Monitoring PATH Providers PATH 2010 Grantee Meeting Washington DC December 7-10, 2010 Creating Effective PATH Programs in the Era of Health Reform Robert H. Snarr, Utah SPC Brooke Dawson, Missouri SPC Tahtia K. Smalling, Illinois SPC

PATH Program & Quality of Care The PATH program is designed to support the delivery of eligible services to persons who are homeless and have serious mental illnesses and co-occurring substance use disorders, with a particular emphasis on (a) persons most in need of services, and (b) services which are not supported by mainstream mental health programs.

Health Care Reform & Quality Care Outreach & Community Integration Housing First Models and the “10-Year Plan to End Chronic Homelessness” Integrated Primary Care and Behavioral Care Cultural Competency (Vets, Immigrants) Trauma Informed Care

PATH RFA Using the RFA to build your contract Required services Match and funding limitations Eligibility and Enrollment Developing the Scope of Services Budget & Intended Use Plan Required elements of the Annual Report

Outcome Measures & Effective PATH Programs Housing; Income Benefits; Earned Income; Medical Insurance & Primary care Consumer Involvement Quarterly Reporting Number & cost of clients served

Government Performance and Results Act (GPRA) Increase the number of homeless persons contacted Increase the percentage of contacted homeless persons with serious mental illness who become enrolled in services Increase the percentage of enrolled homeless persons who receive community mental health services Maintain the average Federal cost of enrolling a homeless person with serious mental illness in services

Monitoring PATH Providers

Monitoring a PATH Provider Program Find a date Send monitoring tool to the provider Ask PATH Program Director to develop a structured plan for the day Confirm date and receipt of paperwork with provider

Prepare Yourself Review the agencies Intended Use Plan (IUP) Make copies of the IUP, Monitoring Tool, and interview questions for Staff and Consumers Review Grant Requirements with the Agency’s IUP in mind Review agencies billing practice with Grant Fiscal Manager (make sure you are booked into a hotel you like and you have reserved a State car!!!)

Site Visit Arrive on time Meet and Greet Follow the agencies plan for the day Give PATH Program Director a synopsis of your initial impression Discuss program strengths and weaknesses Exit Agency

Desk Audit Entrance & Exit Quantitative Review Data check list Meet Me Conference & Teleconference

Report Back and Follow Up Write a draft report Share draft with program director and other reviewers Issue a final report Set follow up times if you find program deficiencies Ask for and act on feedback about your own performance

Navigating Travel Restrictions and other SPC challenges Become familiar with travel policies within your state If possible review programs near each other on consecutive days so your mileage is consolidated

Developing a Statewide Conference/Meeting

Consider the following variables in Pre-Conference Planning The number of PATH Providers Central Location Date/Time-line Allocation of funds Evaluations and Feedback

Planning on the “Front-End” Identify/obligate funds Share the opportunity to participate Schedule/begin monthly teleconferences Develop a budget

SPC + Providers Collaborate to determine the following Theme Band-width of Conference Topics/Session Presenters Duration/Length Central Location Advertisements and Memorabilia

SPC + Providers Designation of Responsibilities Assignments and Projects Fiduciary Agent/Registrar/Questions Contact Donations and Contributions Development/Release of Brochure CEU’s Behind-the-scenes Paperwork

SPC + Providers Establish/Share Deadlines Technical Assistance Materials Reservations Registration Meals Vendors

SPC + Providers The Value of Communication Facilitate effective monthly teleconferences Maintain regular contact with fiduciary agent Practice professional courtesy!

SPC + Providers Finalize… the Details Visit the Location Forward PPT Materials to Printer/CEU Reviewers Purchase and confirm Mementos/Giveaways Transportation Schedule a final “touch base” teleconference

During the PATH Conference Reality of the “Back End” E-N-J-O-Y the experience! Cultivate a nurturing and comfortable environment Ensure a “ same page ” approach (Share Information) Encourage the completion of evaluations Announce the availability of CEU ’ s Take Pictures to memorialize the occasion!

After the PATH Conference… Share your Thanks and Appreciation! Distribute CEU’s and Certificates of Participation Process Vouchers/Invoices ASAP Schedule “Wrap Up” teleconference Complete mass mailings as soon as possible Forward final reports of Evaluation outcomes EXHALE

Questions/Feedback? Please Contact: Robert H. Snarr, Utah SPC, Brooke Dawson, Missouri SPC Tahtia K. Smalling, Illinois SPC