D.6 FY20 Staff Technical Manual Homeless Performance Measures and Metrics_Final.pdf

Page: 1 of 49 VHA Homeless Program Office ● Performance Measure & Metrics Technical Guide 10/01/2019

Homeless Services Scorecard Overview

The Homeless Services Scorecard displays VAMC, VISN and national-level performance data for VHA Homeless Programs by month, quarter, and year.

• The “Drill Down” reports provide more detailed information for each measure, including Veteran SSN-level data and program performance data. To access these reports, click on the measure’s name, then select your VISN and site.

• The “Chart Builder” feature provides you with the ability to create customized charts based on any Scorecard metric.

• “Stop Light” coding for the scores and ranges are included with each measure’s description.

o Green = meeting or exceeding the target.

o Yellow = below the target but within reach.

o Red = performance is significantly below the target and the site is at risk of not being able to meet the target by year’s end.

• A measure will not display on the Scorecard if it is not applicable to a particular site.

For example, a site that does not have a CWT/TR program will not have these measures included on its scorecard.

Quick guides and other technical assistance resources are available on the Homeless Programs Operational Planning Hub. Please address any questions or concerns regarding the Scorecard and performance measures to the Homeless Programs Support Team via the HOMES Help Desk, available on the HOMES Main Page. For additional information on using the Help Desk, please review the HOMES Help Desk User Quick Guide.

Technical Manual: FY 2020 Homeless Performance Measures and Metrics VHA Homeless Programs

This manual provides information regarding VHA Homeless Programs performance metrics and measures.

Homeless Services Scorecard: VSSC Scorecard Operational Planning Hub: Operational Planning Hub

Instructions for VSSC SSN-level privileges: VSSC Instructions

Attachment D.6 http://vhaindwebsim.v11.med.va.gov/hub2/hp/library.html http://vhaindwebsim.v11.med.va.gov/hub2/hp/library.html https://vaww.homes.va.gov/VAHomesNew.aspx http://vhaindwebsim.v11.med.va.gov/hub2/app/hp/library/record/visit?id=894 https://securereports2.vssc.med.va.gov/Reports/Pages/Report.aspx?ItemPath=%2fHomeless%2fSC_MAIN https://securereports2.vssc.med.va.gov/Reports/Pages/Report.aspx?ItemPath=%2fHomeless%2fSC_MAIN http://vhaindwebsim.v11.med.va.gov/hub2/hp/ http://vhaindwebsim.v11.med.va.gov/hub2/app/hp/library/record/visit?id=393

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Formal Performance Measures OP1: Percent Hired HMLS3: Percent Housed in HUD-VASH HCHV5: Engagement of Unsheltered Veterans

Homeless Program Operations OP3: Permanent Housing Placements

Descriptive Measures – Residential Treatment GPD-TIP1: Percent Exits to Permanent Housing GPD-TIP2: Percent Negative Exits GPD-TIP3: Percent Employed at Exit

GPD-BH1: Percent Exits to Permanent Housing GPD-BH2: Percent Negative Exits GPD-LD1: Percent Exits to Permanent Housing GPD-LD2: Percent Negative Exits GPD-HH1: Percent Exits to Permanent Housing GPD-HH2: Percent Negative Exits GPD-CT1: Percent Exits to Permanent Housing GPD-CT2: Percent Negative Exits GPD-CT3: Percent Employed at Exit GPD-SI1: Percent Exits to Permanent Housing

GPD-SI2: Percent Negative Exits GPD-SI3: Percent Employed at Exit HCHV1: Percent Exits to Permanent Housing HCHV2: Percent Negative Exits

Descriptive Measures – HUD-VASH VASH1: Percent within 90 Days Entry to Housed in HUD-VASH VASH2: Percent Negative Exits VASH3: Percent Employed in HUD-VASH HMLS43: Prioritization of Admissions in HUD-VASH

Appendix

Important Changes

TABLE OF CONTENTS Click on the hyperlink to go directly to the measure details.

