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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?. Serenity House Coordinated Intake Case Manager’s Tool Funder Reports

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Practical Uses of HMIS

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  1. 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

  2. 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

  3. 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

  4. 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

  5. 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

  6. 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

  7. 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

  8. 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)

  9. 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

  10. 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

  11. Questions & Contact Info Cindy Burdine Serenity House of Clallam Co. cindybserenity@yahoo.com 360/452-9866 David Lewis City of Spokane dglewis@spokanecity.org 509/625-6051 Sola Plumacher City of Seattle sola.plumacher@seattle.gov 206/733-9404 Mary Schwartz Department of Commerce mary.schwartz@commerce.wa.gov 360/725-2982

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