1. VACSB Data Summit Meeting: Improving Data Quality August 24, 2004

2. 2 Objectives 1.Integrate data collection with clinical documentation to minimize paperwork burden 2.Develop strategies for improving outcome data, especially for a chronic, relapsing population with a disease management approach 3.Explore uses of the data that are beneficial to direct service providers to ensure the quality of the data collection

3. 3 Data Summit Agenda 10:00-10:20AMIntroductions 10:20-10:45 AMData Summit Objectives and Progress of the Outcome Work Group 10:45 AM-NoonData Collection Strategies Noon-12:45 PMLunch

4. 4 Data Summit Agenda 12:45-2:15PMStrategies for Improved Outcome Data 2:15-2:30 PMBreak 2:30-3:45 AMStrategies for Data Usage by Clinical Staff 3:45-4:00 PMRecap and Next Steps

5. 5 Use of Outcomes VACSB Annual Report Encourage More Funding Meet Federal and State Mandates Inform Public and General Assembly Demonstrate Success Recommend Ongoing Outcomes System for CSBs

6. Virginia Outcomes System Post-POMS Design for success may mean “Less is More"

7. 7 Overarching Outcome Measures: MH, SA, MR Community Consumer Submission (CCS) 1.Stability of living arrangement 2.Employment/ “meaningful, productive activity” (adults only) Data Collection To Be Determined (TBD) 3.Managing illness/ condition (MH, SA only)

8. Additional Outcome Measures: SA CCS 1.Reduction in frequency of alcohol use 2.Reduction in frequency of drug use 3.Reduction in # of arrests 4.Improvement in employment status Italics = Overarching Outcome 4

9. Additional Outcome Measures: MH CCS 1.Increased access to service 2.Increased employment or return to school 3.Decrease in criminal justice involvement 4.Increase of children in family-like arrangements 5.Adults living independently 5

10. Additional Outcome Measures: MH CCS, cont’d 6.Reduction in criminal justice system involvement 7.Employment Status 5

11. Additional Outcome Measures: MH TBD 8.Reduced utilization of psychiatric inpatient beds 9.Increased use of evidence-based practices 10.Improved client perception of care 11.Adults receiving supported housing services 12.Reduction in rate of client turnover in high priority services 6

12. 12 MR Outcome Measures MR Survey 1.Increase in number of family members/guardians helping develop ISP 2.Increase in number of family members/guardians who felt that staff respected the family’s choices and opinions 3.Increase in number of family members/guardians who felt CM gave them assistance when asked

13. 13 MR Outcome Measures 4.Increase in number of family members/guardians who felt their person had access to supports and services when needed 5.Increase in number of family members/guardians who felt that the day or employment program was healthy and safe

14. 14 MR Outcome Measures 6.Increase in number of family members/guardians who felt that frequent changes in staff who work directly with the person has not been a problem 7.Increase in number of family members/guardians who felt that the person received assistance right away in an emergency or crisis

15. 15 Satisfaction Surveys MH Outpatient SA Outpatient MH/SA Outpatient MH Child/Adolescent (families of) MR (family/guardian) ************ Consider: MH Child/Adolescent (youth)

16. 16 Other Measures Performance Contract Requirements Continuity of Care SA Access for Pregnant Women Readmissions for DAP Placements

17. 17 Plan of Action Hold a Data Summit to integrate outcome measurements in the work of four work groups 1.Outcomes 2.Quality Assurance 3.Core Services 4.Data Management

18. 18 Plan of Action Key issues for Data Summit Integration with clinical documentation Demonstrate consumer improvement Use data to illustrate progression in episode of care Help clinicians to “buy into” outcomes

19. 19 Plan of Action Key issues for Data Summit Enhance the CSBs’ infrastructure –Education –Resources Identify additional strategies to “get everyone there”

20. 20 Clinical Workload Integrate data collection with clinical documentation to minimize paperwork burden Paperwork!!

21. 21 Outcome Measurements Develop strategies for improving outcome data, especially for a chronic, relapsing population with a disease management approach

22. 22 Meaningful Outcomes Explore uses of the data that are beneficial to direct service providers to ensure the quality of the data collection “Not just jumping through hoops”