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Running on All
Cylinders: Homeless
Systems Measurement

Tom Albanese, Abt Associates
National Conference on Ending
Family & Youth Homelessness
February 10, 2012
HEARTH
                 &
CoC System Performance Measurement




                           Abt Associates | pg 2
Why Measure Performance Across the CoC?

 Ensure common understanding of system intent and
  goals, along with the programs that make up the CoC
 Understand how individual programs (via ‘outputs’) result
  in positive change for persons served (‘outcomes’)
 Understand how individual programs impact overall CoC
  performance
 Understand how well CoC prevents & ends
  homelessness & contributes to Federal goals
 Identify areas for improvement
 HEARTH readiness

                                                  Abt Associates | pg 3
Shifting Federal Performance
Emphasis

  McKinney-Vento before HEARTH Act
   – CoC: performance measurement focused on
     aggregated HUD-funded project outcomes
     • Permanent housing at exit (TH projects)
     • Housing tenure (PSH projects)
     • Employment at exit (All)
   – ESG: performance measurement focused on
     sub-recipient outputs (CAPER)

                                             Abt Associates | pg 4
Shifting Federal Performance
Emphasis

  McKinney-Vento as amended by
   HEARTH Act
    – CoC: focus on CoC performance as a
      system
    – ESG: performance impacts CoC
      performance



                                     Abt Associates | pg 5
Performance Measurement Terms

  Performance Indicators: what will be measured that
   represents desired output or outcome
    – Output: what a program or system does or produces (e.g.
      number served, cost/household, length of stay, etc.)
    – Outcomes: what is gained or changed as a result of output
      related to client knowledge, skills, behaviors or conditions
      (e.g. housing destination, recidivism, income changes, etc.)



  Performance Target: percentage or numeric goal set
   for an indicator

                                                    Abt Associates | pg 6
HEARTH Act:
CoC Performance Indicators
 Length of time homeless
 Recidivism (subsequent return to homelessness)
 Access/coverage (thoroughness in reaching persons
  who are homeless)
 Overall reduction in number of persons who
  experience homelessness
 Job and income growth for persons who are
  homeless
 Reduction in first time homeless
 Other accomplishments related to reducing
  homelessness
                                               Abt Associates | pg 7
HEARTH Act:
CoC Performance Indicators




                             Abt Associates | pg 8
CoC System Performance Measurement


5 steps…
1. Identify & Develop Performance Indicators
2. Set Performance Targets
3. Measure Performance
4. Report Progress
5. Identify and Make Improvements


                                      Abt Associates | pg 9
CoC System Performance Measurement

                        Define
                       Indicators



      Assess &                                    Set
      Improve                                Targets




             Report                 Measure
            Progress                Performance


                                                        Abt Associates | pg 10
Using HMIS Data for Measurement


 Collecting and entering data in accord with
     HUD’s HMIS Data Standards (updated
   March 2010) and having quality data are
         pre-requisites for performance
                 measurement




                                    Abt Associates | pg 11
CoC Impact: Key Considerations

 Prevention/Diversion – Are fewer people
  experiencing homelessness for the first-time? Are
  only persons who have no safe, appropriate housing
  option being admitted to shelter?
 Incidence of homelessness – Are overall rates of
  homelessness declining? Is street homelessness
  declining? Is chronic homelessness declining?
 Length of stay in system, across all homeless
  programs - Do people stay homeless for shorter
  periods of time?



                                           Abt Associates | pg 12
CoC Impact: Key Considerations

 Successful resolution of housing/homeless crisis
  – Do people resolve their housing/homeless crisis
  successfully by maintaining/obtaining permanent
  housing? Are people successfully connected to
  community-based supports?
 Repeat incidents of homelessness (recidivism) –
  Are repeat occurrences of homelessness avoided or
  declining?




                                          Abt Associates | pg 13
CoC GOALS




PREVENT     HOMELESSNESS         END


               REDUCE




                           Abt Associates | pg 14
CoC System: What’s Included?