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INDICATOR DESCRIPTION

Percentage of VHA Homeless Program Office-funded positions that are currently filled.

POPULATION

N/A

TARGET AND BUSINESS RULES

The FY 20 target for this measure is 90%

ESCALATING TARGETS AND STOP LIGHT FORMATTING

90% or above (Green), 89% or below (Red)

NUMERATOR

Total number of positions indicating a “filled” status in the Mental Health Initiatives Reporting System (MHIRS, also known as the “Homeless Staffing Database”).

DENOMINATOR

Number of positions funded by the VHA Homeless Programs Office in FY 2020.

o Data source: MHIRS.

DENOMINATOR EXCLUSIONS

The following positions are not included in the denominator:

1. VAMC-funded or VISN-funded positions providing homeless services at the VAMC or VISN, for which no VHA Homeless Program Office funding has been issued.

2. Positions listed with a “0” FTE in the database (contract positions) are excluded from the denominator.

3. Positions funded during FY 2020 that have not been active for at least 90 days.

RATIONALE

The hiring of homeless program positions is essential to VHA’s initiative to end homelessness among Veterans. Position vacancies result in reduced services for homeless Veterans and inefficient use of resources. This measure is intended to provide VACO, VISNs, and VAMCs feedback on hiring rates within their homeless programs and to reinforce hiring efforts.

OP1: Percent Hired

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This measure is a point-in-time measurement of the percentage of Housing and Urban Development-VA Supportive Housing (HUD-VASH) vouchers issued to the VAMC that result in housing.

POPULATION

Veterans currently in HUD-VASH housing.

TARGET AND BUSINESS RULES

The target for September 30, 2020 is 92%.

ESCALATING TARGETS AND STOP LIGHT FORMATTING

92% or above (Green), 91% or below (Red)

NUMERATOR

Number of Veterans currently in HUD-VASH housing. Veterans who have signed a lease and moved into an apartment unit or house resulting in a homeless Veteran achieving resident status and no longer being counted as homeless. This includes Veterans or their family members who are graduated from HUD-VASH case management services and have retained a HUD-VASH voucher. This is a point-in-time measure. Therefore, if a Veteran is housed at the end of a reporting period, the Veteran will be included on the Veteran-level report in the numerator for the reporting period.

o HOMES data source: Most current HUD-VASH Housing Progress Form (HPF), item 6 has a date entered.

o ODC data source: Legacy Housing Progress Report 2 (HPR2) item 15 has a date entered and Legacy Case Management Progress Report (CMR) items 6 and 8 are entered as option 1 and item 20a is entered as option 3.

Veterans who have been discharged from HUD-VASH case management with a HUD-VASH voucher or have a family member who continues to use the voucher after discharge are included in the numerator:

o HOMES data source: HUD-VASH Exit Form, item 6 has option 1 or 2 entered, or item 5 has option 12 and 5a has option 1.

o HOMES data source: HET, Section III Voucher Status, item 2 = 9.

Veterans housed at the end of each reporting period are included on the Veteran-level report and in the numerator the reporting period. If the Veteran leaves housing, the Veteran is not included during the month the Veteran was not housed and is removed from the YTD numerator. In all cases, date of move out must be considered. When a subsequent move-in date is documented the Veteran is considered re-housed and will be counted during the move-in month. Veterans are not housed if the following is documented in HOMES:

o HOMES data source: HUD-VASH Exit Form, item 4 has a date entered and item 6 is entered as option 3 – 9.

o HOMES data source: HUD-VASH HPF Form, item 14 = 1, 2, 3, 5, 6, 7, or 8 and 14a has a date entered.

o HOMES data source: HET, Section III Voucher Status, item 1 has a date entered and item 2 = 1, 2, 5, 6, 7, or 8.

NUMERATOR EXCLUSIONS

1. Veterans are excluded from the numerator if they are indicated as deceased on the HUD-

VASH Exit Form or VA enrollment file.

