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Kevin Truby. WISMS - IM&T Workgroup. Finalizing the Balanced Scorecard. July 2009. Defining the objective. “In two years time how will we know that the WISMS ICO project has been a success?” What are the indicators (from each of the task-groups) that will show improvement?
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Kevin Truby WISMS - IM&T Workgroup • Finalizing the Balanced Scorecard July 2009
Defining the objective • “In two years time how will we know that the WISMS ICO project has been a success?” • What are the indicators (from each of the task-groups) that will show improvement? • Where are we starting (the baseline)? • What is ‘better’? • 3 metrics per worksgroup
We need to.... • Agree each metric (this week) • Design the collection, storage and reporting systems (I,M&T) • Weight each metric within each group (not as urgent) • Weight each group against the others (not as urgent) • = A Balanced Scorecard
For each Metric define: • Definition – what is it? • Baseline or Comparator – Oct 1 2009 or similar control • Currency – Attendances / Service Users / Events / Completions • Timescale – per day / week / month / quarter / year / project • Validations – is the data accurate?
SMART metrics • Specific • Measurable • Achievable • Realistic • Timebound • Able to be described as a single set of data • Can we put a figure / element of data against it • Can we achieve it (i.e. not more outcomes than available Service Users) • No, can we really achieve it? • per day / week / month / year / project
Workshop 1 – Economic Benefit • Social Return on Investment Model • Reduction in Crime • Reduction in A&E Attendances (ICD10 Primary diagnosis??) • Reduction in Benefits Paid
Workshop 1 – Economic Benefit scratchpad • EB1 – Reduction in crime • Collect Turning Point data on number of Referrals from Criminal Justice System for SU • Collect data from Police of number of these SU offences after the referral • Assume £x X 3(?) X cost of drug habit
Workshop 1 – Economic Benefit scratchpad • EB2 – Reduction in A&E • Count number of Service Users attending A&E per month • List ICD10 codes applicable (Primary and Secondary)
Workshop 1 – Economic Benefit scratchpad • EB3 – Reduction in Benefits paid • Collect Benefits paid (average per SU) per month • (Income??)
Workshop 1 – Economic Benefit scratchpad • WISMS Database (List by WISMS Service User) • Who is in the dB? • How do we add SU? (New / Returners) • How do we (do we??) remove SU from dB? • Impact Map (Paula) • Other metrics
Workshop 1 – Economic Benefit scratchpad • Information sharing agreement • Third Sector / DWP • Information • Map • Narrative • Data Design • Benchmarking
Workshop 1 – Balanced Scorecard • What will it be used for? • DH reporting • Management Reporting • Service Development Action
Workshop 2 – User Experience • Outcomes • Personal Development • Professional Development • Social Integration • ‘The Village Project’
Workshop 2 – User Experience • User Groups • 1 – already engaged • 2 – new access • Measures? • Attendance v outcome • Per month / year / project
Workshop 2 – User Experience scratchpad • PD1 – No of SU / VP (attendances) attending Harm Reduction per month • PD2 – No of SU / VP (attendances) attending a Personal Support session each month • PD3 – No of SU /VP (attendances) attending a Structured Day Programme • PD4 – No of SU engaged in Village Project
Workshop 2 – User Experience scratchpad • Prof1 – No of SU / VP attending College Training (courses) each month • Prof2 – No of SU / VP attending an internal /on-site Training (courses) session each month • Prof3 – No of SU / VP attending JC+ employment Training each month
Workshop 2 – User Experience scratchpad • Social Reintegration • SR1 - No of SU / VP attending P2W each month • SR2 - No of SU / VP attending JC+ Interviews each month • SR3 - No of SU / VP becoming volunteers each month • SR4 - No of SU / VP becoming employed each month
Workshop 3 - Individual Health and Wellbeing • 3 Groups of Metrics • Physical Health • Social Integration • Financial Management
Workshop 3 - Individual Health and Wellbeing • 2 measures per Group of Metrics • Physical Health (Well-Being Screen / WISMS) • Increase in SU participating in 30 minutes of activity on 3 or more days per week (IHW-P1) • Increase in number of referrals to smoking cessation clinics (IHW-P2 a,b,c) – Referrals / Attendances / 4wQ
Workshop 3 - Individual Health and Wellbeing • 2 measures per Group of Metrics • Social Integration (Turning Point / Care Plan) • Increase in the number of SU reporting positive relationships with family and carers (IHW-S1) • Increase in the number of SU involved in community groups, activities and involvement (IHW-S2)
Workshop 3 - Individual Health and Wellbeing updated • 2 measures per Group of Metrics • Financial Management (Turning Point / Care Plan) • Increase in the % of SU who require Financial Counseling referred (IHW-F1) • % of service users asked about debt & subsequently referred for help • % of service users requiring debt assistance and being referred • % of SUs taking up assistance with debt • Increase in the % of SU attending Financial Counseling (IHW-F2) • Increase in the % of SU reporting increase in ability to manage their finances
Workshop 3 – IH &WB scratchpad • Qualitative Answer (Turning Point / Care Plan) • Q1 – Social (0 - - 20) • Q2 – Physical • Q3 – Financial • Q4 - Happiness
Workshop 3 – IH &WB scratchpad • Individual SU Survey • Baseline • Quarterly (Care plan review) • Summary data • Physical Exercise Questions • 3 Smoking questions
Workshop 3 – IH &WB scratchpad • Social integration • Monthly / quarterly assessment / care plan / System 1 • Improvement compared with baseline / previous assessment? 0 1 = + 1 1 = 0 2 1 = -
Workshop 3 – IH &WB scratchpad • Financial Management • Survey • “Final Demand” guidance?
Workshop 4 – Community • Percentage of Service Users with parental responsibility accessing mainstream family support (Comm-1) • Percentage of Service Users moving from Unsettled accommodation to Settled (Comm-2) • Community perception of levels of alcohol and drug activity (Comm-3)
Workshop 4 – Community scratchpad • Percentage of Service Users with parental / guardian responsibility accessing WISMS family support team (Comm-1a) and Mainstream Family Support Services (Comm–1b) • Quarterly from WISMS Family Support Team • Sara / Sue • S/Worker Assessments • Referred to SureStart / GASPED • Of c2,000 cohort, c850 have contact with children, • Count of SU that are referred to Specialist / Mainstream Support
Workshop 4 – Community scratchpad • Percentage of Service Users moving from Unsettled accommodation to Settled (Comm-2) • Average of Aggregate score of Service Users reporting an improvement in accommodation status (1-5) • Quarterly Review meeting (paper ??) (TP and Shared care??)
Workshop 4 – Community scratchpad • Community perception of levels of alcohol and drug activity (cf John) • Service User Reps carry out simple survey • 6 monthly • Horsefair Flats • 3 Questions (rated 1-5) x 300 ish
Actions • Data Design • Elements • Sources • Information Sharing • Data Calendar • Baseline • Monthly / Quarterly Returns / extracts • Input sheets