VACSB Data Summit Meeting: Improving Data

Quality

August 24, 2004

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Objectives

1. Integrate data collection with clinical documentation to minimize paperwork burden

2. Develop strategies for improving outcome data, especially for a chronic, relapsing population with a disease management approach

3. Explore uses of the data that are beneficial to direct service providers to ensure the quality of the data collection

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Data Summit Agenda

10:00-10:20AM

Introductions

10:20-10:45 AM

Data Summit Objectives and Progress of the Outcome Work Group

10:45 AM-Noon

Data Collection Strategies

Noon-12:45 PM

Lunch

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Data Summit Agenda

12:45-2:15PM Strategies for Improved Outcome Data

2:15-2:30 PM Break2:30-3:45 AM Strategies for Data

Usage by Clinical Staff

3:45-4:00 PM Recap and Next Steps

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Use of Outcomes

• VACSB Annual Report• Encourage More Funding• Meet Federal and State Mandates• Inform Public and General Assembly• Demonstrate Success• Recommend Ongoing Outcomes

System for CSBs

Virginia Outcomes System Post-POMS

Design for success may mean“Less is More"

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Overarching Outcome Measures:MH, SA, MR

Community Consumer Submission (CCS)1. Stability of living arrangement2. Employment/ “meaningful,

productive activity” (adults only)Data Collection To Be Determined (TBD)3. Managing illness/ condition (MH, SA

only)

Additional Outcome Measures: SA

CCS1. Reduction in frequency of alcohol use2. Reduction in frequency of drug use3. Reduction in # of arrests4. Improvement in employment status

Italics = Overarching Outcome

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Additional Outcome Measures: MH

CCS1. Increased access to service2. Increased employment or return to

school3. Decrease in criminal justice involvement4. Increase of children in family-like

arrangements5. Adults living independently

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Additional Outcome Measures: MH

CCS, cont’d6. Reduction in criminal justice

system involvement7. Employment Status

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Additional Outcome Measures: MH

TBD8. Reduced utilization of psychiatric inpatient

beds9. Increased use of evidence-based practices10. Improved client perception of care11.Adults receiving supported housing

services12.Reduction in rate of client turnover in high

priority services6

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MR Outcome Measures

MR Survey1. Increase in number of family

members/guardians helping develop ISP2. Increase in number of family

members/guardians who felt that staff respected the family’s choices and opinions

3. Increase in number of family members/guardians who felt CM gave them assistance when asked

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MR Outcome Measures

4. Increase in number of family members/guardians who felt their person had access to supports and services when needed

5. Increase in number of family members/guardians who felt that the day or employment program was healthy and safe

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MR Outcome Measures

6. Increase in number of family members/guardians who felt that frequent changes in staff who work directly with the person has not been a problem

7. Increase in number of family members/guardians who felt that the person received assistance right away in an emergency or crisis

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Satisfaction Surveys

• MH Outpatient• SA Outpatient• MH/SA Outpatient• MH Child/Adolescent (families of)• MR (family/guardian)

************• Consider: MH Child/Adolescent

(youth)

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Other Measures

Performance Contract Requirements• Continuity of Care• SA Access for Pregnant Women • Readmissions for DAP Placements

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Plan of Action

Hold a Data Summit to integrate outcome

measurements in the work of four workgroups

1. Outcomes2. Quality Assurance3. Core Services4. Data Management

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Plan of Action

Key issues for Data Summit• Integration with clinical

documentation• Demonstrate consumer improvement• Use data to illustrate progression in

episode of care• Help clinicians to “buy into” outcomes

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Plan of Action

Key issues for Data Summit• Enhance the CSBs’ infrastructure

– Education– Resources

• Identify additional strategies to “get everyone there”

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Clinical Workload

Integrate data collectionwith clinical documentationto minimize paperwork burden

Paperw

ork!!

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Outcome Measurements

Develop strategies for improving outcome data, especially for a chronic, relapsing population with a disease management approach

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Meaningful Outcomes

Explore uses of the data that are beneficial to direct service providers to ensure the quality of the data collection

“Not just jumpingthrough hoops”