HMLS3: Percent Housed in HUD-VASH

Page: 5 of 49 VHA Homeless Program Office ● Performance Measure & Metrics Technical Guide 10/01/2019 o HOMES data source: HUD-VASH Exit Form item 5, option 12, or the VA enrollment file, unless exit form item 5a indicates that the voucher will be used by another household member (option 1).

2. Any legacy records for Veterans that are in the numerator via HOMES data are excluded.

3. Using a matching procedure between VA and HUD databases, Veterans previously counted in the HMLS3 numerator who had been discharged from case management services with a HUD-VASH voucher and are no longer housed in HUD-VASH according to HUD’s data systems are removed from the numerator. This matching procedure will occur on a monthly basis.

4. Veterans previously counted in the numerator who are no longer housed according to HOMES data.

o HOMES data source: Housing Progress Form (HPF), item 14 = 1, 2, 3, 5, 6, 7, or

8 on the most recently submitted HPF, indicating that the Veteran is no longer housed in HUD-VASH as result of a change in voucher status, and item 14a has a date entered.

o HOMES data source: HUD-VASH Exit form indicates that the Veteran or family member exited without a voucher, item 4 has a date entered, and item 6 = 3-9 or 5a=0.

o HOMES data source: Section III of the Housing & Employment Tracker (HET) = 1, 2, 5, 6, 7, or 8, indicating that the Veteran is no longer housed in HUD-VASH as result of a change in voucher status. This rule only applies if the Veteran does not have an open admission in HUD-VASH Case Management.

DENOMINATOR

Number of vouchers allocated to the VAMC between FY 2008 – FY 2019. If FY 2019 HUD- VASH vouchers are allocated to PHAs after September 30, 2019, they will not be included in the denominator for this metric.

DENOMINATOR EXCLUSIONS

1. Vouchers that are set aside for project-based housing developments that are not yet activated are excluded from the denominator. These vouchers will be included 90 days after operations begin at the project-based site and will be reflected in the following month’s denominator.

2. Vouchers allocated to PHAs from the FY 2020 voucher allocations will be excluded from the measure. If FY 2019 HUD-VASH vouchers are allocated to PHAs after September 30, 2019, they will not be included in the denominator for this metric.

3. Vouchers released to Continuum Programs as a part of the HUD-VASH Continuum Pilot will be excluded from the denominator. Note that in order for the denominator to reflect this exclusion, VAMCs participating in the pilot are responsible for notifying the HUD- VASH Program Office as vouchers are released.

SCORECARD DISPLAY EXCLUSION CODES

1. HUD Table Exclusion

2. HPF Voucher Status Exclusion

3. Additional Legacy Exclusion

5. HPF Form Exclusion

6. HOMES Current Status Table Exclusion

7. Veteran Deceased at Program Exit

8. HUD-VASH Exit Form Exclusion

10. External Date of Death

The number of Veterans who are homeless will decrease with each Veteran who obtains permanent housing through HUD-VASH. Placement into permanent housing is critical to ending Veteran homelessness, and HUD-VASH is VHA’s primary resource for accessing permanent supportive housing.

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Number of Veterans with a HOMES Assessment who were unsheltered in the preceding 30 days.

POPULATION

Veterans engaged by VA Homeless Programs.

TARGET AND BUSINESS RULES

Targets will be set at the VAMC level. For VAMCs that exceeded the FY 2019 target, the FY 2020 target will be the total number of unsheltered Veterans engaged during FY 2019. Target adjustments will be considered for those sites that had an end-of-FY 2019 score of 95% or below and had a FY 2019 target of 100 or greater. Any adjustments to the FY 2020 targets must be requested by VAMCs that meet criteria for an adjustment. Adjustments will be made by the Homeless Program Office based on an analysis of Point in Time (PIT) Count, By-Name List (BNL), and estimated inflow data in the FY 2020 Gap Analysis tool. In addition to target adjustments, full exemptions from the measure will also continue to be applied for sites that do not have the unsheltered Veteran population to meet the target.

