Report to the Continuum of Care Steering Committee

March 16, 2004

 

A. History of HMIS in Columbus & Franklin County

From 1990 to 2001, the Columbus & Franklin County Homeless Management Information System (HMIS) was operated by FirstLINK under agreement with the Community Shelter Board (CSB).  During that time the function of the HMIS was to primarily provide statistical information to the Community Shelter Board. For a variety of reasons related to the design and age of the system, many agencies developed their own tracking systems to manage their day-to-day information needs, although information managed by FirstLINK was often used as a cross-check with these internal systems. 

 

In early 2000, the Community Shelter Board began a planning process to develop recommendations for a new management information system to support the delivery of homeless services and housing in Columbus and Franklin County.  The planning process was led by CSB with consultant assistance from Brains for Business, with intensive planning and evaluation work overseen by a planning committee comprised of twenty five members representing providers, consumers, funders, community members, and system planners.  The goal of the process was to replace the existing HMIS with one able to provide enhanced benefits at the individual, program, and system level.  It was anticipated that all CSB funded providers, HUD funded Continuum of Care providers, and ultimately other community agencies providing homeless services and housing would participate in the system.    

 

Based on the work of the planning committee, ServicePoint by Bowman Internet Systems was selected as the recommended software application.  ServicePoint is a web-based product designed for social service agencies and communities to allow them to manage client information and resource data.  It was chosen following a comparative analysis with other available HMIS products.  The local HMIS conversion to ServicePoint occurred on October 1, 2001.  Over the last three years ServicePoint has emerged as the product most often selected by local communities across the country seeking to implement an HMIS.   

 

B. 2001 HMIS Application to HUD

In 2001 the Community Shelter Board submitted an application to the U.S. Department of Housing and Urban Development for $128,316 to support the HMIS upgrade.  The total project cost was $309,867 for the three year period beginning in 2002, with additional funds provided through the Rebuilding Lives Funder Collaborative, Seimer Family Foundation, and the Community Shelter Board.  Funds have been used to purchase ServicePoint, convert FirstLINK data into the new system, and to hire a System Administrator responsible for training end user personnel, providing management oversight and technical assistance to system users.  The 2001 project plan outlined in the HUD application included HUD funding for only the HMIS System Administrator.  Additional user training and oversight at the agency level was to be provided by agency site administrators.  A renewal funding request to HUD for HMIS is being developed for the 2004 consolidated application.

 

C. 2003-04 HMIS Status

·          Current System: Bowman Internet Systems ServicePoint 2.05

·          CSB HMIS Budget:

System Administrator:                     48,365              0.8 FTE System Administrator

Bowman Expenses:                        43,000              contract, customization, other training/support     

User Training:                                   1,800              meals, space, related expenses

Other CSB Staff Costs:                    12,230              0.1 FTE Program Director & Front Office Assist.

TOTAL:                                       $105,395

 

Revenue:      HUD SHP:                   $50,000

                     Other CSB:                 $55,395 

 

·          HMIS Participating Agencies, Programs and Users:

Prevention

Gladden Community House

Homelessness Prevention Program

LSS-Faith Mission/Faith Housing

Homelessness Prevention Program

Permanent Supportive Housing

Community Housing Network

Cassady Avenue

East 5th Avenue

North 22nd Street

North High Street

Parsons Avenue

Safe Haven

Scattered Site (ended 12/31/03)

National Church Residences

Commons at Grant

Southeast, Inc.

Scattered Site

Volunteers of America

Scattered Site (ended 9/30/03)

YMCA

Sunshine Terrace

Permanent Supportive Housing at 40 W. Long Street

Shelter, Housing Services, Direct Housing

Catholic Social Services

Family Housing Collaborative

Barbara Bonner Family Shelter

Barbara Bonner Family Shelter-Housing Resource Specialist

LSS-Faith Mission/Faith Housing

Nancy's Place

Nancy’s Place-Housing Resource Specialist

Faith Mission on 8th Avenue

Faith Mission on 8th Avenue-Resource Center

Faith Mission on 6th Street

Faith Mission on 6th Street-Resource Center

Faith Mission on 6th-Housing Resource Specialist

Winter Overflow Center

Friends of the Homeless

Men's Emergency Shelter

Men’s Emergency Shelter-Resource Center

Men’s Emergency Shelter-Housing Resource Specialist

Rebecca’s Place

Rebecca's Place-Transition

Rebecca's Place-Resource Center

Homeless Families Foundation

Family Shelter

Jewish Family Services

Family Housing Collaborative

Maryhaven

Engagement Center

Outreach

Salvation Army

Family Housing Collaborative

Volunteers of America

Family Shelter

Men's Shelter

YWCA

Interfaith Hospitality Network

Interfaith Hospitality Network-Housing Resource Specialist

Interfaith Hospitality Network-Direct Housing

WINGS

 

Total Current Users:  102 (126 licenses issued)

 

 

·          HMIS Management at System and Program Levels

System Level (CSB)

Staff:

0.8 FTE System Administrator

0.1 FTE Program Director

0.1 FTE Front Office Assistant

Responsibilities:

HMIS policies and procedures development and oversight; individual and group site administrator training and technical assistance; group user training; system and program level report generation for funders, evaluation, and research; quality assurance monitoring and compliance; system error reporting, resolution and maintenance with Bowman Internet Systems.

 

Program Level 

Staff:

1 Site Administrator and 1 back-up Site Administrator at each agency

            Responsibilities:

HMIS policies and procedures implementation; individual and group user training and supervision; adherence to quality assurance standards; report generation for agency/program use.

