Data Tools for Evaluating, Presenting and Measuring Rapid Re-Housing Performance Jamie Taylor, Ph.D. Mark Johnston The Cloudburst Group Learning Objectives I. Rapid Re-housing Evaluation Approach – Using HIMS data and matched comparison groups II. RRH Data Dashboard - Shared measurement tool to support collective approach to datadriven monitoring and evaluation III. Establishing Local “HomeStat” cross-sector workgroup structures; presenting and analyzing data for continuous quality improvement of RRH service system HMIS data = Gold Mine A great deal of information is currently available for targeting local RRH resources and system improvement decisions in HMIS “gold mines”. System-building skills are needed Gold-mining Team! to illuminate HMIS data and to guide decision-maker questions and solutions Mining HMIS data is necessary to determine which homelessness programs are most effective in preventing and ending homelessness? RRH Evaluation - Necessary for Social Investment into Rapid Re-housing Investors seek rigorous evaluation methods / mathcing RRH Evaluation: What would have happened without RRH? Matched groups help answer the counterfactual, what would have happened without a given intervention. Comparison groups serve as an estimate for what would have happened without RRH. With matched groups, the difference in outcomes between treated (RRH) and control (non-RRH) groups can estimate true RRH impact. Answering the counterfactual is critical. One reason: Very low-income families move often Among extremely low-income families with children, 43 percent moved into their current homes within past two years. (State of Nation’s Housing 2014) 40% of all renters with incomes below poverty had moved in the past year. Households with higher income levels do not move as often as very low income households. (American Housing Survey 2013). How do we separate the effects RRH assistance has on housing movement into homelessness from usual housing patterns for very low income households? RRH Evaluation Requires Seeing Process and Impact Outcomes How do we assess what is happening inside local RRH systems − by the aggregate and − by individual RRH program effects? Build RRH Data Dashboards for Data-driven Planning 1) HMIS data is made visible 2) Allows for stakeholder assessment of current RRH services 3) Drives the development of system-level goals 4) Helps determine what strategies and improvements are necessary to achieve RRH system aims 5) Focuses decision-makers on RRH resources that effectively prevent and end homelessness IOWA HomeStat Rapid Re-Housing Report Last Update: February 20, 2015 HomeStat Presenters: Iowa Homeless Service System Map Homeless Service System (Rapid Crisis Response) State of Iowa 2013 - 2014 Iowa RRH Providers and RRH Households Map of RRH Providers RRH Program Enrollment 2013 & 2014 Two Year Total RRH households: Iowa RRH Households Enrolled 329 by Quarter 265 120 11 145 141 32 177 207 Aggregate RRH enrollments in 2014 a 26% increase over 2013. 2014 What might account for the fluctuation of overall enrollments in each quarter? % of All 2013 - 2014 RRH Households Enrolled in RRH by Provider 35.6 21.9 4.1 3.4 4.1 2.8 5.5 3.7 3.7 4.9 8.4 1.5 0.5 What might be an overall goal for increasing RRH enrollment in 2016? What enrollment goals are set by individual providers? RRH Household Characteristics 2013 & 2014 Single Parents accounted for almost 1/4th of all RRH households. • 41% of all RRH households were Black • 50% of all RRH households were White Of all RRH households with a disabling condition, 46% had a mental health condition, 20% had a physically disabling condition and 24% had both mental health and physical disabilities. Why is it important to know how many TANF families receive RRH assistance? How do frontline providers define “disabling condition” ? RRH Return to Homelessness 2013 & 2014 The majority of RRH returned households had returned within 6 months (71%). 12% of 2014 households had not yet exited RRH. What is expected goal for % return to homelessness? Percent of Return to Homelessness RRH Households by Provider 48% 34% 5% 2% What might be affecting the variation seen in Return to Homelessness rates across providers? How are these Return results influenced by entry dates into RRH? Rate of Return to Homelessness by Program Rate of Return to Homelessness by Program in 2013 & 2014 Rapid Re-Housing PSH Transitional Housing Emergency Shelter 10% Return to homelessness data tracked by program entry. All entries occurred in 2013 or 2014. HUD System Performance Measures directly impacted by RRH effectiveness: 1. Length of time persons remain homeless; 2. Extent to which persons who exit homelessness to permanent housing destinations return to homelessness 9% 10% 19% Are RRH and TH serving similar populations? What is average cost of TH vs. RRH households? How can targeting of RRH vs. TH resources be evaluated? RRH System Assessment - Core Components Data Quality Issue: Length of time in homelessness Number Days Homeless before RRH 0 Days HMIS data showing % of all RRH households 76% Length of time in homelessness data could not be used in RRH analysis. It is suspected that most households with 0 days came from RRH outreach to households at imminent risk of homelessness. < 30 Days 7% 30 – 89 Days 4% 90 – 179 Days 2% 6 Mo. – 1 Yr. 4% Why is this data element critical to analysis of RRH impact? 