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

CT Kids Report Card: Safe Children Scorecard

Story Behind the Curve.

• 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

Lessons Learned

Change………

Is great when you are imposing it; But not so great when someone else imposes it on you

Help Your Colleagues Deal with Change

Find Partners to Support Your Work

Play nice with your partners

http://rhymeswithorange.com/comics/march-3-2015/

Help Your Colleagues to Change Their Perspective

Rule #1

Start with the end in mind.

The End.

(Just Kidding…but not really)

“Don't mistake activity with achievement.”

John Wooden

Changing Perspective

RBA is not just one more thing to doRBA is the one thing to do to achieve more

Help people understand where their effort fits in the big picture

USE DATA

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 Familiesanne.mcintyre-lahner@ct.gov