Using data for planning and funding Hutt Valley DHB NGO Information development workshop
description
Transcript of Using data for planning and funding Hutt Valley DHB NGO Information development workshop
Using data for planning and funding Hutt Valley DHB
NGO Information development workshop
Michelle van der RaaijService Analyst
Planning & FundingMay 2012
We got into this
to help people
Our purpose
Are we really helping people?
How do we know we are doing a good job?
The big questions
The big questionsHow do we know we
are doing a good job?
Are we really helping people?
Planning: have we got the right services to meet people’s needs?
Funding:
Have we got the best
out of o
ur
resources? Management:
Is all
our effort
making a
difference?
The data helps us answer the big questions
Planning FundingContract monitoringService managementService quality
Using data – a journey with our providers Started collecting client NHI level data in 2008 Excel spreadsheet templates Tailoring the data to the kind of service e.g. day
service, work rehab, community support, residential Feeding back the data:
regular contract meetings with Providers Discussion about the story behind the numbers Supporting service improvement and
development
What data do we collect?
Excel spreadsheet templates NHI (or unique identifier) Contacts Contact hours Beddays used Work hours Attendances at group sessions “Drop-ins” Outcomes
What data do we collect?Day service template
MHCS16C
ATTENDANCES at house programme and drop-in centreTotal YTD Jul-09 Aug-09 Sep-09 Oct-09 Nov-09 Dec-09
Total unique individuals 107 126 129 132 110 104 132Total General attendances at
facility 4378 709 720 873 628 705 743Total Attendances at
programmes 1417 232 200 278 183 219 305
Total days facility was
open
Total programme
sessions provided
21 37
Client NHI Ethnicity Date of birthAge as at 1/07/09
General attendance at
facilityAttendances at programmes
General attendance at
facilityAttendances at programmes
NHI UNKNOWN o 2 5AAA1234 o 6/11/1965 43 2 0
BBB5678 o 18/08/1954 54 24 4 5
Activity-Based Rehabilitation Service/Day Activity & Living Skills
Jul-09
Total Attendances YTDClient Information Jul-09
What data do we collect?Tailoring report for use of management
Automatically calculated - please check cell references
Day activity centre
volunteeringCommunity
volunteeringContracts/T
emping Paid part-time work
Paid full-time work Grand Total 0
number of clients 21 15 10 9 2 43 0Staff activity (Multiple Items)Excludes hours with staff activity of coordination and promotionMonth of service 6 Select the number of the month (e.g. 7 = July) ALL = YTD
Sum of Activity time (hours & mins)Work placement
NHI
Day activity centre
volunteeringCommunity volunteering
Contracts/Temping
Paid part-time work
Paid full-time work
Grand Total
AAA1234 12.50 12.50
Current progress of clients
Using the data for Planning
Mapping services How many people are using
services? Where are the gaps?
Hutt Valley DHB Mental Health Basic Service MapPr
imar
ySe
cond
ary-
Loca
lSe
cond
ary-
SubR
egio
nal
Tert
iary
-Reg
iona
l Spe
cial
ist
Infant/ Child Youth Adult Older People
(NGO)
Parent Education
(eg Incredible
Years)
(DHB)
Primary MH (PHO, NGO)
Youth One Stop Shop (eg Vibe NGO)
Opioid Substitution (PHO)
Infant, Adolescent and Youth Community Services (including Maori & Pacific) (DHB)
Adult Community (including Maori/ Pacific) (DHB) Older Persons Community (DHB in AT&R)
Dementia/ Psychogeriatrics
(NGO/ DHBHealth of Older People services)
Crisis Assessment & Treatment (DHB)Phone Line (triage and support, peer support) (NGO)Inpatient (Acute/ ICU & Acute Day Service ) (DHB)
Respite (Planned and Crisis) (DHB & NGO)Day Service (NGO)
Employment Support (NGO)Peer Support/ Advocacy (NGO)
Residential (NGO)
Community Support (including flexible support- NGO)
Rangatahi Youth Services (DHB)
Intensive Clinical Support (DHB)
Early Intervention Service (DHB)
Rangatahi – Inpatient (DHB)
Refugee and Migrant (NGO)
Eating Disorders Service (DHB)
Regional Speciality Services:Maternal MH
Specialist Psychotherapy/Personality Disorder
Dual Diagnosis Addictions/ MHDual Diagnosis MH/ Intellectual Disability
(DHB)
Regional Rehabilitation (DHB)
Opioid Substitution (DHB)
Medical Detoxification (DHB)
Forensic – Community (Courts/ Prisons)Forensic residential (DHB)
Forensic Step-Down Residential (NGO)
MH Longterm care for older persons
Manor Park(NGO)
Refugee and Migrant (NGO)
Add
iction
