Megan Kurteff Schatz Emily Halcon August 26, 2013 www.focusstrategies.net

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

2. We believe the HEARTH Act and Opening Doors lead the way to finally ending homelessness. About Focus Strategies

3. No one is homeless more than 30 days Goal

4. Honoring community, collaboration, and service History

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

6. 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. 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. System Dashboard Reports • Data quality assessment • Homeless system performance • Program type performance • Program comparisons • Individual program performance

9. 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. 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. System PerformanceUse Patterns

12. System PerformanceEntry into Emergency Shelters

13. System PerformanceEntry into Transitional Housing

14. System PerformanceEntry into Rapid Re-Housing

15. System PerformanceEntry into SSVF

16. System PerformanceProgram Comparison

17. System PerformanceProgram Comparison

18. 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. Does the current set of components fit the need?

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

22. Population Distribution

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

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

25. 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. 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. Performance Improvement Calculator Outcomes: • 2011 • 2013 Projecting: • 2015 • 2016

28. Q & A