Friday, February 13, 2009 Matthew D. Simmonds, President, Simtech Solutions Inc. National Alliance to End Homelessness Conference

2 Overview of the Approach o Identify the Need o Create the Design Plans o Gather the Tools o Set the Foundation o Build the Framework o Measure Twice, Cut Once o Monitor the Process o Share the Outcomes o Repeat National Alliance to End Homelessness Conference February 13, 2009

3 Identify the Need o Talk with Case Managers o Look at Service Demands o Follow the Money o Do Your Homework o Perform Client Surveys o Check for Data Anomalies National Alliance to End Homelessness Conference February 13, 2009

4 Create the Design Plans o Provide Background on the Need o Identify Stakeholders and Resource Needs o Set Performance Measures o Give it a Timeline o Announce the Plan o Get to Work National Alliance to End Homelessness Conference February 13, 2009

5 Gather the Tools o HMIS Software o Intake Sheets o Staff trained on HMIS and “on board” o PC & Server Network(s) o Data Warehouse o Reporting Engine o Collaboration Utilities o Consumer Surveys National Alliance to End Homelessness Conference February 13, 2009

6 Set the Foundation o Define the Reporting Universe o Cleanse Existing Data o Define and Establish Business Rules o Define Security Requirements o Set a Performance Baseline from Current Findings National Alliance to End Homelessness Conference February 13, 2009

7 Build the Framework o Use a Proper Database Structure o Open or Closed? o Define Regions and Other Relations o Build Custom Assessments and Reports o Role Based Security o Keep it Scalable o Allow for Data Exchange National Alliance to End Homelessness Conference February 13, 2009

8 Measure Twice, Cut Once o Create Protected and Self- Healing Systems o Manage the Data Quality 1. Identify Duplicates 2. Ensure Timely Data Entry 3. Check Completion Rates 4. Compare Occupancy with Capacity National Alliance to End Homelessness Conference February 13, 2009

9 Monitor the Process o Dashboard Reporting o Define Reporting Levels and Stakeholders o Aggregate and Detail Reports o Ad hoc and Canned Reports o Implement Auditing and Accountability Measures o Provide Supporting Tools o Manage the Data Quality National Alliance to End Homelessness Conference February 13, 2009

10 Share the Outcomes o Peer Review and Benchmarking o Conferences and Meetings o The Press o White Papers o Update the Plan National Alliance to End Homelessness Conference February 13, 2009

The Community Quincy-Weymouth CoC General Population Count - 142,013* The Need To Reduce Individual Shelter Occupancy Business Rules Using HUD’s Chronic Definition Performance Baseline 275 homeless individuals on 3/18/04 *Source: 2000 US Census Figures National Alliance to End Homelessness Conference February 13, 2009

12 An Identifiable Need We compared the service utilization rates of the chronically homeless individuals with the utilization rates of the non-chronic. This is what we found: oChronic clients served FY04 = 397 oTotal clients served in FY04 = 1285 o% clients that were chronic = 397/1285 or 30.8% oChronic clients served on 2/1/04* = 72 oTotal clients served on 2/1/04 = 146 o% clients served that were chronic = 72/146 or 49.3% Less than one third of the total clients were utilizing roughly half of the bed stays! * One of several randomly selected dates all of which showed similar results. Source: HMIS Data and Custom AS/400 Data Warehouse National Alliance to End Homelessness Conference February 13, 2009

13 The Design Plans Measurable Outcomes from Quincy’s 10 Year Plan to End Chronic Homelessness: o Reduce Inappropriate Discharges o Decrease Cost of Emergency Services o Increase Housing o Improve Regional Collaboration and Support Source: Quincy 10 Year Plan to End Chronic Homelessness National Alliance to End Homelessness Conference February 13, 2009

14 The Tools National Alliance to End Homelessness Conference February 13, 2009

Measure Twice, Cut Once If the client has a disability (Fx=Yes), and they either had 4 or more homeless episodes (Gx=Y) OR were homeless for greater than 1 year (Jx>365), and are 18 years old or older (Kx>=18), and are an individual (household ID = blanks) then count them as chronically homeless. Sample Audit of Case Manager Assessments of Chronicity National Alliance to End Homelessness Conference February 13, 2009

16 Monitor the Process National Alliance to End Homelessness Conference February 13, 2009

17 Performance Goal 1: Reduce Inappropriate Discharges This data was shared with the Mass. Interagency Council on Homelessness as well as statewide advocacy groups such as Mass Housing and Shelter Alliance. This research resulted in: o A change in discharge policies from statewide systems of care. o A new Housing First pilot program assisting 20 young adults aging out of state systems. National Alliance to End Homelessness Conference February 13, 2009

18 Performance Goal 2: Decrease Cost of Emergency Services Cost Benefit Analysis – Shelter Vs. Housing Hard costs per client at the shelter per year = $14,600. Hard costs per client at Claremont House per year = $11,195. Total savings per client = $3,405. Cost Benefit Analysis – Medical Costs The Claremont House study showed out of 12 women placed emergency room visits dropped from 22 visits prior to housing to 11 after housing and inpatient stays dropped from 44 to 4. Dr. Barber from Quincy Medical stated cost savings to the community were roughly $60,000 or $5000 per client for the first year of the study alone. National Alliance to End Homelessness Conference February 13, 2009

