Georgia Department of Human Services

DHS New Initiatives

Presented By

Kenneth F. Joe, Sr.

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New DHS Initiatives

1. Georgia Provider-G Meetings

2. Performance-Based Permanency Initiative

3. Performance-Based Contracting

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Georgia Provider- G Meetings

• Purpose: To allow Georgia DHS to collaborate with our provider partners to form and test hypotheses surrounding CFSR standards and Kenny A outcomes to further improve these outcomes for our children and families.

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Georgia Provider-G Meetings

• Provider-G Process• Begins with a Question• Usage of data to describe, explain and

hypothesize and/or predict• Examples of Data Usage• Source of Data• End with a Question

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Provider-G Meetings

• DHS began hosting 2 monthly Provider-G meetings in October 2009

• The meetings are divided into two groups:• CCI-Child Caring Institution• CPA-Child Placement Agencies

• Each group’s Provider meetings is specialized for their data

• DHS is reviewing global data for CPA’s and CCI’s but focuses on the data of the top 15 CPA providers and Top 20 CCI providers.

• These providers represent over 50% of the children in CCI/CPA homes across the state

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Performance-Based Permanency Initiative

• Purpose: To Improve Georgia’s performance on CFSR outcomes related to reunification and permanency for children in foster care and allowing provider partners the opportunity to share in the responsibility.

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Performance-Based Permanency Initiative

• Performance-Based Permanency Initiative Process• Authorization Stage

• Monitoring Stage

• Accounting Stage

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Performance-Based Permanency Initiative

• Agencies who currently have youth in their

care that meet all of the following criteria are

eligible to apply for the initiative: • 13 years of age or older

• 24 or more months in care

• With a primary or concurrent permanency plan of Reunification or APPLA

• In a group home, child care institution, or CPA foster home

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Performance-Based Permanency Initiative

• DHS submitted to provider partners a list of youth our records indicated they currently have in their care, meeting the previously mentioned criteria• Over 150 agencies received a list of children

• 498 children in CCI’s

• 248 children in CPA’s

• Agencies were advised the need to further assess the child to determine if the Performance-Based Permanency Initiative is appropriate for the child.

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Performance-Based Permanency Initiative

• All agencies interested in participating in the permanency initiative were required to attend the Permanency Initiative Training Session on December 8, 2010.• 105 agencies attended

• CCI Agencies began enrolling on December 14, 2009 • As of January 6, 2010

• 6 agencies have been approved

• CPA Agencies will begin enrolling February 2010

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Performance-Based Permanency Initiative

• Office of Provider Utilization and Outcome Management (OPUOM) will review all agency readiness forms and approve/disapprove the agency to participate in the Permanency initiative.

• If agency is approved Agency must submit Permanency plan for identified child within 30 business days of approval to the OPUOM unit.• Permanency Plan must include the DFCS

caseworker’s approval

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Performance-Based Permanency Initiative

• Provider agencies are required to submit monthly reports to the DFCS case manager as well as OPUOM outlining progress and any continuing barriers to permanency and reunification.

• Services should result in at least 70% of accepted children be placed in a permanent living environment and that 80% of those children remain stable at the six-month anniversary of their discharge.

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Performance-Based Permanency Initiative

• Provider Agencies will be paid performance incentives as they reach benchmarks along the timeline. • Payment 1 ($12,000) - Step Down to permanent

placement (enrollment in school, parental supervision and safety plan submitted)

• Payment 2 ($14,000)- Discharge (school or vocational attendance 80% of the time during the past 30 days, zero incidents of serious physical aggression in the last 30 days)

• Payment 3 ($9,000) - 90 days post dischargeTotal- $ 35, 000

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Performance-Based Permanency Initiative

• Outcomes will be tracked by OPUOM and reviewed with providers at the monthly Provider-G Meetings

• OPUOM will conduct random site visits monthly to determine and assess if data submitted are accurate• Written report of the findings will be submitted

to Contract monitoring monthly

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Performance-Based Contracting

• Purpose: To allow Georgia DHS to emphasize on results related to output, quality and outcomes rather than how the work is performed. Performance-Based Contracting will allow DHS to have clearly defined objectives and timeframes, use measurable performance standards, quality assurance plans and provide performance incentives and penalties to payment outcomes

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Performance-Based Contracting

• Staff in OPUOM began editing the current CCI and CPA Staff in OPUOM began editing the current CCI and CPA contract templates to include PBC language and outcomes contract templates to include PBC language and outcomes as well as CFSR language – as well as CFSR language – Completed on 11/30/09Completed on 11/30/09

• Two Sub-Groups of the Provider Network will review and Two Sub-Groups of the Provider Network will review and give feed back on OPUOM’s first template draft. give feed back on OPUOM’s first template draft.

• CCI and CPA focus groups will be developed to review CCI and CPA focus groups will be developed to review their contract-their contract-Complete by 3/1/10Complete by 3/1/10• Focus Group Developed November 15, 2009Focus Group Developed November 15, 2009• Focus Group hosted 2 meetings for their first draft revision Focus Group hosted 2 meetings for their first draft revision

(December 15, 2009 and January 5, 2010)-Draft due January (December 15, 2009 and January 5, 2010)-Draft due January 15, 2010)15, 2010)

• Focus Group 2Focus Group 2ndnd Revision Revision Due March 1, 2010Due March 1, 2010

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Performance-Based Contracting

• A Provider Summit will be scheduled for ALL A Provider Summit will be scheduled for ALL Provider CPA’s and CCI’s to review new CPA Provider CPA’s and CCI’s to review new CPA and CCI Contracts that will be issued for fiscal and CCI Contracts that will be issued for fiscal year 2010 year 2010 – Complete by 4/15/10– Complete by 4/15/10

• New PBC will be mailed to CCI and CPA New PBC will be mailed to CCI and CPA Providers Providers – Complete by May 1, 2010– Complete by May 1, 2010

• CPA and CCI Providers return signed contracts to CPA and CCI Providers return signed contracts to DHS by DHS by – Complete by 6/15/10– Complete by 6/15/10

• Executed Contracts returned to all CPA and Executed Contracts returned to all CPA and CCI Providers who have returned Contracts – CCI Providers who have returned Contracts – Complete by 7/1/10Complete by 7/1/10

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DHS New Initiatives

Questions