performance data management: opportunities and challenges lilit tovmasian mame polito california...
TRANSCRIPT
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Performance Data Management: Opportunities and Challenges
Lilit TovmasianMame PolitoCalifornia Department of AgingData TeamNovember 2010
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Workshop Objectives
1. Increased Importance of Data
2. Data Management Review
3. Future of Data
4. CARS Users Group Discussion
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SECTION 1
Increased Importance of Data
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Increased Importance of Data
DataInformationKnowledge
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Increased Importance of Data
Government Performance and Results Act (GPRA), 1993
Requires federal agencies and programs to develop long-term Strategic Plans
Requires the publication of an Annual Performance Plans to accompany the budget justification
Requires federal agencies and programs to document results Requires federal agencies and programs to improve performance based
on results
Accountability = Funding
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SECTION 2
Data Management Review
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Data Management Review
What have we done?
NAPIS SPR Trend
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NAPIS SPR Service Summary Highlights – What Questions Does it Raise?
Data Management Review
Service Category Unit Type
1999 2009
% Total Funding
Cost per unit% Total Funding
Cost per unit
Personal Care Hour 1.2% $9.35 0.7% $23.75 Homemaker Hour 2.8% $11.54 1.8% $24.88 Chore Hour 0.6% $20.96 0.1% $83.65 Home Delivered Meals Meal 27.1% $4.73 31.9% $6.85 Adult Day Care/Health Hour 2.8% $7.05 3.9% $13.94 Case Management Hour 3.7% $31.94 4.4% $78.20 Assisted Transportation 1 Way Trip 2.0% $12.54 0.5% $25.42 Congregate Meals Meal 34.2% $6.33 35.3% $9.94 Nutrition Counseling Session per Participant 0.2% $147.59 0.2% $52.21 Transportation 1 Way Trip 2.6% $5.36 2.7% $8.09 Legal Assistance Hour 4.2% $42.50 5.1% $67.96 Nutrition Education Session per Participant 0.5% $22.18 0.6% $4.16 Information and Assistance Contact 3.8% $5.24 3.6% $7.23 Outreach Contact 0.9% $8.26 0.7% $7.29 Other 13.4% 8.5%
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Whom Do We Serve?
*Demographic information is available for only Title III registered clients.
Data Management Review
2009 Demographics:Population
60+Non-Minority
60+Minority 60+
Low Income 60+
Lives Alone 60+
Geo. Isolation60+
California
6,143,524
3,784,681 2,358,843 628,493 1,192,060
346,030
% of Total Population 60+ 100% 62% 38% 10% 19% 6%
Total III Registered Clients *
229,004
115,571 78,928 94,252 90,202 28,748
% of Total III Registered Clients 100% 50% 34% 41% 39% 13%
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Data Management Review
Family Caregiver Support Program (Title IIIE) Impact on Caregivers Caring for Elderly
YearTotal Caregivers
Caring for Elderly
Total Grandparents/
Elderly Caregivers Caring for Children
2005 18,622 1,383 2006 20,307 2,467 2007 17,972 1,105 2008 17,860 1,059 2009 11,167 529
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Data Management Review
Information Challenges
Systems are more complex Common data issues
Missing Data Underreporting Questionable Fluctuations Not Meeting Reporting
Requirements
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Information Challenges Common Data Issue #1 – Missing Data
Missing data in FY 2009 NAPIS SPR
Solutions… Add differentiation between “missing” and “declined to state” fields Ensure intake sheets contain all required data elements Implement evaluation surveys with a component of demographic data
collection
Title III Nutrition and Supportive Services Title III Family Caregiver Support Program
Poverty 20% Caregivers by Relationship 39% Ethnicity 19% Ethnicity 23% Race 15% Race 19% Live Alone 15% Age 15% Rural Status 7% Gender 11% ADLs 6% Rural Status 2% IADLs 6% Gender 3% Age 3%
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Information Challenges Common Data Issue #2 – Underreporting
Solutions… Encourage direct data entry as much as possible Investigate the reason behind under-reporting Use available resources to resolve ongoing under-reporting
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Information Challenges Common Data Issue #3 – Questionable
Fluctuations
Solutions… Ongoing monitoring of data Ongoing communication with providers, other AAA staff, CDA Understand changes in service levels
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Information Challenges Common Data Issue # 4 – Not Meeting Reporting
Requirements
Not collecting all data elements as required by the CARS File Specifications
Not reporting performance data where expenditures have been reported (vice versa)
Solutions… Review the quarterly “CARS Quarterly Error Report” and make necessary
system corrections Review the CARS File Specifications Reference the CARS Overview and Guidance document Review with the AAA Fiscal Officer and Planner which services the AAA
provides
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SECTION 3
Future of Data Management
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Future of Data Management
Finalizing CARS Guidance Common Concerns
Service Unit Rounding Reporting “Primary” Caregivers
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Future of Data Management
Establishing a Data Champion Users Group 10 AAA Champion Users A Diverse Group of AAAs Changing Membership
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Future of Data Management
AoA NAPIS SPR changes (July 1, 2011)
Updates to Service Categories and Data Dictionary
CARS modifications
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SECTION 4
CARS Users Group Discussion
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CARS User Group Discussion
How can we continue to improve performance data collection and reporting across the Aging Services Network?
&
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Please remember complete the evaluation form.
Thank You for Your Participation