ESCALATING TARGETS AND STOP LIGHT FORMATTING

Q1: 25% or above (Green), 24% or below (Red) Q2: 50% or above (Green), 49% or below (Red) Q3: 75% or above (Green), 74% or below (Red) Q4: 100% or above (Green), 99% or below (Red)

NUMERATOR

Number of assessments conducted during FY 2020 in which Veterans spent at least 1 night in a place not meant for habitation in the 30 days prior to assessment.

o HOMES data source: Intake Assessment Form, item 20, option 25 (Place not meant for habitation).

o HOMES data source: Intake Assessment Form, item 21, is yes.

For VAMCs that exceeded the FY 2019 target, the denominator for this measure is the total number of Veterans assessed during FY 2019 who spent at least 1 night in a place not meant for human habitation in the 30 days prior to assessment. The denominator for sites that did not achieve the FY 2019 target will remain consistent with prior FY targets for this measure.

The denominator values for each VAMC included in the metric are as follows:

Facility FY 2020 Target (1V01) (402) Togus, ME 124 (1V01) (405) White River Junction, VT 65 (1V01) (518) Bedford, MA 78 (1V01) (523) Boston HCS, MA 113 (1V01) (608) Manchester, NH 99 (1V01) (631) Central Western Massachusetts HCS 179 (1V01) (689) VA Connecticut HCS, CT 314 (1V02) (528A7) Syracuse, NY 54 (1V02) (561) New Jersey HCS, NJ 152 (1V02) (632) Northport, NY 90 (1V04) (460) Wilmington, DE 103 (1V04) (542) Coatesville, PA 137

HCHV5: Engagement of Unsheltered Veterans

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(1V04) (595) Lebanon, PA 189 (1V04) (642) Philadelphia, PA 478 (1V04) (646A4) Pittsburgh, PA 97 (1V05) (512) Baltimore HCS, MD 374 (1V04) (540) Clarksburg, WV 49 (1V05) (581) Huntington, WV 130 (1V05) (613) Martinsburg, WV 97 (1V05) (688) Washington, DC 332 (1V06) (637) Asheville, NC 134 (1V06) (652) Richmond, VA 307 (1V06) (659) Salisbury, NC 221 (2V07) (508) Atlanta, GA 683 (2V07) (521) Birmingham, AL 274 (2V07) (534) Charleston, SC 494 (2V07) (544) Columbia, SC 229 (2V07) (557) Dublin, GA 197 (2V07) (619) Central Alabama Veterans HCS, AL 148 (2V07) (679) Tuscaloosa, AL 83 (2V08) (516) Bay Pines, FL 505 (2V08) (546) Miami, FL 669 (2V08) (548) West Palm Beach, FL 275 (2V08) (573) Gainesville, FL 874 (2V08) (672) San Juan, PR 50 (2V08) (673) Tampa, FL 300 (2V08) (675) Orlando, FL 549 (2V09) (614) Memphis, TN 297 (2V09) (621) Mountain Home, TN 126 (2V09) (626) Middle Tennessee HCS, TN 504 (3V10) (515) Battle Creek, MI 298 (3V10) (538) Chillicothe, OH 109 (3V10) (539) Cincinnati, OH 350 (3V10) (552) Dayton, OH 107 (3V10) (610) Northern Indiana HCS, IN 216 (3V10) (655) Saginaw, MI 77 (3V10) (757) Columbus, OH 212 (3V12) (537) Jesse Brown VAMC (Chicago), IL 541 (3V12) (556) Captain James A Lovell FHCC 48 (3V12) (578) Hines, IL 214 (3V12) (585) Iron Mountain, MI 5 (3V12) (607) Madison, WI 78 (3V12) (695) Milwaukee, WI 161 (3V15) (589) Kansas City, MO 179 (3V15) (589) Wichita, KS 154 (3V15) (657) Marion, IL 32 (3V15) (657) Poplar Bluff, MO 41 (3V15) (657) St. Louis, MO 362 (3V15) (589) Columbia, MO 63 (4V16) (520) Gulf Coast, MS 249 (4V16) (564) Fayetteville, AR 118 (4V16) (580) Houston, TX 1131 (4V16) (586) Jackson, MS 216 (4V16) (598) Little Rock, AR 233 (4V16) (629) New Orleans, LA 501 (4V17) (504) Amarillo, TX 46 (4V17) (519) Big Spring, TX 43 (4V17) (549) Dallas, TX 849 (4V17) (671) San Antonio, TX 256 (4V17) (674) Temple, TX 317

