HUMAN SERVICES PERFORMANCE
MANAGEMENT SYSTEM
Human Services Performance Management Team Minnesota Department of Human Services MSSA Annual Training Conference & Expo March 26, 2015 System Overview •The Human Services Performance Management System creates an opportunity for the Minnesota Department of Human Services, counties, and community partners to work more closely together to improve the lives of people served. •Goals •Establishes shared outcomes and measures •Creates accountability •Drives continuous improvement •Provides transparency Human Services Performance Management system 2 History •2009 Service Delivery Act •Steering Committee established •2012 recommendations on outcomes, measures, and remedies process •2013 legislation •Adopted the recommendations •Provided resources for the system •Established Performance Council •Keys to the system •Emphasis on continuous improvement •Allow counties more flexibility in the “how” •Ensure achievement of positive outcomes Children’s services Adult services Income supports Human Services Performance Management system 33/4/2015 2 Mission and Values The mission of the system is to improve outcomes for people through creativity, flexibility, accountability, collaboration, and performance management. The values of the system are collaboration, continuous improvement, reliance on data, sustainability, flexibility, transparency, inclusiveness, and equity. No single entity can achieve client outcomes alone – we need to work together to improve lives for the people we serve. Human Services Performance Management system 4 Outcomes & Current Measures Adults and children are safe and secure Percent of children who do not experience a repeat maltreatment determination with six months Percent of vulnerable adult maltreatment allegations where there is not a repeat of the same type within six months Children have stability in their living situation Percent of children reunified with their family within 12 months Percent of current child support that is paid Children have the opportunity to develop to their fullest potential Percent of children in family foster care or pre‐adoptive homes were placed with relatives Percent of open child support cases for which paternity is established People are economically secure Percent of MFIP/DWP adults working 30 or more hours per week who are able to exit assistance three years after a baseline (Self‐Support Index) Percent of expedited SNAP applications where support was issued within one business day of application Percent of public assistance applicants who received benefits within mandated timeframes Percent of open child support cases with a child support order established Vulnerable adults experience quality of life People have access to health care and receive effective services Human Services Performance Management system 5 Framework Accountability Assure performance thresholds are met Performance Improve performance Provide technical assistance Measurement Oversee performance framework
Measure performance Develop Performance
Improvement Plans Human Services Performance Management system 6
The latest in Measurement •Developed new measure in area of Adult Protection •Percent of repeat adult maltreatment •Performance threshold is under development •County Performance reports •Contains current and historical performance data, thresholds, and regional comparisons •Report release schedule •February 2015: Child support •April 2015: Cash and food support •June 2015: MFIP/DWP Self‐Support Index; Child safety and permanency; Adult protection The latest in Accountability •Thresholds for 9 of 10 measures developed •Issued a report in January on thresholds and development process •Thresholds indicate minimally acceptable levels of performance •Performance below this level triggers the remedies process •“Rolling Performance Improvement Plan (PIP)” process •Data for each measure will be shared as it becomes available •For counties with performance below the threshold, PIPs will be required at that time for those measures •June 2015: Child welfare and SNAP measures •January 2016: Child support measures •June 2016: Child welfare, SNAP, and Adult Protection measures Human Services Performance Management system 8 The latest in Performance •Surveyed counties on needs and what types of technical assistance would be most helpful •Findings include: •Access to data •Data‐driven decision‐making tools and resources •Continuous improvement tools •Increased county collaboration •Detailed report on survey findings will be issued March 2015 •Insights will help DHS team develop non‐programmatic technical assistance plan Human Services Performance Management system 9
3/4/2015 4 Impacts •Support •Counties want to improve, our role is to help support those efforts •Working in consultation to diagnose and resolve issues, concerns •Provide access to data, assistance with analysis, tools and resources for improvement and evaluation •Advocacy •Counties face barriers to improvement, our role is to advocate •Bridging gaps by connecting counties to resources •Acting as a liaison between all partners to foster collaboration Human Services Performance Management system 10 (651) 431‐5780 [email protected] Marisa Hinnenkamp Director, DHS Agency & County Performance Vacant Manager, Human Services Performance Management System Melissa Lam Young Performance Management Administrator Dana DeMaster Performance Management Data Analyst Jessica Cintorino Performance Management Coordinator Charity Friederichs Performance Management Coordinator Lorrie Herling Performance Management Coordinator DHS Human Services Performance Management Team Human Services Performance Management system 11
Human Services Performance Management System
Minnesota’s human services delivery system provides programs and services to meet the basic health, welfare, and safety needs of all Minnesotans, particularly the people with low incomes, children, people with disabilities, and the elderly. Counties, tribal governments and lead agencies deliver these services in partnership with the Minnesota Department of Human Services (DHS).In 2013, the state Legislature authorized the DHS commissioner to implement a Human Services Performance Management System for essential human services as described in Minnesota State Statute. This system includes performance outcomes, measures and thresholds consistent with the recommendations of the Steering
Committee on Performance and Outcome Reforms in its December 2012 report to the Legislature. The system focuses on six population outcomes:
People have access to health care and receive effective services. People are economically secure.
Children have the opportunity to develop to their fullest potential. Children have stability in their living situation.
Adults and children are safe and secure. Vulnerable adults experience a quality life.
Vison, mission and values
The Human Services Performance Council and the DHS Human Services Performance Management team developed the vision, mission, and values statements below to define the performance management system’s purpose, direction and drivers of success.
Vision
The vision of the performance management system is to create an equitable human services system, which ensures effective services and positive outcomes for Minnesota residents through accountability, continuous improvement, cultural responsiveness, and partnership.