s Co
mm
unity,
Day
Pro
gram
mes
and
Res
iden
tial
Reh
ab (D
HB &
NGO
)
Inpatient (Acute/ ICU & Acute Day Service ) (DHB)
Regional Management
based in HVDHB
Managed by CCDHB
Managed and provided by
HVDHB
Managed and
provided by CCDHB
Key
AO
D A
ddic
tion
s Co
mm
unity,
Day
Pro
gram
mes
and
Res
iden
tial
Reh
ab (N
GO)
Produced November 2011HVDHB P&F MH
Michelle Van Der Raaij, Simon Phillips, Anne Bateman
Multisystemic therapy (NGO)
Child & Youth Maori Child & Youth Pacific Child & Youth Youth Adult Maori Adult Pacific Adult Older Adult
Local communityDay service
Peer support & Advocacy
Work rehab
Community support
Planned respite
Residential
subregional communityCommunity support
Planned respite
Residential
AOD
AOD residential
Regional communityAOD
AOD residential
Local SpecialistAOD
Community MH
consult/ liaison
day service
crisis
inpatient
Regional Specialist Eating disorder service
9
Q-nique
192 Care NZQ-nique
55 60 MH SolutionsRichmondNZ
126200 Te Paepae Arahi
Te Paepae Arahi
28Vakaola
Te Waireka
394 Take 5, MASH,Friends who care
25 Vakaola
210 Oasis
827 Q-niqueRichmondNZ
28Te Paepae Arahi
134 Valley TransitionzEarthlink
18 Q-nique
Q-nique
53
43Nova, Odyssey,The Salvation Army
265The Salvation Army
27RichmondNZ
20 278
240
1734
1443
193
120
776
319
3 Manor Park
HVDHB
HVDHB
HVDHB
HVDHB
HVDHB
HVDHB
HVDHB
HVDHB
333 266 200HVDHB
HVDHB
3
49
Q-nique
HVDHB
HVDHB beds
data to be obtained
HVDHB
59 HVDHB community
using local NGO services ONLY = 989
people
Using HVDHB Provider Arm ONLY = 2,871 people
HV people using local NGO services = 1,560 people
HV people using HVDHB MH&A services = 3,456 people
using Provider Arm and local
NGO services = 569 people
Hutt Valley people using specialist Mental Health services in 2009/10 contracted by Hutt Valley DHB:
5,116 people (4% of total population)
HV people using CCDHB Provider
Arm services ONLY = 452
HV people using regional NGO
addiction services ONLY = 217
Using the data for Funding Are the resources being used fully? Are we getting value for money? Could more people be seen? Are all the hours/beds available
being used? Are people getting a good service?
Using the data: setting targets
What have we contracted for? What is the service model? FTE = 30 contact hours for 52 weeks or
adjust to service model Available beds – what is the target
occupancy? Length of stay in service - beds
Using the data:Data quality improvement +
Service management =more people receive service
Youth Community Support work: Clients seen and contact hours vs target
0
50
100
150
200
250
300
Jul-08
Oct-
08
Jan-0
9
Apr-
09
Jul-09
Oct-
09
Jan-1
0
Apr-
10
Jul-10
Oct-
10
Jan-1
1
Apr-
11
Jul-11
Oct-
11
Jan-1
2
co
nta
ct
ho
urs
0
5
10
15
20
25
30
35
un
iqu
e c
lien
ts s
een
Actual contact hours Total Avail hrs (30h/52w) Clients seen
Using the data: Adjusting funding to match what is being
deliveredAdult Community Support work: Total contact hours (Direct & indirect)
0
100
200
300
400
500
600
700
800
900
Jul-08
Sep-0
8
Nov-0
8
Jan-0
9
Mar-
09
May-0
9
Jul-09
Sep-0
9
Nov-0
9
Jan-1
0
Mar-
10
May-1
0
Jul-10
Sep-1
0
Nov-1
0
Jan-1
1
Mar-
11
May-1
1
Jul-11
Sep-1
1
Nov-1
1
Jan-1
2
Mar-
12
CCDHB CCDHB Available hours (30hx52w) HVDHB HVDHB Available hours (30hx52w)
Using the data: benchmarking outcomes
Outcomes for AOD Youth FY 2011/12 YTD
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Percent of cases
completing treatment
Percent of youth living at
home
Percent of youth in
school/ working
Percent of youth with no
new arrests
Outcomes measures
% o
f to
tal people
who c
om
ple
ted
treat
ment
in p
eri
od
Target Team South Team East Team North
Using the data: For regional planning
ProviderNo. beds
used % occupancyNo.
clientsALOS (mths)
Provider A 10.4 91% 28 4.8
Provider B 3.9 49% 7 12.3Provider S 17.8 74% 132 1.8Provider T 5.1 40% 25 1.2Provider H 6.2 52% 42 1.2Total 43.5 64% 234
2011/12 YTD Jul 11 - Mar 12 AOD residential
Using the data: meeting population need
Ethnicity of Central Region AOD Residential Service Users vs Target population with 12 month prevalence of substance use disorder
(TRH 2006) 2011/12 YTD
0%
10%
20%
30%
40%
50%
60%
70%
Maori Pacific Other
Target Service users
Future plans – using the data Move to PRIMHD as the main data source Continue to support providers to use the data Continue to use data to inform planning &
funding Use data to recognise better service
performance Support development of outcome measures
to inform service quality improvement