    Housing
     (ES, SH,
     TH, PSH)



                    CoC
    Services
     (Outreach,
     Prevention,
      RRH, etc)



                               Abt Associates | pg 15
Approach to Setting Targets
 Adopt longer-term system goals and interim targets
   – Examine past program and system performance data
   – Account for state and federal goals (e.g., HPRP, HEARTH)
   – Account for local goals related to achievement of long-term impact


 Establish program performance expectations
   – Negotiate with agencies
   – Incorporate into CoC/funding agreements
   – Identify quarterly, semi-annual, annual goals
   – Account for degree to which a program type impacts overall
     performance
   – Determine response to low performance up front


                                                        Abt Associates | pg 16
Example CoC 3 Year Goals
 Decrease PIT count by 30% overall (once consistent
  methodology used)
 Increase emergency shelter diversions to 20%
 Reduce length of time homeless to 30 days
 Increase income of assisted households by 25%
 Increase permanent housing exits to 70%
 Reduce recidivism to 5%
 Set different goals for different ‘sub-parts’ of the system (e.g.,
  homelessness prevention, homeless outreach, men’s
  emergency shelter, etc.) and/or programs that serve certain
  types of clients (e.g., different goals for severely disabled
  persons)

                                                          Abt Associates | pg 17
Example of Setting a Performance Target:
Length of Time Homeless

 System Goal: reduce average length of time
  homeless to 30 days by end of 2013
 Current CoC performance: 45 day average
 CoC Performance Targets:
   – 2011: 40 days
   – 2012: 35 days
   – 2013: 30 days

 Programs that impact this goal: Street Outreach,
  Emergency Shelter, Transitional Housing
   – Not all program types impact goal equally
                                                 Abt Associates | pg 18
Example of Setting a Performance Target:
Length of Time Homeless

 CoC Performance Targets by Program Type (average length
  of program stay/participation)

                Street          Emergency      Transitional
                Outreach        Shelter        Housing

Current            51 days         33 days         115 days
Performance

2011 Target        48 days         30 days         105 days
2012 Target        44 days         28 days         100 days
2013 Target        38 days         25 days          95 days


                                                 Abt Associates | pg 19
Caveats of System Performance
   Measurement & Analysis
 May require a lag in time even beyond the client’s completion of
   program involvement
    – Measuring recidivism requires a certain period of time (e.g. 3, 6 or 12
      months) after program exit in which return to the system might occur


 If the HMIS only includes data from a subset of programs, the
   system analysis will provide an incomplete picture
    – Perceived decline in recidivism may only reflect absence from
      participating providers as opposed to not being homeless anymore




                                                              Abt Associates | pg 20
Additional Resources:
 What Gets Measured, Gets Done: A Toolkit on
  Performance Measurement for Ending
  Homelessness
   http://www.endhomelessness.org/content/article/detail/2039

 HUD Homeless Resource Exchange
   www.HUDHRE.info
   – 2010 HEARTH/HMIS Conference: “Performance
     Measurement of Homeless Systems”




                                                    Abt Associates | pg 21

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4.1 Running on All Cylinders: Homeless Systems Measurement