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(4V17) (740) Texas Valley Coastal Bend HCS 67 (4V17) (756) El Paso, TX 168 (5V18) (501) New Mexico HCS 367 (5V18) (644) Phoenix, AZ 1371 (5V18) (649) Northern Arizona HCS 360 (5V18) (678) Southern Arizona HCS 285 (4V19) (442) Cheyenne, WY 98 (4V19) (436) Montana HCS 97 (4V19) (554) Aurora, CO 747 (4V19) (575) Grand Junction, CO 63 (4V19) (623) Muskogee, OK 85 (4V19) (635) Oklahoma City, OK 109 (4V19) (660) Salt Lake City, UT 237 (4V19) (666) Sheridan, WY 20 (5V20) (463) Anchorage, AK 100 (5V20) (531) Boise, ID 115 (5V20) (648) Portland, OR 645 (5V20) (653) Roseburg, OR 308 (5V20) (663) VA Puget Sound, WA 915 (5V20) (668) Spokane, WA 232 (5V20) (687) Walla Walla, WA 189 (5V20) (692) White City, OR 164 (5V21) (459) Honolulu, HI 361 (5V21) (570) Fresno, CA 255 (5V21) (593) Las Vegas, NV 1177 (5V21) (612) N. California, CA 644 (5V21) (640) Palo Alto, CA 564 (5V21) (654) Reno, NV 366 (5V21) (662) San Francisco, CA 552 (5V22) (600) Long Beach, CA 799 (5V22) (605) Loma Linda, CA 540 (5V22) (664) San Diego, CA 649 (5V22) (691) Greater Los Angeles HCS 2,364 (3V23) (437) Fargo, ND 64 (3V23) (618) Minneapolis, MN 309

DENOMINATOR EXCLUSIONS

During FY 2016, the Health Care for Homeless Veterans (HCHV) Program established a mechanism by which VAMCs can be exempted from this measure if there is evidence there is not enough of an unsheltered Veteran population to meet the target. Sites with existing exemptions as of 10/1/2019 and guidance for requesting an exemption can be found here.

RATIONALE

Though the VA is making progress in ending Veteran homelessness, much of the gain has come in reducing the number of sheltered homeless Veterans, while the number of unsheltered homeless Veterans has remained relatively stable. Reducing the unsheltered homeless Veteran population is a very high priority for VA and other federal agencies, such as HUD and the United States Interagency Council on Homelessness. This measure is intended to prioritize outreach to unsheltered homeless Veterans, engaging them in the care needed to ultimately obtain and maintain permanent housing.

http://r03cleapp06.r03.med.va.gov/hub2/app/hp/library/record/visit?id=51868

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De-duplicated number of Veterans receiving Residential Treatment (RT), HUD-VASH, and Supportive Services for Veteran Families (SSVF) Rapid Re-Housing (RRH) homeless services who obtain permanent housing (PH).

For this metric, PH placements are captured for three possible cohorts:

1. Veterans who move in to PH through HUD-VASH in FY20.

2. Veterans with a HOMES program exit to PH in FY20 from RT programs (including GPD, HCHV CERS, and HCHV LDSH).

3. Veterans who move-in to housing or exit SSVF RRH services to PH in FY20.

TARGET AND BUSINESS RULES

There is no target for this measure.

