# Presentation: 775124

## Establishing Meaningful Outcome Measurements and Optimizing Program Achievement Through Performance Measures

## Legal/Safety Services

**Social Services**

**Claims Systems**

**All Payer Health Care Databases**

**Behavioral Health**

**Health Department**

**Education**

**Other State Support Agencies**

**Disease Registries**

**LEGEND**

**Disabilities & Special Needs**

**Vocational Rehabilitation**

**Law Enforcement**

**Health Department**

**Education**

**Outpatient Surgeries**

**State Employee Health Services**

**Emergency Room Visits**

**Hospitalizations**

**Environmental Conditions**

**Home Health Care**

**Medicaid Services**

**Social Services**

**Public Safety**

**Mental Health**

**Juvenile Justice**

**Free Clinic Visits**

**Alcohol & Drug Services**

**Child Care**

**Community Health Centers**

**Medicare**

**Disease Registries**

**Elder Services & Assessments**

***Still in contract negotiations**

**Probation, Pardon & Parole**

**Corrections*******

**Health Professions**

## From Where Does the Homeless Population Come?(places for collaboration and data linkage)

- Mental Health
- Alcohol and Drug
- Medicaid/Medicare
- Social Services
- Pardon Probation and Parole
- Corrections
- Law Enforcement
- Emergency Department

## Ways to Work Together

- Places to implement treatment and prevention programs (reduction rates)
- Places for collaboration and partnerships
- Data for outcomes
- Data for developing performance measures
- Data sources for developing problem scales
- Potential for giving homeless hope of becoming productive citizens

## Fast Facts

**3,310 homeless persons in our cohort in 2003:**
**1,223 (37%) received Food Stamps**
**238 (7%) received TANF**
**1,014 (30%) received Medicaid **
**414 (13%) had an inpatient hospitalization **
**1,565 (47%) had an ER visit**
**1,765 (66%) have been arrested**
**984 (30%) had PPP supervision**

## Social Services

- Food Stamps and TANF
- Address change rates – early indicator
- Household relationships – change in structure
- Better demographics
- Better understanding of resources – how impoverished?
- Work participation – failure – outcome variable
- Barriers to employment – very useful
- Childcare issues – useful
- Program information
- Dates on and off assistance
- Benefit amounts

## Social Services

- Historical Research
- Percent of social services population that end up homeless annually and reasons
- Does the movement toward homelessness lead to more:
-  Abuse and neglect?
-  Foster care?

## Behavioral Health

- Unduplicate Medicaid, DMH, DAODAS, hospitalizations, and ED visits to determine rate of persons with behavioral health problems among the homeless
- Study historical implication of behavioral health
- Pharmaceutical issues – Medicaid only
- Diagnostic history

## Medicaid

- Solid understanding of physical and mental conditions among the homeless population
- Better understanding of health problems and usage
- Rates and reasons:
- Doctor visits
- ED visits
- Inpatient hospitalizations
- State agency use
- Dental issues
- Family planning issues (history)
- Pregnancy outcome issues (Vital Records, Medicaid, and hospital)

## Law Enforcement

- Children
- Juvenile justice history by charge
- Parental information and issues
- Education and behavioral health issues
- Adults
- Arrest history including times and charges
- Percent of homeless that come from PPP
- Percent of homeless that come from corrections

## Disabilities

- Use Medicaid, Medicare, emergency department, inpatient hospitalizations to understand disability issues better

## Performance Measures

- Example of HMIS variable – referral to other agency
- Homeless Agencies should be a member of the State agency Client Management System (which should include HMIS data)
- System should be used for information, referral, and followup (see slide)
- HMIS data should be included in Medicaid Electronic Personal Health Record (see slide)

## Slide 13

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## Slide 18

## For Further Information

- Walter “Pete” Bailey
- 803-898-9940
- _[pbailey@ors.sc.gov](mailto:pbailey@ors.sc.gov)_
- Diana M Tester
- 803-898-9962
- _[dtester@ors.sc.gov](mailto:dtester@drss.state.sc.us)_
**Office of Research and Statistics**