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National Alliance to End Homelessness July 17, 2012 Chuck Keenan Housing Coordinator Allegheny County (PA) Department of Human Services Using an Integrated Data Systems to Better Serve People Experiencing Homelessness

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Page 1: Using an Integrated Data Systems to Better ... - b.3cdn.net

National Alliance to End Homelessness

July 17, 2012

Chuck Keenan

Housing Coordinator

Allegheny County (PA) Department of Human Services

Using an Integrated Data Systems to Better Serve People

Experiencing Homelessness

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MULTI-SYSTEM CONSUMERS

2

Under 18 years 18 years and older

Served by one program office 60% 41%

Served by two program offices 23% 23%

Served by three program

offices

11% 15%

Served by four or more

program offices

6% 21%

Persons served by DHS in 2010,

approximately 202,000 (unduplicated)

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ORGANIZATIONAL VIEWPOINTS

DHS provides an integrated set of services Consumers are “Consumers of DHS” Staff work for DHS Program Offices were created for management purposes Providers contract with DHS, not Program Offices DHS data Community resource

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DATA WAREHOUSE GOALS

Improve Services to Clients

Avoid providing information redundantly

More timely delivery of services

Holistic view of client

Improve The Ability Of Workers To Perform Their Jobs

Efficient use of workers’ time (less paper, more use of electronic information, elimination of duplicate paperwork)

Full view of clients’ needs

Ability to accurately match services to client needs

Improve Ability To Manage & Administer Program Operations

Identification of duplication & / or gaps in services provided

GIS mapping – better identification of geographic needs

Management information to improve planning & allocation of resources

Improved consolidation of reports – trends, state, federal

Better connection between services & fiscal systems

Support the use of this community asset

4

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BUILDING BLOCKS

Common Id

Common Intake

Common Assessments

Strong Source Systems

Common Service Offerings

Common IT Architecture

Common Core Practice Philosophy

Common Service Plan

Common Payment System

Common Training

Common Program/Fiscal Monitoring

Legal Analysis

5

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SHARED IT SERVICES

6

Application Development

Maintenance and Operations

Systems Development

Training and Implementation

Business Process Optimization and

Re-Design

Reporting and Queries

Data Analysis and Research

Reports

Development

Data Warehouse Operations and

Maintenance

User Support Services

Helpdesk

PC Support

Core Technology

Services

Application Architecture

Server Infrastructure

Backup and Recovery

Technology Solutions

AIMS CYF

OCS OBH

OID

AAA

DARE

OCR

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DHS

Intellectual

Disability

Area Agency

on Aging

Community

Service

Behavioral

Health Program

Offices

Contracts

Administration

and Compliance

Human

Resources Data Analysis

Budgeting &

Financial

Management

New

Pro

vider

Applic

atio

n

Contr

act

Work

flow

Man

agem

ent

Acc

ounts

Pay

able

IV-E

Reve

nue

Genera

tor

Staf

fing

Ove

rvie

w

Staf

fing

Stru

cture

Staf

fing

reso

urc

es

Action Tracker/Dial Trac

DHS Assist/DHS Request

ECAPS / ALDA / HCSIS/SAMS/LIFT

JD Edwards/OnBase

KIDS

MCI

MPER

Data Warehouse / DataVue / QuickVue

Integrated and Comprehensive Service to our

Consumers , Providers, Workforce

DHS

Shared

Services

Areas

Information

Assets

Desired

Outcome

Key

Business

Functions

STRUCTURE AND FRAMEWORK

7 C

entr

al

pro

cess

ing

Unit

Children,

Youth, and

Families

Com

plia

nce

Information

Systems

Management

Applic

atio

n

Dev

Core

Tech

nolo

gy

Use

r

Support

Report

s &

Queri

es

Polic

y

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ECAPS

7/19/2012 8

Office of Community Services

Homeless Management Information Systems (HMIS)

Office of Behavioral Health

IRES

Mental Health Services

Forensic Services

Psychiatric Tracking System

Executive Office

Maximizing Participating Project

Client Registration

Assessments Provider

Management Service

Authorization Services

Rendered Outcomes

Management

M

O

D

U

L

E

S

F

U

N

C

T

I

O

N

S

Master

Client

Index

(MCI)

Master

Provider

Enterprise

Repository

(MPER)

ECAPS Electronic Client and Provider System (ECAPS)

ECAPS is a case management system serving adults and families and

includes several assessment and service coordination modules. It

primarily serves the DHS offices listed in the below diagram.

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HMIS

Housing and Urban Development (HUD)

Homeless Assistance Program (HAP)

Homeless Prevention and Rapid Rehousing Program

(HPRP)

7/19/2012 9

• Homeless Management Information System (HMIS) is a data collection application within ECAPS that is mandated and designed to capture client level information over time on the characteristics and service needs of men, women and children who are experiencing homelessness.

• This program is mandated by Housing and Urban Development (HUD) and is set to measure effectiveness of program and service delivery with the goal of reducing homelessness and increasing consumers’ capacity to live independently.