N/A

Number of permanent housing placements in FY20.

1. Number of Veterans with a HUD-VASH move-in date between 10/1/19 and 9/30/20.

o HOMES data source: HUD-VASH Housing Progress Form (HPF), item 6 has a date entered.

2. Number of Veterans with an RT program exit to PH between 10/1/19 and 9/30/20.

o HOMES data source: Residential Treatment Exit Form item 3, options 1 – 7 or 9.

3. Number of Veterans with an SSVF RRH housing move-in date between 10/1/19 and

9/30/20. If no move-in data is available, the Veteran will be counted in the measure if their SSVF RRH program exit is to a permanent destination type.

o HUD HMIS data source: Field 3.20, Housing Move-In Date and Field ID 3.12, Destination options 3, 10, 11, 19-23, 26, 28, and 31-34.

NUMERATOR EXCLUSIONS

A PH placement will only be counted once if it falls within the timeframes outlined below.

Duplicate placements to PH, due to Veterans receiving services from multiple programs, will be excluded from the numerator. These are the following cases in which this de-duplication will occur:

1. Veteran moves into PH through HUD-VASH and also has an RT program exit or SSVF RRH move-in/exit to PH within 30 days of the HUD-VASH move-in. The RT or SSVF RRH placement will be excluded from the numerator.

2. Veteran has an RT program exit to PH and an SSVF RRH move-in/exit to PH within 14 days of the HOMES program exit. The SSVF RRH placement to PH will be excluded from the numerator.

OP3 counts the number of placements rather than a percentage, so there is no denominator.

RATIONALE

VA and community PH placements are key to ending Veteran homelessness. This metric establishes a methodology to identify how many Veterans exit homelessness to permanent housing, thereby ending homelessness for those Veterans.

OP3: Permanent Housing Placements

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Percentage of Veterans discharged from VA Grant and Per-Diem (GPD) Transition in Place (TIP) programs to permanent housing (PH).

POPULATION

Veterans who exit GPD TIP programs during FY 2020.

TARGET AND BUSINESS RULES

The FY 20 target for this measure is 75%. This target is intended to guide the field in the direction of greater prioritization of placement in PH in the community.

ESCALATING TARGETS AND STOP LIGHT FORMATTING

75% or above (Green), 70-74% (Yellow), 69% or below (Red)

NUMERATOR

Number of Veterans who exit directly to PH upon leaving a GPD TIP program in FY 2020.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Transition in Place.

o HOMES data source: Residential Treatment Exit Form, item 3, options 1 – 7 or 9.

Veteran is included in the denominator if Veteran has an exit date from a GPD TIP program between 10/1/19 and 9/30/20.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Transition in Place.

o HOMES data source: Residential Treatment Exit Form, item 1, exit date is between 10/1/19 and 9/30/20.

Veteran is excluded from the denominator under any of the following circumstances:

1. Veteran has a Length of Stay (LOS) of seven days or less.

o HOMES data source: Residential Treatment Exit Form, item 1 and exit date-entry date is < or = 7.

2. Veteran is ineligible for VA health care.

o Patient Enrollment File data source: The Health Eligibility Center(HEC) is the official source of enrollment data, and time to make an official determination of eligibility is dependent on a number of factors outside of the local VA medical center’s control. Therefore, Veterans with an eligibility status of “not eligible,” “pending,” “unverified,” “not applicable,” or “rejected” will be excluded from the denominator for this measure. Veterans with an eligibility status of “verified” and those who have never been processed through the HEC will be included.

3. Veteran is deceased at discharge.

o HOMES data source: Residential Treatment Exit Form, item 2, option 8.

4. Veterans who have been discharged from GPD programs due to threatened/actual violence to self or others.

o HOMES data source: Residential Treatment Exit Form, item 2a, option 1.

