5.6 Katie Kitchin

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5.6 Katie Kitchin

  1. 1. Performance Improvement<br />Katie Kitchin<br />Consultant<br />Memphis, TN<br />
  2. 2. Presentation Overview<br />The Basics: How to start the process, what you need, what to do with the information<br />Working in partnership with service providers to improve performance<br />Using financial incentives to drive performance<br />Governance structures that support system improvement<br />
  3. 3. Beginning the Process<br />Q: Who can drive a community to focus on performance improvement?<br /> A: Anyone with access to the data.<br />Consultant<br />Government official<br />Non-profit leader<br />Advocacy group<br />
  4. 4. Quantitative Data<br />Key data sources: HMIS, AHAR, APRs<br />Key items to assess: <br />Number who enter shelter and transitional housing programs<br />Length of stay <br />Rate of annual turnover in PSH<br />Statistically valid sample of participants; analysis of recidivism (are there differences by program? Differences by setting?)<br />Cost per exit to permanent housing<br />
  5. 5. Example<br />Source Data: AHAR and NAEH<br />Why do we care? Research on the impact of homelessness/trauma/chronic health conditions, etc.<br />
  6. 6. Qualitative Data<br />Eligibility and tenant rules<br />Shadowing or assisting an applicant to the program<br />Standards of care; case monitoring<br />Exits to permanent housing including family and friends<br />Demographics of clients served (chronic or not, disabilities at program entry)<br />Comparing outcomes of different approaches with like population served<br />
  7. 7. Examples<br />APR shows a program served 110 individuals; 56% exited to permanent housing<br />33% homeless at entry<br />27% of exits were to permanent housing excluding family and friends<br />APR shows program served 27 families; 64% exited to permanent housing<br />6 exited to permanent housing excluding family and friends<br />Cost per permanent housing exit = $59,000+<br />
  8. 8. Partnerships for Performance<br />Universal focus on outcome measures from all funders is motivating all agencies<br />Shrinking donor bases – must justify their existence and their cost effectiveness<br />National evaluations are easier to start with…<br />When goals are common/mutually accepted, start asking questions that prompt self-assessments…<br />
  9. 9. Partnership Example<br />Comparing the outcomes and cost of rapid rehousing and transitional housing…<br />Begin evaluating or assessing the effect of length of program stay on outcomes…<br />Experimenting with multiple sites, comparable population, and different program rules…<br />Truly partnering – not directing<br />
  10. 10. Financial Incentives<br />Direct and indirect incentives<br />Require a particular approach (e.g. Chicago)<br />Incent a particular approach with new funds (HPRP)<br />Educate funders, agency leadership, and board members about evidence-based practices and the highly competitive nature of grantmaking<br />
  11. 11. Governance Structure<br />Tools: Mayors Office, Ten Year Plan entity, influential leaders of all kinds<br />

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