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Measuring Performance with Purpose:
Working toward a Right-Sized Housing Crisis System
Megan Kurteff Schatz & Katharine Gale
February 10, 2012

www.focusstrategies.net


                                                     1
Works with communities to:
• Assess and improve the quality of local homeless data for
  informing change
• Analyze system outcomes and costs
• Synthesize data from multiple systems of care (homeless,
  mental health, human services, etc.) to identify client overlap
  and service utilization patterns
• Identify how system resources are currently invested &
  recommend how they can be repurposed to be more effective

                                                                    2
Overview
Reorienting as a System
Presenting findings from sample communities:
•Review of Success – exits to permanent housing
•Look at cost per person served & cost per success
•Returns to homelessness
•Cost for “success that sticks”
•Current resource allocation compared with population
distribution and need
•Distribution of resources to maximize success that sticks


                                                             3
Homeless Program Coordination
   Out-                                      RR
   reach                  Prev

TH                  PSH                        SSO
Objectives:
• Maximize and keep HUD CoC funding in Continuum
• Keep shelters open and operating as needed
• Coordinate and increase resources
• Maintain high standards for serving people in programs
                                                           4
Moving to a System

• A system is a set of components and
  relationships that form a whole.

• All of a system’s resources are directed
  toward its common purpose & outcomes.




                                             5
Housing Crisis Resolution System




 Objectives:
 •Permanent housing fast and make sure housing sticks
 •Least expensive resource to each household to resolve their
 homelessness
 •Measure what is working, do right amount of that
 •Measure what is not working, do better and/or less of that

                                                                6
System Components
•   Prevention
•   Outreach
•   Emergency shelter
•   Transitional housing
•   Support services
•   Rapid rehousing
•   Permanent supportive housing



                                   7
Greasing the Wheels

• Coordinated entry
• Assessment &
  assignment of right
  resource
• Buy-in to common
  outcomes
• Measuring outcomes &
  responding to findings

                                8
Does the current set of components
           fit the need?




                                     9
Population Distribution &
System Capacity – Community A




                                10
Population Distribution &
System Capacity – Community A
                            Sample Community A
                       Adults Only Household (N=1,727)
                               2011 PIT Count




Unsheltered Homeless     Sheltered Homeless   Homeless in TH
         930                     287              510
                                                               11
Population Distribution &
System Capacity – Community B




                                12
Population Distribution &
System Capacity – Community B




                                13
Program Use & Implications –
       Community A




                               14
Program Use & Implications –
       Community A




                               15
Program Use & Implications –
       Community B




                               16
Program Use & Implications –
       Community B




                               17
Engineering Success




Each System Component:

•Leads to success – exits to permanent housing (PH)
•Right-sized allocation of system dollars to maximize PH exits
                                                                 18
Success: Exits to PH




                       19
Success: Exits to PH




                       20
Success: Exits to PH




                       21
Success: Exits to PH




                       22
Cost of Success by Program Type




                              23
Cost of Success by Program Type




                              24
Success that Sticks


     Success that sticks means
leaving homelessness for permanent
    housing & NOT returning to
          homelessness.




                                     25
Returns to Homelessness




                          26
Returns to Homelessness




                          27
Cost of Success that Sticks




                              28
Cost of Success that Sticks




                              29
Maximizing Success
  Lowest
  cost of
 Success
that Sticks
              Greatest
              Number
              Housed
Maximum
Resources


                         30
Where are resources invested in
     Community A now?




                                  31
What would happen, if…?
Program Rate of PH Exits                          Program Rate of PH Exits
                              Increase %
ES       26%                  of PH exits         ES       50%

1200

1000                                         1091
800
                      531 new PH
                         Exits!
600
                           561
400

200

     0
                              Emergency Shelter
                                                                             32
What would happen, if…?
Program LOS                      Shorten      Program LOS
TH       300 days                  LOS        TH      150 days

700

600
                                               605
500                 302 new PH
                       Exits!
400

300
                          303
200

100

     0
                            Transitional Housing
                                                                 33
What would happen, if…?
Program Current $                                      Program New $
TH         $6,415,004                 Swap             TH      $4,415,004
                                      $2 mil
RR         $2,052,760                                  RR      $4,052,760

                              Exits to PH that Stick
 1,600
 1,400
                                592 new PH1,391
 1,200
                                   exits!
 1,000
     800
     600                            704
     400
     200      303
                        208
      0
           Transitional Housing that Stick
               Current PH Exits Rapid Re-Housing PH Exits that Stick
                                            New                             34
All Together Now