GPD-TIP1: Percent Exits to Permanent Housing

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5. Veteran is placed into a hospital or another residential non-psychiatric medical facility, long-term care facility or nursing home, or psychiatric hospital or other psychiatric facility.

o HOMES data source: Residential Treatment Exit Form, item 3, options 17, 18, or

19.

6. Veteran is transferred to another residential program due to temporary or permanent suspension of program operations. Please submit a Veteran-level list and explanation for these requested exclusions to the GPD National Program Office at gpdgrants@va.gov for approval. Note: If the Veteran is readmitted to GPD, after the noted exclusion date, the Veteran will be included in the measure based on the new admission date.

1. Veteran has a Length of Stay (LOS) of seven days or less.

2. Veteran is ineligible for VA health care.

3. Veteran is deceased prior to discharge.

4. Veteran is placed into a hospital, long-term care facility or nursing home.

5. Veteran is discharged due to threatened violence to self or others.

6. Veteran is transferred to another residential program.

RATIONALE

VHA’s Plan to End Veteran Homelessness calls for residential and transitional housing programs to place a primary focus on discharging Veterans directly to permanent housing.

mailto:gpdgrants@va.gov

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Percentage of Veterans who have a negative exit from VA Grant and Per-Diem (GPD) Transition in Place (TIP) programs.

POPULATION

Veterans exiting GPD TIP programs in FY 2020.

TARGET AND BUSINESS RULES

The FY 20 target for this measure is 23%. Lower is better.

ESCALATING TARGETS AND STOP LIGHT FORMATTING

23% or below (Green), 24-28% (Yellow), 29% or above (Red)

NUMERATOR

Number of exits from GPD TIP programs in which the Veteran was asked to leave because of violation of program rules (excluding exits due to threatened/actual violence to self or others), failure to comply with program requirements, or left the program without consulting staff.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Transition in Place.

o HOMES data source: Residential Treatment Exit Form, item 2, options 3 (If 2a = 2, 3, or 4; Veteran was asked to leave because of violation of program rules or failure to comply with program requirements) or 6 (Veteran left the program by his/her own decision, without consulting staff).

Veteran is included in the denominator if Veteran has an exit date from a GPD program between 10/1/19 and 9/30/20.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Transition in Place.

1. Veteran has a Length of Stay (LOS) of seven days or less.

o HOMES data source: Residential Treatment Exit Form, item 1 and exit date-entry date is < or = 7.

2. Veteran is ineligible for VA health care.

o Patient Enrollment File data source: The Health Eligibility Center is the official source of enrollment data, and time to make an official determination of eligibility is dependent on a number of factors outside of the local VA medical center’s control.

Therefore, Veterans with an eligibility status of “not eligible,” “pending,” “unverified,” “not applicable,” or “rejected” will be excluded from the denominator for this measure. Veterans with an eligibility status of “verified” and those who have never been processed through the HEC will be included.

3. Veteran is deceased at discharge.

o HOMES data source: Residential Treatment Exit Form, item 2 option 8.

GPD-TIP2: Percent Negative Exits

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4. Veterans who have been discharged from GPD programs due to threatened/actual o HOMES data source: Residential Treatment Exit Form, item 2a, option 1.

5. Veteran is placed into a hospital or another residential non-psychiatric medical facility, long-term care facility or nursing home, or psychiatric hospital or other psychiatric facility.

o HOMES data source: Residential Treatment Exit Form, item 3, options 17, 18, or

19.

6. Veteran is transferred to another residential program due to temporary or permanent suspension of program operations. Please submit a Veteran-level list and explanation for these requested exclusions to the GPD National Program Office at gpdgrants@va.gov

2. Veteran is ineligible for VA health care.

3. Veteran is deceased prior discharge.

4. Veteran is placed into a hospital, long-term care facility or nursing home.

5. Veteran is discharged due to threatened violence to self or others.

6. Veteran is transferred another residential program.

RATIONALE

VHA’s Plan to End Veteran Homelessness calls for residential and transitional housing programs to place a focus on successful completion of residential programming and effectively ending homelessness among Veterans served in these programs. The reduction of negative discharges increases the likelihood of Veterans transitioning to permanent housing.

