plan for identified child within 30 business days of approval to the OPUOM unit. </li></ul><ul><ul><li>Permanency Plan must include the DFCS caseworker’s approval </li></ul></ul>
  12. 12. Performance-Based Permanency Initiative <ul><li>Provider agencies are required to submit monthly reports to the DFCS case manager as well as OPUOM outlining progress and any continuing barriers to permanency and reunification. </li></ul><ul><li>Services should result in at least 70% of accepted children be placed in a permanent living environment and that 80% of those children remain stable at the six-month anniversary of their discharge. </li></ul>
  13. 13. Performance-Based Permanency Initiative <ul><li>Provider Agencies will be paid performance incentives as they reach benchmarks along the timeline. </li></ul><ul><ul><li>Payment 1 ($12,000) - Step Down to permanent placement (enrollment in school, parental supervision and safety plan submitted) </li></ul></ul><ul><ul><li>Payment 2 ($14,000)- Discharge (school or vocational attendance 80% of the time during the past 30 days, zero incidents of serious physical aggression in the last 30 days) </li></ul></ul><ul><ul><li>Payment 3 ($9,000) - 90 days post discharge </li></ul></ul><ul><ul><li>Total- $ 35, 000 </li></ul></ul>
  14. 14. Performance-Based Permanency Initiative <ul><li>Outcomes will be tracked by OPUOM and reviewed with providers at the monthly Provider-G Meetings </li></ul><ul><li>OPUOM will conduct random site visits monthly to determine and assess if data submitted are accurate </li></ul><ul><ul><li>Written report of the findings will be submitted to Contract monitoring monthly </li></ul></ul>
  15. 15. Performance-Based Contracting <ul><li>Purpose: To allow Georgia DHS to emphasize on results related to output, quality and outcomes rather than how the work is performed. Performance-Based Contracting will allow DHS to have clearly defined objectives and timeframes, use measurable performance standards, quality assurance plans and provide performance incentives and penalties to payment outcomes </li></ul>
  16. 16. Performance-Based Contracting <ul><li>Staff in OPUOM began editing the current CCI and CPA contract templates to include PBC language and outcomes as well as CFSR language – Completed on 11/30/09 </li></ul><ul><li>Two Sub-Groups of the Provider Network will review and give feed back on OPUOM’s first template draft. </li></ul><ul><li>CCI and CPA focus groups will be developed to review their contract- Complete by 3/1/10 </li></ul><ul><ul><li>Focus Group Developed November 15, 2009 </li></ul></ul><ul><ul><li>Focus Group hosted 2 meetings for their first draft revision (December 15, 2009 and January 5, 2010)-Draft due January 15, 2010) </li></ul></ul><ul><li>Focus Group 2 nd Revision Due March 1, 2010 </li></ul>
  17. 17. Performance-Based Contracting <ul><li>A Provider Summit will be scheduled for ALL Provider CPA’s and CCI’s to review new CPA and CCI Contracts that will be issued for fiscal year 2010 – Complete by 4/15/10 </li></ul><ul><li>New PBC will be mailed to CCI and CPA Providers – Complete by May 1, 2010 </li></ul><ul><li>CPA and CCI Providers return signed contracts to DHS by – Complete by 6/15/10 </li></ul><ul><li>Executed Contracts returned to all CPA and CCI Providers who have returned Contracts – Complete by 7/1/10 </li></ul>
  18. 18. DHS New Initiatives <ul><li>Questions </li></ul>