Mission
The mission of the performance management system is to improve outcomes for people through creativity, flexibility, accountability, collaboration and performance management.
Values
Continuous improvement – Performance is continuously improved, and success is gauged by results for
people served.
Reliance on data – Reliable and tested data, measures, and thresholds are developed and used. Sustainability – Improvement methods are sustainable, effective, efficient, and continuous. Flexibility – Flexibility and creativity are used to adapt to the changing needs of those served. Transparency – Transparency and accountability are central to the design, implementation, and
monitoring of essential services being delivered.
Inclusiveness – People of all backgrounds are included in the process, and cultural responsiveness is
embedded in the work.
Equity – Equity across populations will be a deliberate and intentional focus so that people will have
access to services that are effective for them as individuals.
Human Services Performance Council
The work of the council is to advise the DHS commissioner on the implementation and operation of the Human Services Performance Management System and to provide an annual report to the Legislature related to human services
performance management. (Minnesota Statutes, Section 402A.15).
The 15-member council was authorized by the 2013 Legislature as part of the establishment of a performance management system for human services.
DHS has appointed three members each from tribes and communities of color, service providers and advocates and DHS.
The Association of Minnesota Counties (AMC) and the Minnesota Association of County Social Service Administrators (MACSSA) have each appointed their three representative members.
Background
In 2009, the Minnesota Legislature passed the 2009 State-County Results, Accountability and Service Delivery Redesign Act. This act established the Steering Committee on Performance and Outcome Reform, which included county
commissioners and human services directors, advocates and DHS staff. The charge of the steering committee was to:
Determine a list of essential human services.
Determine minimum outcome standards for those services.
Develop a uniform data collection and review process.
The committee presented its recommendations to legislators in December 2012. During the 2013 session, the Minnesota Legislature and Gov. Mark Dayton adopted the outcomes, measures, and thresholds and a remedies process to hold counties accountable. (Minnesota Statutes, Chapter 402A)
Children’s mental health
Children’s disability services
Public assistance eligibility including measures related to processing timelines across programs
Minnesota Family Investment Program (MFIP)
Child support
Chemical dependency
Adult disability
Adult mental health
Adult services such as long-term care
Adult protection
Information on DHS website
Council membership, monthly meeting agendas, approved minutes and the work of the Human Services Performance Council are published on the DHS website, mn.gov/dhs.
DHS-6904-ENG 02-15
Human Services Performance Council
The Human Services Performance Council was authorized by the 2013 Legislature as part of the establishment of a performance management system for human services. The work of the council is to advise the Minnesota Department of Human Services (DHS) commissioner on the implementation and operation of the human services performance management system, including county performance management and departmental procedures, and to provide annual reviews and reports to the Minnesota Legislature related to human services performance management. (Minnesota Statutes, Section 402A.15).
The commissioner has appointed members from tribes and communities of color, service providers and advocates and DHS; the Association of Minnesota Counties (AMC) and the Minnesota Association of County Social Service Administrators (MACSSA) have each appointed their representative members. Appointments are for two years and council membership is as follows:
Representing advocates/services providers:
Arnie Anderson, executive director, Minnesota Community Action Partnership Jeri Schettler, executive director, Client Community Services Inc.
Vacant
Representing AMC:
Toni Carter, county commissioner, Ramsey County Rob Ecklund, county commissioner, Koochiching County Linda Higgins, county commissioner, Hennepin County
Representing DHS:
Charles Johnson, deputy commissioner for Policy and Operations Kate Lerner, director of county relations
Robert Meyer, performance management director, Continuing Care for Older Adults Administration
Representing MACCSA:
Judith Brumfield, director of health and human services, Scott County Tom Henderson, family services director, Brown County
Stacy Hennen, social services director, Grant County
Representing tribes/communities of color:
Alfred Babington-Johnson, CEO, Stairstep Foundation
This information is available in accessible formats for people with disabilities by calling 651-431-2911 or by using your preferred relay service. For other information on disability rights and protections, contact the
mn.gov/dhs
Human Services Performance Management System
Outcomes and measuresThe Human Services Performance Management (HSPM) system creates an opportunity for the Minnesota Department of Human Services (DHS) and counties to work more closely together to improve the lives of people served. The system will focus on six population outcomes and begin its implementation with ten program performance measures.
Outcome 1: Adults and children are safe and secure
Measure: Percent of children with a maltreatment determination who do not experience a repeat maltreatment determination within six months.
Measure: Percent of vulnerable adult maltreatment allegations that were found to be substantiated or inconclusive where there is not a substantiated or inconclusive allegation of the same type within six months of the initial determination.
Outcome 2: Children have stability in their living situation
Measure: Percent of current child support paid
Measure: Percent of children discharged from out-of-home placement to reunification who were reunified in less than 12 Months
Outcome 3: Children have the opportunity to develop to their fullest potential
Measure: Percent of children in family foster care that were placed in a relative home
Measure: Percent of open child support cases with paternity established Outcome 4: People are economically secure
Measure: Percent of Supplemental Nutrition Assistance Program (SNAP) applications processed within one business day
Measure: Percent of SNAP and cash assistance applications processed timely
Measure: Percent of open child support cases with an order established
Measure: MFIP/DWP Self-Support Index
Outcome 5: Vulnerable adults experience a quality of life
Outcome 6: People have access to health care and receive effective services
Measures do not currently exist for outcomes five and six. HSPM staff are working with counties, within DHS, and with the Human Services Performance Council to determine measures for these areas.
This information is available in accessible formats for people with disabilities by calling 651-431-2911 or by using your preferred relay service. For other information on disability rights and protections, contact the agency’s ADA coordinator.