 

·          Data Collected

The following data elements are required to be entered by each program participating in HMIS for clients served: 

 

·  Client name

·  Entry date

·  Gross monthly income amount at intake

·  Client SSN

·  Veteran status

·  Exit date

·  Client birth date

·  Education level

·  Reason for leaving

·  Client gender

·  Disabled or handicapped

·  Destination

·  Client race

·  Employment status

·  General area exit

·  Client Hispanic/Latino

·  Homeless status

·  Gross monthly income amount at exit

·  Household relationship

·  Type of previous housing

·  Gross monthly income amount at exit

·  Family status

·  Primary reason for crisis

·  Date of need (DCA programs)

·  Family member names

·  Secondary reason for crisis

·  Need type (DCA programs)

·  Family member birth dates

·  Previous zip code

·  Referral (DCA programs)

·  Family member SSN

·  Previous general area

·  Service cost (DCA programs)

·  Family member gender

·  Financial resources at intake

·  Need status (DCA programs)

·  Head of household

·  Gross monthly income amount at intake

 

 

Per HMIS policy, data is to be entered for all clients served in a given month by the fourth business day of the following month.

 

 

 

·          Quality Assurance

In order to ensure data quality, CSB produces and disseminates monthly, quarterly and semi-annual quality assurance reports to agencies participating in HMIS for each program.  Agencies are responsible for entering the above data for 95% of all clients within each data element.  Quality assurance monitoring also includes examining other indicators to measure data accuracy and completeness, including unusual changes in numbers served compared to prior periods and whether erroneous data was entered or otherwise appears in a program report (e.g. single adults appearing in a family only program). 

 

The quality assurance monitoring and remediation process is both exhaustive and time intensive at the system and program level.  This is due in part to the lack of ‘edit checks’ in ServicePoint, which prevent users from entering erroneous or incomplete date, as well as user inexperience with data systems and regular turnover that leads to inconsistent data entry practices.  CSB continues to work with agencies to develop program level quality assurance processes.  All agencies have dramatically improved the accuracy and completeness of data entered since the initial conversion to ServicePoint in 2001.  

 

·          Client Confidentiality

Clients served by agencies participating in HMIS are asked to sign releases for both the collection and release of information to CSB and other HMIS participating agencies.  Such consent is optional, as clients have the right to refuse their permission for the collection or release information while still receiving services.  When this occurs the client is entered as ‘anonymous’ in HMIS and provided a system generated identification number.  Agencies are responsible for fully informing clients of their rights and to following agency specific policies and procedures regarding client confidentiality.    

 

·          Data Reports

CSB routinely runs monthly, quarterly and semi-annual reports from HMIS on individual programs for quality assurance purposes, as noted above.  Data is also generated for funder reports, program evaluation, and planning purposes.  However, due to the software limitations of ServicePoint 2.05, CSB has had to manually generate system level reports.  This has proven to be inefficient for regular system reporting, evaluation, and planning purposes.  CSB is very dissatisfied with ServicePoint’s reporting capabilities and has been challenged to develop regular, alternative means of producing system level data reports due to both software and resource limitations. 

 

·          HUD Standards and Proposed Requirements

On July 22, 2003, HUD published the draft ‘Homeless Management Information Systems (HMIS) Data and Technical Standards Notice’ and requested public comment.  The notice included detailed guidance on the development of data and technical standards as well as how data is to be collected and stored.  HUD received comments from many local groups across the country as well as national housing and homeless advocacy organizations.  HUD expects to issue their final HMIS regulations soon.  CSB has been assured by Bowman Internet Systems that ServicePoint will comply with HUD standards once finalized.

 

·          HMIS Upgrade Planning

CSB intends to upgrade from ServicePoint 2.05 and is in the initial planning stages of this process.  CSB and HMIS participating agencies recognize that the current HMIS lacks sufficient data entry and reporting functionality to fully meet our local needs.  Bowman Internet Services has also developed and implemented the next generation of ServicePoint (3.02), while at the same time other HMIS products have emerged that may also be compatible with our needs.  CSB is working to secure technical assistance resources through HUD in order to fully activate our planning efforts.  The planning process will be deliberative and thorough, taking into account what we have learned since 2001 regarding data entry, quality assurance, reporting, training, and agency staff and technical capacities.  CSB intends to work closely with agency site administrators, who have agreed to serve in an advisory capacity in the planning process.  The product chosen for the upgrade will have to be fully compliant with HUD standards.  The goal is to complete the upgrade in CSB’s next fiscal year.

 

As part of our preliminary HMIS upgrade planning CSB has begun and examination of internal staffing and resources needed for both the current HMIS and an upgraded HMIS with expanded coverage of local agencies and programs.  It is abundantly clear that the current HMIS is under-resourced with respect to staff assistance for functions such as training and technical assistance, quality assurance, reporting and other related tasks.  Current HMIS staffing also prohibits the expansion of HMIS to other agencies in the Continuum of Care. 

 

CSB received the attached information regarding HMIS projects in other urban communities in order to better discern appropriate and adequate staffing levels.

 

 

 

Jurisdiction

Project Type

Avg. Annual Cost

Budget Break Down

Total FTE

FTE Break Down

Equipment

Software

Service

Personnel

Operation

Kansas City

MacLINK

Non-web

$61,500

6%

5%

34%

54%

-

5.10

2.0 TA/Training

1.0 Admin

1.0 Programming

1.1 Project Management

Baltimore

ROSIE

Non-web

Vendor hosted

 

$448,870

-

22%

-

78%

-

1.1

0.1 Project Management

1.0 TA/Training

Philadelphia<