Upload
bernard-mcdonald
View
217
Download
2
Tags:
Embed Size (px)
Citation preview
STOP SPINNING YOUR WHEELS:
USING RBA TO STEER YOUR AGENCY TO SUCCESS!
Anne McIntyre-LahnerDirector of Performance Management
Connecticut Department of Children and FamiliesOctober 1, 2015
A RECIPE FOR AGENCIES ON THE MOVE
• Connecticut is the third smallest state by area,
• It is known the Land of Steady Habits
• Population 3,596,677 (2014 est)
• The income gap between its urban and suburban areas is unusually wide
• Executive Branch and Judicial Branch agencies are all administered at the state level
The State of Connecticut
Connecticut’s Population Accountability Work for Children
• The CT Kids Report Card• Mandated by Law (Public Act 11-109)• Data-based guide for policy and program decisions to improve the quality of life of
all Connecticut children• Accessible, central source of information available now and in the future on
Connecticut children’s well-being• Stronger public accountability
• Juvenile Justice Reform Effort• Mandated by Law (Public Act 14-217)• Evaluate policies related to the juvenile justice system and the expansion of juvenile
jurisdiction to include persons sixteen and seventeen years of age.• Use of RBA to plan and evaluate public and private services
Why RBA• Increased accountability• Better results• Focuses on whole populations AND on program performance• Targets spending to programs that work• Helps us turn the curve in under-performing systems• Helps legislators understand state agency performance• Objective, clear, process that helps legislators determine which
programs to fund
Building the CT Kids Report Card
Ingredients for Success:
• Wide Array of Partners
• Agreement on Collecting and Reporting Data
• Use of The Results Score Card
• Understanding the Implications for Public and Private Agencies
CT Kids Report Card
Result: All Connecticut’s children live in stable environments, safe, healthy, and ready for success
http://www.cga.ct.gov/KID
• Five mandated areas: child protective services, children's behavioral health, education for children in its care, prevention, and shared responsibility for state juvenile justice system
• Four facilities
• Central Office and fourteen Area Offices, organized into six regions
• over 3,200 employees
• approximately 100 types of contracted services
• serves approximately 36,000 children and 16,000 families each year.
DEPARTMENT of CHILDREN and FAMILIES
Making a Difference for Children, Families and Communities Joette Katz
Commissioner Dannel P. Malloy
Governor
Four things that brought RBA to DCF
• Public Commitment by Commissioner Katz to use RBA• Representative Urban’ leadership, and the CTKids Report card• Legislative Program Review and Investigation RBA studies• Legislative Appropriations committee RBA report card requirement
DEPARTMENT of CHILDREN and FAMILIES
Making a Difference for Children, Families and Communities Joette Katz
Commissioner Dannel P. Malloy
Governor
Implementing RBA at DCF
Main Ingredients for Success:
1. Staff, Provider and Community Training and Support
2. Strategic Plan with Annual Performance Expectations
3. Performance Measures for Contracted Services
4. Creating a Culture of Performance Management
1. Staff, Provider and Community Training and Support
• Training management teams
• Training program leads, provider partners, and others
• DCF RBA affinity group
• Connecticut RBA Practitioner Network
2. Development of DCF Strategic Plan and Management of Agency Performance
• 2012 – 2015 Strategic plan developed using RBA and aligned with population level results statement
• Annual Performance expectations with agency-wide performance measures
• All regional, divisional, and facility management teams develop and implement strategies with performance measures
3. Developing Performance Measures for Contracted Services • Contract review and cataloging of outcomes• Programs prioritized and scored based on:
• importance • funding• number of locations• amount of work required
• Joint work with provider partners to develop RBA performance measures• Cataloging of new measures by general program type
Service Type (Includes multiple
programs)
Programs Included in Service Type
How much did we do?
(Quantity of Work)
How well did we do it?
(Quality of Work)
Is anyone better off?
(Client Outcomes)
Data Sources (Data sources does not necessarily mean every program’s data source
is identified here, but at least the data source for one program in this
category is listed here)
Behavioral Health Services
Crisis Stabilization EMPS - Crisis
Intervention Service System Statewide Call Center
EMPS Crisis Intervention Service Extended Day Treatment
Functional Family Therapy (FFT)
Intensive In-Home Child and Adolescent Psychiatric Services (IICAPS)
Juvenile Sexual Treatment (JOTLAB) New Haven
Multidimensional Treatment Foster Care
Outpatient Psychiatric Clinic for Children
Community Support Team NH AO
Short-term Family Integrated Treatment (SFIT)
Number of clients served annually
Number of family engagement activities
Number of family therapy sessions conducted
Number of aftercare activities conducted
Percent of participants served who successfully complete treatment
Percent of families who complete treatment successfully and have a service length of stay between 120-160 days.
Percent of participants served who are successfully linked to community based services and/or pro-social supports
Percent of children/youth served for whom psychiatric hospitalization during the course of services is avoided
Percent of children/youth
Percent of participants who demonstrate increased functioning
Percent of participants who demonstrate decrease in problem severity
Percent of participants who met treatment goals
Percent of participants who remain in the community
Percent of participants in an academic or vocational program at the time of discharge
Percent of youth and their families who report improved communication and improved hope for the future
Percent of families evidencing improved family functioning
Percent of youth and families with enhanced social supports/community resources at discharge
Percent of positive family satisfaction Percent of positive youth satisfaction Percent of youth discharged to their
placement of origin
PSDCRS
4. Creating a Culture of Performance ManagementWithin DCF• All regional, divisional, and facility management teams develop strategies and
performance measures• Quarterly meetings with Commissioner’s team to review performance and
identify additional actions to turn the curve
Contracted Services• Quarterly RBA report cards• Internal management group analyzes performance data and gives feedback• Program leads and providers work together to turn the curve• Ongoing training and support
Play nice with your partners
http://rhymeswithorange.com/comics/march-3-2015/
“Don't mistake activity with achievement.”
John Wooden
Using data• Do you “do” data?
• To be a good “program person”, you need to get comfortable with data
• Use your “enlightened ignorance” to get the data you need• Understanding that there are things you need to know
and that you don’t know• Keep asking until you get answers that make sense
Make sure you are telling the correct story…..and telling the story correctly
http://thesocietypages.org/socimages/2015/03/01/just-for-fun-is-truncating-the-y-axis-dishonest/
REALLY???
…using data…
• Focus on data that will tell you how kids are doing and whether anyone is better off
• Disaggregate, disaggregate, disaggregate!
• What else do you need to know?
Great Ideas
Nothing will ever be attempted if all
possible objectionsmust first be overcome
Samuel Johnson
1709 – 1784, British Author
For more information on Connecticut DCF’s experience
Stop Spinning Your WheelsUsing RBA to Steer Your Agency to Success!Anne McIntyre-Lahner, 2015Fourth Quadrant Publishing, Rockville, MD
Anne McIntyre-LahnerDirector of Performance ManagementConnecticut Department of Children and [email protected]