1. Countywide Homeless System Performance Winston-Salem/Forsyth County CoC prepared for North Carolina Coalition to End Homelessness Megan Kurteff Schatz Emily Halcon August 26, 2013 www.focusstrategies.net

2. FocusStrategies.net ABOUT FOCUS STRATEGIES We believe the HEARTH Act and Opening Doors lead the way to finally ending homelessness.

3. FocusStrategies.net GOAL No one is homeless more than 30 days

4. FocusStrategies.net HISTORY Honoring community, collaboration, and service

5. FocusStrategies.net Overview Winston-Salem/Forsyth County, NC Current outcomes Data driven systems change Context for the Calculator Demonstration – current and projected Discussion

6. FocusStrategies.net Right Sizing Progress Parallel tracks in Winston-Salem – Use of national research to aggressively move toward right sizing – Focus Strategies outcomes analysis – Statewide HMIS data quality efforts

7. FocusStrategies.net Right Sizing Progress Future efforts for Winston-Salem – Coordinated Intake Center – Projecting impacts of system alignment efforts, continuous improvement & adjustments – CHIN moving towards outcome reporting

8. FocusStrategies.net System Dashboard Reports Data quality assessment Homeless system performance Program type performance Program comparisons Individual program performance

9. FocusStrategies.net Initial Assessment Direction for data cleaning – Monitoring data quality for HUD reports – Data quantity ≠ data quality Some programs had to change the way they were entering data Using data in a more meaningful way is a process

10. FocusStrategies.net Data Quality Income & employment at entry/exit – all programs Disability data – all programs 48% of system cases coming from housed situation 30% of ES exit destinations = “DK” or “Refused” Very few clients staying beyond expected max LOS

11. FocusStrategies.net System Performance Use Patterns

12. FocusStrategies.net System Performance Entry into Emergency Shelters

13. FocusStrategies.net System Performance Entry into Transitional Housing

14. FocusStrategies.net System Performance Entry into Rapid Re-Housing

15. FocusStrategies.net System Performance Entry into SSVF

16. FocusStrategies.net System Performance Program Comparison

17. FocusStrategies.net System Performance Program Comparison

18. FocusStrategies.net Performance Improvement Calculator Excel Tool developed by Focus for the National Alliance to End Homelessness Uses 3 years of local data – models strategies to increase the number of people who move from homelessness to permanent housing

19. Three Acts, Again Trial run Data clean up, re-run Final improvements, public sharing

20. FocusStrategies.net Does the current set of components fit the need?

21. FocusStrategies.net Population Distribution Winston- Salem/Forsyth Adults Only Household (N=293) 2013 PIT Count

22. FocusStrategies.net Population Distribution

23. FocusStrategies.net Elements of HEARTH Goals Length of stay Exits to permanent housing Returns to homelessness Investments (underlying)

24. FocusStrategies.net System Outcomes Drivers Program rules Program practices Cost compared with alternatives

25. FocusStrategies.net PIC Demonstration Every system has idiosyncrasies Presentation with Winston-Salem/Forsyth County data Winston-Salem/Forsyth’s idiosyncrasies: – Atypically high proportion of shelter to transitional housing – Rapid Rehousing stays longer than average (2011) – Transitional housing stays shorter than average

26. FocusStrategies.net Winston-Salem: System Changes Deeper understanding of system and how staff were using HMIS Shortened Length of Stays for Rapid Re-Housing Using a “lighter touch” Reallocated $ in FY2012 CoC app to Rapid Re-Housing Changed from trying to end poverty to ending homelessness Cut cost for RRH for families in half

27. FocusStrategies.net Performance Improvement Calculator Outcomes: – 2011 – 2013 Projecting: – 2015 – 2016

28. FocusStrategies.net Q & A