    1,330 new PH
        Exits!
Maximizing Success that Sticks

               Includes:

               •Right-sizing investments by
               program type, and

               •Assessing program
               performance and making
               funding decisions accordingly




                                               36
Q&A
      37

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4.1 Running on All Cylinders: Homeless Systems Measurement

  • 1. Measuring Performance with Purpose: Working toward a Right-Sized Housing Crisis System Megan Kurteff Schatz & Katharine Gale February 10, 2012 www.focusstrategies.net 1
  • 2. Works with communities to: • Assess and improve the quality of local homeless data for informing change • Analyze system outcomes and costs • Synthesize data from multiple systems of care (homeless, mental health, human services, etc.) to identify client overlap and service utilization patterns • Identify how system resources are currently invested & recommend how they can be repurposed to be more effective 2
  • 3. Overview Reorienting as a System Presenting findings from sample communities: •Review of Success – exits to permanent housing •Look at cost per person served & cost per success •Returns to homelessness •Cost for “success that sticks” •Current resource allocation compared with population distribution and need •Distribution of resources to maximize success that sticks 3
  • 4. Homeless Program Coordination Out- RR reach Prev TH PSH SSO Objectives: • Maximize and keep HUD CoC funding in Continuum • Keep shelters open and operating as needed • Coordinate and increase resources • Maintain high standards for serving people in programs 4
  • 5. Moving to a System • A system is a set of components and relationships that form a whole. • All of a system’s resources are directed toward its common purpose & outcomes. 5
  • 6. Housing Crisis Resolution System Objectives: •Permanent housing fast and make sure housing sticks •Least expensive resource to each household to resolve their homelessness •Measure what is working, do right amount of that •Measure what is not working, do better and/or less of that 6
  • 7. System Components • Prevention • Outreach • Emergency shelter • Transitional housing • Support services • Rapid rehousing • Permanent supportive housing 7
  • 8. Greasing the Wheels • Coordinated entry • Assessment & assignment of right resource • Buy-in to common outcomes • Measuring outcomes & responding to findings 8
  • 9. Does the current set of components fit the need? 9
  • 10. Population Distribution & System Capacity – Community A 10
  • 11. Population Distribution & System Capacity – Community A Sample Community A Adults Only Household (N=1,727) 2011 PIT Count Unsheltered Homeless Sheltered Homeless Homeless in TH 930 287 510 11
  • 12. Population Distribution & System Capacity – Community B 12
  • 13. Population Distribution & System Capacity – Community B 13
  • 14. Program Use & Implications – Community A 14
  • 15. Program Use & Implications – Community A 15
  • 16. Program Use & Implications – Community B 16
  • 17. Program Use & Implications – Community B 17
  • 18. Engineering Success Each System Component: •Leads to success – exits to permanent housing (PH) •Right-sized allocation of system dollars to maximize PH exits 18
  • 23. Cost of Success by Program Type 23
  • 24. Cost of Success by Program Type 24
  • 25. Success that Sticks Success that sticks means leaving homelessness for permanent housing & NOT returning to homelessness. 25
  • 28. Cost of Success that Sticks 28
  • 29. Cost of Success that Sticks 29
  • 30. Maximizing Success Lowest cost of Success that Sticks Greatest Number Housed Maximum Resources 30
  • 31. Where are resources invested in Community A now? 31
  • 32. What would happen, if…? Program Rate of PH Exits Program Rate of PH Exits Increase % ES 26% of PH exits ES 50% 1200 1000 1091 800 531 new PH Exits! 600 561 400 200 0 Emergency Shelter 32
  • 33. What would happen, if…? Program LOS Shorten Program LOS TH 300 days LOS TH 150 days 700 600 605 500 302 new PH Exits! 400 300 303 200 100 0 Transitional Housing 33
  • 34. What would happen, if…? Program Current $ Program New $ TH $6,415,004 Swap TH $4,415,004 $2 mil RR $2,052,760 RR $4,052,760 Exits to PH that Stick 1,600 1,400 592 new PH1,391 1,200 exits! 1,000 800 600 704 400 200 303 208 0 Transitional Housing that Stick Current PH Exits Rapid Re-Housing PH Exits that Stick New 34
  • 35. All Together Now 1,330 new PH Exits!
  • 36. Maximizing Success that Sticks Includes: •Right-sizing investments by program type, and •Assessing program performance and making funding decisions accordingly 36
  • 37. Q&A 37