• HMIS supports three primary modules listed below:

Federally Manadated Reports

- AHAR

- APR

- QPR

- MPR

Core Functions

- Assessments

- Service Plans

- Outcomes

- Census

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DATA WAREHOUSE DATA SOURCES

10

Allegheny County Housing Authority

Allegheny County Jail

Allegheny County Medical Examiner’s Office

Department of Public Welfare

Housing Authority City of Pittsburgh

Juvenile Probation

Pittsburgh Public Schools

Clairton Public Schools

Potential Data Sources

“Place-based Data”

County Probation

Health Department

Employment & Training

Aging

Children, Youth and Families

Community Service Block Grant

Drug & Alcohol

Early Intervention

Family Support Centers

HeadStart

Human Services Development Fund

Homeless/Housing

Low Income House Energy Assistance Program

Maximum Participation Project

Medical Assistance Transportation Program

Mental Health

Mental Retardation

System of Care Initiative

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Pre-1996:Over 80

separate client based systems

October, 2000:Electronic Client and

Provider System (eCAPS) built to join

multiple systems onto one operating platform

April, 2001:Data Warehouse built

for the purpose of unduplicating clients

April, 2002:DW Bridge and Unduplicated

Clients tables built January, 2005:Rematching Effort Completed: 15,000

duplicate client records merged

January, 2003:First External Source

Imported (Department of Public Welfare)

December, 2004:11 Data Sources

Imported into the DW

January, 2006:ReportNet Goes into Production

for Internal Users

May, 2006:Cubes Move to

ReportNetExternal User

ReportNet Access set up

October, 2007:DHS Moves to Near Real Time

Data Warehouse

April, 2007:DW –

Master Client Index Integration

eCAPSAAA

4/2001

2000

19962001

20072006

2005

2004

2003

2002CYF Parents

6/2001

MATPALDA

9/2002

DPWLIHEAP1/2003

CCBHO7/2003

FSC8/2003

AAA (SAMS)9/2004

HACP3/2006

Probation & Parole5/2006

CSBG7/2006

HSDF8/2006

ACJ10/2006

JPO6/2007

ACHA1/2006

DOC4/2006

January, 2007:Client matching

algorithm merges 24,000 duplicate client

records

2008

2010

November, 2007: Cubes built from real-

time DW (Daily, weekly and monthly)

December ,2007: DW jobs

automated through scheduling tool

JPO Placement

5/2008

Medical Examiner7/2008

CSP6/2008

July 2008: QuickVue

CYF Placement

4/2008

April 2008: CYF Reports in Cognos8

Additional CYF

Parents11/2006

PPS 10/2009

DATA WAREHOUSE TIMELINE

11

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Client Demographics

Provider Information

Service Information

Fiscal Information

• Name

• SSN

• Gender

• DOB

• Address

• Race

• Marital Status

• Education/ Employment

• Living Arrangement

• Services and Specialized Services Offered

• Location of Services

• Service Type

• Service Location

• Clients Served

• Units of Service

• Cost of Services

DATA WAREHOUSE COMPOSITION

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3%

10%

10%

2%

13%

29%

3%

5%

8%

8%

34%

1%

4%

7%

23%

28%

1%

7%

30%

31%

1%

6%

6%

9%

24%

1%

3%

3%

2%

27%

1%

14%

15%

2%

9%

10%

Juvenile Probation Placement

Juvenile Probation

JUVENILE JUSTICE

INTELLECTUAL DISABILITY

Public Welfare: TANF

Public Welfare: Food Stamps

Homelessness/Housing Support

Public Housing Assistance

Family Support Centers

Medical Transportation (MATP)

System of Care Initiative

Drug & Alcohol

Early Intervention

Mental Health

BEHAVIORAL HEALTH

CYF as Parent

CYF Placement

CYF

CHILD WELFARE

Involved Within Last Year Prior Involvement

CHILD WELFARE

BEHAVIORAL HEALTH

SUPPORT SERVICES

INTELLECTUAL DISABILITY

JUVENILE JUSTICE

Overlap of Children Served

53 percent (14,450) of PPS Students have prior Human Service involvement 36 percent (9,750) were involved with a Human Service within the last year

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Homelessness

System Involvement

68%

60%

45%

38%

36%

23% 23% 23% 22%

10%

100%

85% 85%84%

63%

75%

23%

19%

32%

16%

0%

20%

40%

60%

80%

100%

120%

MH DPW (FS) DA MATP ACJ DPW (SSI) DPW (OM) DPW (GA) CYF

(parents)

CYF

System

Perc

en

t o

f P

op

ula

tio

n

Homeless Population (N=2033)

5% High-end (N=88)

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Homelessness

Estimated Annual Cost to Serve High-End Population N=88 - clients in SWES, ES and St. Outreach (10/1/07 and 9/30/08)

MH, $3,165,559 , 83%

MR, $4,901 , 0%

DA, $389,569 , 10%

Jail , $153,325 , 4%

H&H Housing, $20,443 , 1%

CYF, $85,896 , 2%

Total Cost = $3,819,693

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Conclusions and Lessons Learned

Our data warehouse has helped us to prove our organizational assumptions that people do not just have a single condition and that we must serve clients holistically—they enter and exit multiple “systems” throughout their lives

Our data warehouse lets us see where our homeless clients are and where they have been

“Your clients are our clients”– we share the same consumers, so we should work together

Allows us to approach other entities to establish partnerships Jail Re-entry

Former child welfare participants

Behavioral Health

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Contact Information

Chuck Keenan

Housing Coordinator

Allegheny County Department of Human Services

1 Smithfield Street

4th Floor

Pittsburgh, PA 15222

(412) 350-5606

[email protected]