Evaluation 2017: From Learning to Action

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Demand-driven, Workflow Mapping, Consumer Feedback and Prevention

Session Number: HSE3
Track: Human Services Evaluation
Session Type: TIG Multipaper
Session Chair: Mansoor A. F. Kazi [Director Program Evaluation Center - The State University of New York at Fredonia]
Presenter 1: Brian Schmotzer [Director of Evaluation - New Growth Group]
Presenter 2: Jennifer Catrambone [Director, Quality Improvement & Evaluation - Ruth M Rothstein CORE Center]
Presenter 3: Roshani Dahal [Research Analyst/ Evaluation Specialist - Minnesota Department of Human Services]
Presenter 4: Gabriel Pina [Research Assistant - Indiana University]
Presentation 1 Additional Author: Chris Spence [Principal - New Growth Group]
Presentation 1 Additional Author: Nikki Stoicoiu [Data Analyst - New Growth Group]
Presentation 2 Additional Author: Marisol Gonzalez Drigo [Manager of Patient Centered Care - Ruth M. Rothstein CORE Center]
Presentation 2 Additional Author: Daniel C. Taussig [Clinical Transition Liaison - RMR CORE Center]
Presentation 3 Additional Author: Sara Galantowicz [Senior Associate - Abt Associates]
Time: Nov 10, 2017 (06:30 PM - 07:15 PM)
Room: Roosevelt 2

Abstract 1 Title: Evaluation of a Demand-Driven Workforce Strategy
Presentation Abstract 1: Skills for Chicagoland's Future (Skills) creates demand-driven solutions for employers to get the un- and under-employed back to work. Skills contracted with New Growth to evaluate this process. The evaluation activities are centered around the research question: How do employment outcomes and use of public benefits for un- and under-employed job seekers that Skills places compare to outcomes for other, similar job seekers? Comparison groups are constructed to match the Skills participants on demographics, location, and past earnings, when possible. Data availability restricts how closely participants can be matched. Outcomes data is coming from Illinois’ state wage and human services agencies. Preliminary survey findings show declines in usage of public assistance, higher rates of employment and earnings, and lower rates of unemployment insurance usage for Skills participants. The final report will extend the analysis using administrative data to answer the comparative research question.
Abstract 2 Title: Workflow Mapping As a Path to Implementing Change: What Happened When Everyone at the Clinic Finally Compared Notes
Presentation Abstract 2: In April 2015, a large infectious disease clinic specializing in HIV care in Chicago created workflow maps for each of three paths of patient entry into care. The purpose of workflow mapping is to compare what actually happens with what is supposed to happen, eliminate duplication of effort and wasteful steps thereby reducing delays, streamline and standardize procedures, provide staff with concrete job expectations, increase interdepartmental cooperation, and ultimately improve patient care. Staff from all over the clinic met and mapped the patients’ path into care through referrals, the ER, and the phone system. The resulting data led to an overhaul of the Central Appointments and Registration systems, including additional monitoring and accountability, cross-training wherein staff received education on new responsibilities, and staff’s increased comprehension of colleagues’ work. This paper reviews the impetus for the workflow project, challenges, several workflows, and the before and after of the revised systems.
Abstract 3 Title: Minnesota’s Home and Community-Based Service Monitoring and Evaluation Instrument: Improving Service Responsiveness Using Consumer Feedback
Presentation Abstract 3: Home and Community-Based Services (HCBS) play a vital role in supporting individuals with disabilities and older adults to live in their home and community. In federal fiscal year (FY) 2014, Minnesota’s Medicaid long-term services and supports expenditures totaled $4.2 billion. HCBS programs served 85,000 individuals and cost $3.1 billion (74.8%, ranking MN second in the nation). The HCBS spending growth rate (8.1% for 2013-2014) underscores the importance of monitoring service quality and outcomes for the people that we serve. Using the National Quality Forum’s domains and recommended constructs, Minnesota has designed a new HCBS Monitoring and Evaluation instrument to gather feedback from all HCBS participants about their experience with services and providers. Evaluations will begin in FY 2018 and these data, integrated with assessment and utilization data, will be used to measure progress towards a person’s goals, create performance measures, improve service responsiveness, and inform stakeholders on trends in HCBS quality and outcomes.
Abstract 4 Title: The Impact of Homeless Prevention on Residential Instability: Evidence from the Homelessness Prevention and Rapid Re-housing Program
Presentation Abstract 4: Millions of individuals and families in the United States do not have access to stable housing. Recent policies in the United States emphasize programs intended to prevent homelessness through temporary financial assistance. We explore the impact of the largest homelessness prevention program in U.S. history, the Homelessness Prevention and Rapid Re-housing Program (HPRP), on residential instability, using a national sample of families at risk of homelessness. We exploit variations in the location of HPRP providers, and the availability of funds. Using data on the proportion of K-12 students experiencing homelessness in school districts, we find that HPRP reduced in the percentage of homeless students for districts closer to an HPRP provider. Similarly, using the NLSY, we find that HPRP reduced the probability of moving for families in places where funding lasted longer. Our lower bound estimates show that this is equivalent to $5.3 billion saved in averted public assistance expenditures.
Theme: Select one
Audience Level: None

Session Abstract (150 words):  Demand-driven, Workflow Mapping, Consumer Feedback and Prevention

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