1 Yr. – 2 Yrs. 4% > 2 Yrs 2% How can data quality for “Length of time in homelessness” be improved? Data Quality Issue: Monthly Income Monthly Household income Monthly income at entry could not be used in RRH analysis. $2,500 / month In chart, all blue dots above $2,500 level represent households with income >$2,500, a serious data issue. Why is the income data element so critical to analysis of RRH impact? How can data quality for household monthly income at entry be improved? How can overall RRH data quality checks be instituted for frontline staff? RRH Comparative Impact Analysis RRH Impact Evaluation: Iowa’s 2011 – 2012 HMIS data was analyzed using a statistical matching method*. The risk of return to homelessness for RRH households was compared to similar households who did not receive RRH. Return to Homelessness Results 11.7% 7.1% RRH Households Non-RRH Households *Propensity score match creates balanced comparison groups, ensuring household HMIS characteristics are similar in both groups to effectively estimate treatment effects of RRH. All households enrolled in RRH 2011 / 2012 were compared to similar households who did not receive RRH from same years. Return to homelessness analyzed 10/2014 What would have happened to RRH households if they had not received RRH? Rapid Re-housing significantly decreases the likelihood of a return to homelessness. Why do Social Investors require rigorous matching evaluation results? How can we use this evidence for expanded RRH funding? Improvement Strategies - RRH Funding ESG 5% 20% Iowa RRH Funding Sources 5% 2013-2014 10% 0 10% CDBG TANF These funders and percentages are hypothetical for Iowa. Actual RRH funding sources are currently being calculated for each RRH program. TBRA-HOME 50% Foundations State RRH City RRH Does RRH Evaluation Impact Results lead to need for additional RRH funding? What overall goal can be set for increasing RRH funding sources? What RRH funding goals can be set by individual funders? How can funding goals be monitored on RRH data dashboard? Data Dashboard supports Collective Impact Approach Source: F. Hanleybrown, J. Karmer (2012) Channeling Change: Making Collective Impact Work. Stanford Social Innovation Review Collective Impact requires using data to take ownership / make decisions RRH Evaluation and Program Monitoring Data Dashboards help drive system change decisions to: − House more people − Improve outcomes for people served − Maximize use of existing funding − Attract additional funding with performance outcomes (Federal, State, local) − Unify local stakeholders around neutral evidence Collective Impact National Example: HUDStat HUDStat encompasses a coordinated, integrated leadership team meeting quarterly to analyze data on shared performance goals; assessing progress and making cross-system course corrections to achieve shared aims. Collective Impact Local Example: Iowa’s HomeStat Steps to establish local HomeStat: 1. Form cross-sector decision-making group (RRH Providers, Funders, HMIS, Governments, NonProfits, homeless) 2. Identify shared agenda, set shared goals to accomplish 3. Use data to analyze and prepare agenda, create data dashboard (i.e. Iowa) 4. HomeStat group meets regularly to present, listen, discuss and decide issues 5. Leave with clear direction on next steps Collective Impact: Use Data Dashboard to Set RRH Goals NEED to formulate clear and compelling goals for RRH with cross-sector leadership / decision-making group HomeStat Data dashboard process links RRH program outcomes to governance and action for RRH improvement goals HUD System Performance Goal: To decrease annual return to homelessness rates Analyze and compare local or state system outcomes to national return to homeless rates Compare costs of local RRH to local TH projects Sample Goal: Expand RRH services to additional 500 households/year With HomeStat, Stakeholders can decide whether to: Identify specific areas needing more information Assign follow-up tasks, i.e. assessing need to improve HMIS data quality Assign staff to identify other possible sources of RRH funding. i.e. TANF, HOME, etc Identify topic(s) to be taken up at next session, i.e. assess targeting of TH and compare TH to RRH clients Determine why some RRH programs have much higher return to homelessness rates that others RRH Return to Homelessness 2013 & 2014 The majority of RRH returned households had returned within 6 months (71%). 12% of 2014 households had not yet exited RRH. What is expected goal for % return to homelessness? Percent of Return to Homelessness RRH Households by Provider 48% 34% 5% 2% What might be affecting the variation seen in Return to Homelessness rates across providers? How are these Return results influenced by entry dates into RRH? Collective Impact Decision-making What HomeStat Is…a culture of evidence, building capacities to respond to data, not just report to HUD Collective knowledge framing to address issues early-on Forum to shhare local successes and best practices Established relentless focus on data quality and problemsolving What HomeStat is NOT.… A “show-and-tell” that avoids the challenging issue Focused ONLY on what is not working A process that lasts only one or two sessions WouldData Dashboards and HomeStat improve your system planning? Thank you! Contact us for additional guidance on Local RRH Evaluation Jamie and Mark Cloudburst Consulting Group Contact Jamie Taylor [email protected] Phone # 860-716-7392
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