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Performance-Based Contracting

Presented by: Kenneth F. Joe Sr., Chief Administrator DFCS

Charisse Richardson, OPUOM Network Development Unit Director

Provider Summit“Preparing for Tomorrow Today” Part II

April 23, 2010

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PBC Presentation Overview

• What is Performance-Based Contracting?

• What Has DHS done?

• What’s Next?

• What to Expect in Year 1?

• What to Expect in Year 2?

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What is Performance-Based Contracting?

• Emphasizes results related to output, quality and outcomes rather than how the work is performed

• Has clearly defined objectives and timeframes

• Uses measurable performance standards and quality assurance plans

• Provides performance incentives and penalties and ties performance to the utilization of the provider

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What We’ve Done

• DFCS selected CFSR outcomes to edit the current CCI and CPA RBWO contract template

• Two focus groups were charged with evaluating the proposed outcomes and making recommendations to change, modify or eliminate the proposed outcomes. The focus groups members were both provider and DFCS staff

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What We’ve Done

CCI Focus Group Members

• Abe Wilkinson• Teresa Wilkinson• Mike Angstadt• John Blend• Normer Adams• Renee Bennett• Barry Kerr• Scott Merritt• David M. Kelley• Ron Scroggy• Kathy Colbenson• Cindy Simpson• Heather Rowles• Marva Reed• Angela Coulon• Jay Pruett• Charisse Richardson

CPA Focus Group Members

• Andy Barclay• Chena Blanchard• Linda Coil• David Kelley• Diane Cleveland-Sharp• Gary Johnstone• Kathleen Penkert• Lori Campbell• Melissa Arkin• Ron Scroggy• Sally Buchannan• Suzette Gadson• Tony Everette• Roseanne Maltese• Charisse Richardson• Jay Pruett

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What We’ve Done

•  December 15, 2009– Reviewed Purpose of Workgroup and shared 12 outcomes

selected by DFCS

• January 5, 2010– Workgroup narrowed the outcomes down to 6– First draft based on feedback from group due 1-15-10

• February 3, 2010– Work Group’s final report 2-10-10– March 1 final draft submitted to DFCS leadership

• March 16, 2010– Reviewed and gave feedback to prepare 3rd final draft by

March 31, 2010

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What’s Next?

• New PBC contracts will be mailed to CCI and CPA Providers by May 15, 2010

• CPA and CCI Providers will return signed contracts to DHS by 6/15/10

• All CPA and CCI Providers will attend a full day workshop: Contract FAQ and KidSTAR Training by June 30, 2010

• All signed contracts returned to DHS will be executed & returned to all CPA and CCI Providers by 7/1/10

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PBC Year 1: What to Expect?

• During the first year of PBC, there will be no financial penalties assessed to Providers for not meeting Outcome Measure. There will be no automatic incentives built in the contract the first year.

• First year data will be very important, because even though penalties will not be accumulated the first year, a baseline of performance will be computed to rank Provider Agencies Performance.

– The higher the rank of the agency, the faster referrals will be made to you from the county offices during Year 2 (Fiscal year 2012)

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PBC Year 1: What to Expect?

• Providers will receive quarterly report cards on their performance– Report cards will not be made public

• Provider Rankings will be shared publicly at the end of the fiscal year

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PBC Year 1: What to Expect?

• The data collected will also be used to determine similar categories to group CCI’s and CPA’s by the population they serve and available resources– Category Examples:

• Medically Fragile• Sex Offenders• Developmentally Delayed

– Focus Groups will be developed to assist DHS/DFCS in finalizing category selection

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PBC Year 1: What to Expect?

• Technical Assistance will be provided to agencies.– Technical assistance can be requested by

the agency, suggested to an agency by OPUOM staff or mandated by DFCS based upon poor performance outcome indicators.

• Corrective Action Plans will accompany all mandated TA.

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PBC Year 2: What to Expect?

• Scoring Formula utilized in Year One may change based on data collected during Year One

• Categories developed in Year One will be used to better assess scoring and baseline measures for ranking “similar” agencies.

• Report Cards and agency rankings will be re-determined each quarter: September 2011, December 2011, March 2012 and June 2012

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PBC Year 2: What to Expect?

• The new referral/intake process will be tied to agency performance.

• Technical Assistance will be provided to agencies.– Technical assistance can be requested by

the agency, suggested to an agency by OPUOM staff or mandated by DFCS based upon poor performance outcome indicators.

• Corrective Action Plans will accompany all mandated TA.

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Final PBC Outcomes

• Safety Goal 1: All children will remain safe from maltreatment while in contractor's care.

• Permanency Goal 1: Contractor will proactively facilitate moves to positive permanency for children in care.

• Permanency Goal 2: Contractor will be engaged with the birth parent(s) of children in their care.

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Final PBC Outcomes

• Well-Being Goal 1: Children in Contractor's care receive the prescribed preventive medical, dental and vision services.

• Well-Being Goal 2: Children in Contractor's care will receive prescribed educational services.

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Performance Based Contracting

Questions??