  • 1. Running on All Cylinders: Homeless Systems Measurement Tom Albanese, Abt Associates National Conference on Ending Family & Youth Homelessness February 10, 2012
  • 2. HEARTH & CoC System Performance Measurement Abt Associates | pg 2
  • 3. Why Measure Performance Across the CoC?  Ensure common understanding of system intent and goals, along with the programs that make up the CoC  Understand how individual programs (via ‘outputs’) result in positive change for persons served (‘outcomes’)  Understand how individual programs impact overall CoC performance  Understand how well CoC prevents & ends homelessness & contributes to Federal goals  Identify areas for improvement  HEARTH readiness Abt Associates | pg 3
  • 4. Shifting Federal Performance Emphasis  McKinney-Vento before HEARTH Act – CoC: performance measurement focused on aggregated HUD-funded project outcomes • Permanent housing at exit (TH projects) • Housing tenure (PSH projects) • Employment at exit (All) – ESG: performance measurement focused on sub-recipient outputs (CAPER) Abt Associates | pg 4
  • 5. Shifting Federal Performance Emphasis  McKinney-Vento as amended by HEARTH Act – CoC: focus on CoC performance as a system – ESG: performance impacts CoC performance Abt Associates | pg 5
  • 6. Performance Measurement Terms  Performance Indicators: what will be measured that represents desired output or outcome – Output: what a program or system does or produces (e.g. number served, cost/household, length of stay, etc.) – Outcomes: what is gained or changed as a result of output related to client knowledge, skills, behaviors or conditions (e.g. housing destination, recidivism, income changes, etc.)  Performance Target: percentage or numeric goal set for an indicator Abt Associates | pg 6
  • 7. HEARTH Act: CoC Performance Indicators  Length of time homeless  Recidivism (subsequent return to homelessness)  Access/coverage (thoroughness in reaching persons who are homeless)  Overall reduction in number of persons who experience homelessness  Job and income growth for persons who are homeless  Reduction in first time homeless  Other accomplishments related to reducing homelessness Abt Associates | pg 7
  • 8. HEARTH Act: CoC Performance Indicators Abt Associates | pg 8
  • 9. CoC System Performance Measurement 5 steps… 1. Identify & Develop Performance Indicators 2. Set Performance Targets 3. Measure Performance 4. Report Progress 5. Identify and Make Improvements Abt Associates | pg 9
  • 10. CoC System Performance Measurement Define Indicators Assess & Set Improve Targets Report Measure Progress Performance Abt Associates | pg 10
  • 11. Using HMIS Data for Measurement Collecting and entering data in accord with HUD’s HMIS Data Standards (updated March 2010) and having quality data are pre-requisites for performance measurement Abt Associates | pg 11
  • 12. CoC Impact: Key Considerations  Prevention/Diversion – Are fewer people experiencing homelessness for the first-time? Are only persons who have no safe, appropriate housing option being admitted to shelter?  Incidence of homelessness – Are overall rates of homelessness declining? Is street homelessness declining? Is chronic homelessness declining?  Length of stay in system, across all homeless programs - Do people stay homeless for shorter periods of time? Abt Associates | pg 12
  • 13. CoC Impact: Key Considerations  Successful resolution of housing/homeless crisis – Do people resolve their housing/homeless crisis successfully by maintaining/obtaining permanent housing? Are people successfully connected to community-based supports?  Repeat incidents of homelessness (recidivism) – Are repeat occurrences of homelessness avoided or declining? Abt Associates | pg 13
  • 14. CoC GOALS PREVENT HOMELESSNESS END REDUCE Abt Associates | pg 14
  • 15. CoC System: What’s Included? Housing (ES, SH, TH, PSH) CoC Services (Outreach, Prevention, RRH, etc) Abt Associates | pg 15
  • 16. Approach to Setting Targets  Adopt longer-term system goals and interim targets – Examine past program and system performance data – Account for state and federal goals (e.g., HPRP, HEARTH) – Account for local goals related to achievement of long-term impact  Establish program performance expectations – Negotiate with agencies – Incorporate into CoC/funding agreements – Identify quarterly, semi-annual, annual goals – Account for degree to which a program type impacts overall performance – Determine response to low performance up front Abt Associates | pg 16
  • 17. Example CoC 3 Year Goals  Decrease PIT count by 30% overall (once consistent methodology used)  Increase emergency shelter diversions to 20%  Reduce length of time homeless to 30 days  Increase income of assisted households by 25%  Increase permanent housing exits to 70%  Reduce recidivism to 5%  Set different goals for different ‘sub-parts’ of the system (e.g., homelessness prevention, homeless outreach, men’s emergency shelter, etc.) and/or programs that serve certain types of clients (e.g., different goals for severely disabled persons) Abt Associates | pg 17
  • 18. Example of Setting a Performance Target: Length of Time Homeless  System Goal: reduce average length of time homeless to 30 days by end of 2013  Current CoC performance: 45 day average  CoC Performance Targets: – 2011: 40 days – 2012: 35 days – 2013: 30 days  Programs that impact this goal: Street Outreach, Emergency Shelter, Transitional Housing – Not all program types impact goal equally Abt Associates | pg 18
  • 19. Example of Setting a Performance Target: Length of Time Homeless  CoC Performance Targets by Program Type (average length of program stay/participation) Street Emergency Transitional Outreach Shelter Housing Current 51 days 33 days 115 days Performance 2011 Target 48 days 30 days 105 days 2012 Target 44 days 28 days 100 days 2013 Target 38 days 25 days 95 days Abt Associates | pg 19
  • 20. Caveats of System Performance Measurement & Analysis  May require a lag in time even beyond the client’s completion of program involvement – Measuring recidivism requires a certain period of time (e.g. 3, 6 or 12 months) after program exit in which return to the system might occur  If the HMIS only includes data from a subset of programs, the system analysis will provide an incomplete picture – Perceived decline in recidivism may only reflect absence from participating providers as opposed to not being homeless anymore Abt Associates | pg 20
  • 21. Additional Resources:  What Gets Measured, Gets Done: A Toolkit on Performance Measurement for Ending Homelessness http://www.endhomelessness.org/content/article/detail/2039  HUD Homeless Resource Exchange www.HUDHRE.info – 2010 HEARTH/HMIS Conference: “Performance Measurement of Homeless Systems” Abt Associates | pg 21