19 Performance Goal 3: Increase Housing Closed an emergency shelter due to lack of need and took 35 total beds offline. 2+ years ahead of pace on the 10 year plan goal to build up housing units for the chronically homeless with 52 new units Source: Quincy’s Annual Point in Time Count National Alliance to End Homelessness Conference February 13, 2009

20 Performance Goal 4: Improve Regional Collaboration Our Community Initial Assessment Triage Shelter Program Supportive Services Re-housing & Stabilization Prevention Not Homeless Homeless XML SHORE (HMIS) AgencyDash.com (Non-HMIS) XML Application Inventory o Initial Assessment* o HUD HMIS Data Collection & Reporting** o Bed Register** o Non-Homeless Data Collection* o HUD XML and CSV Data Exchange*** o Custom Assessments*** o GIS Mapping* o Agency Directory* o Referral Passing Tools* o Services Tracking*** o Housing Inventory Chart Mgmt Tools* o Point In Time Counting Tools* o Advanced Reporting* o PATH Data Collection & Reporting* o Data Quality Monitoring Tools & Reports*** * = AgencyDash.com (non-HMIS) ** = SHORE (HMIS) *** = Both National Alliance to End Homelessness Conference February 13, 2009

21 Share the Outcomes National Alliance to End Homelessness Conference February 13, 2009

22 NAEH Conference February 13, 2009 Forecasting

23 Peer Benchmarking Source: AgencyDash.com – Daily Bed and Meal Census July to Jan National Alliance to End Homelessness Conference February 13, 2009

24 Peer Benchmarking Source: AgencyDash.com, November – Jan National Alliance to End Homelessness Conference February 13, 2009

25 Source: Microsoft Excel and AgencyDash.com Jan Jan 2009 National Alliance to End Homelessness Conference February 13, 2009 Trend Analysis

26 National Alliance to End Homelessness Conference February 13, 2009 Source: Microsoft Excel and AgencyDash.com Jan Jan 2009 Trend Analysis

Histograms Source: SHORE HMIS and Microsoft Excel Jan Dec 2007

Histograms Source: SHORE HMIS and Microsoft Excel Jan Dec 2008

29 Community Information CoC Description - Quincy-Weymouth Point in Time Count – As of January 30 th 2008, 256 persons were homeless Quincy Median Income - $55,113* General Population Count - 142,013** CoC Description - Brockton-Plymouth Point in Time Count – As of January 30 th 2008, 645 persons were homeless Median Income - $71,113* General Population Count – 494,000* Source: * US Census ACS Survey, 2007 ** US Census 2000 National Alliance to End Homelessness Conference February 13, 2009

30 An Identifiable Issue SOURCE: BEACON, Colleen Collins NAEH Conference February 13, 2009

Trend Analysis using PIT Data 31 NAEH Conference February 13, 2009 Source: Microsoft Excel and AgencyDash.com Brockton/Plymouth CoC Jan Jan 2009

32 Household Composition Plymouth County Quincy-Weymouth Source: SHORE HMIS Jan Dec 31, 2007 National Alliance to End Homelessness Conference February 13, 2009

33 Poverty Comparison National Alliance to End Homelessness Conference February 13, 2009

34 Housing Stock Comparison Community - Quincy Total Housing Units – 40,637 Occupied Units – 37,537 Vacant Units – 3,100 (7.6%) Community - Brockton-Plymouth Total Housing Units – 191,333 Occupied Units – 172,721 Vacant Units – 19,916 (10.3%) Source: US Census Bureau American Community Survey, 2007 NAEHConference February 13, 2009

35 Gender Comparisons Plymouth County Quincy Source: SHORE HMIS Jan Dec 31, 2007 National Alliance to End Homelessness Conference February 13, 2009

36 Disabilities and Housing Quincy Plymouth County Source: US Census Bureau American Community Survey, 2007 Source: SHORE HMIS Jan Dec 31, 2007 National Alliance to End Homelessness Conference February 13, 2009

37 Housing Burden Comparison National Alliance to End Homelessness Conference February 13, 2009

38 Rent as % of Household Income National Alliance to End Homelessness Conference February 13, 2009

39 Foreclosure Rates by Town SOURCE: The Warren Group, 2006—Sep 2008 Foreclosure Rate = # of Foreclosed Homes # of Residential Properties National Alliance to End Homelessness Conference February 13, 2009

40SOURCE: BEACON - Sep 2007 & 2008 NAEH Conference February 13, 2009

41 The Design Plans Stakeholders: South Shore regional network Systems: Family Providers Resources: ICHH Funding Measurable Outcomes: o Increased Stabilization Rates o Increase Local Placement Rates o Reduce Average LOS (Shelter to Triage) o Increase Housing First Units o Increase Self-Sufficiency Rates National Alliance to End Homelessness Conference February 13, 2009

42 The Tools National Alliance to End Homelessness Conference February 13, 2009

43 Questions? National Alliance to End Homelessness Conference February 13, 2009