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Percentage of Veterans who exit VA Grant and Per-Diem (GPD) Transition in Place (TIP) programs with competitive employment.

POPULATION

Veterans who exit GPD TIP programs in FY 2020.

TARGET AND BUSINESS RULES

The FY 20 target for this measure is 50%.

ESCALATING TARGETS AND STOP LIGHT FORMATTING

50% or above (Green), 45-49% (Yellow), 44% or below (Red)

NUMERATOR

Number of exits from GPD TIP programs in which the Veteran indicated positive employment status.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Transition in Place.

o HOMES data source: Residential Treatment Exit Form, item 7, options 3 (Part-time or temporary employment) or 4 (Full-time employment).

Veteran is included in the denominator if Veteran has an exit date from a GPD TIP program between 10/1/19 and 9/30/20.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Transition in Place.

1. Veteran has a Length of Stay (LOS) of seven days or less.

o HOMES data source: Residential Treatment Exit Form, item 1 and exit date-entry date is < or = 7.

2. Veteran is ineligible for VA health care.

o Patient Enrollment File data source: The Health Eligibility Center is the official source of enrollment data, and time to make an official determination of eligibility is dependent on a number of factors outside of the local VA medical center’s control.

Therefore, Veterans with an eligibility status of “not eligible,” “pending,” “unverified,” “not applicable,” or “rejected” will be excluded from the denominator for this measure. Veterans with an eligibility status of “verified” and those who have never been processed through the HEC will be included.

3. Veteran is deceased at discharge.

o HOMES data source: Residential Treatment Exit Form, item 2, option 8.

4. Veterans who have been discharged from GPD programs due to threatened/actual

GPD- TIP3: Percent Employed at Exit

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o HOMES data source: Residential Treatment Exit Form, item 3, options 17, 18, or

19.

6. Veteran is transferred to another residential program due to temporary or permanent suspension of program operations. Please submit a Veteran-level list and explanation for these requested exclusions to the GPD National Program Office at gpdgrants@va.gov for approval. Note: If the Veteran is readmitted to GPD, after the noted exclusion date, the Veteran will be included in the measure based on the new admission date.

7. Veterans who are disabled/retired, students, or indicate exit to an unpaid volunteer position are excluded from the denominator.

o HOMES data source: Residential Treatment Exit Form, item 7, option 0

(Disabled or retired), 7 (Unpaid volunteer) or 8 (Student).

SCORECARD DISPLAY EXCLUSION CODES

1. Veteran has Length of Stay (LOS) of seven days or less.

2. Veteran is ineligible for VA health care.

3. Veteran is deceased prior to discharge.

4. Veteran is placed into a hospital, long-term care facility or nursing home.

5. Veteran is discharged due to threatened violence to self or others.

6. Veteran is transferred to another residential program.

9. Veteran is disabled/retired, student or unpaid volunteer.

RATIONALE

Increasing skill and/or income is one of the three goals for all grantees of the GPD Program.

Increasing employment rates among formerly homeless Veterans is an essential piece of the VHA’s Plan to End Veteran Homelessness, as it increases likelihood that these Veterans will not return to homelessness.

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Percentage of Veterans discharged from VA Grant and Per-Diem (GPD) Bridge Housing (BH) programs to permanent housing (PH).

POPULATION

Veterans who exit GPD BH programs during FY 2020.

TARGET AND BUSINESS RULES

The FY 20 target for this measure is 70%. This target is intended to guide the field in the direction of greater prioritization of placement in PH in the community.

ESCALATING TARGETS AND STOP LIGHT FORMATTING

70% or above (Green), 65-69% (Yellow), 64% or below (Red)

NUMERATOR

Number of Veterans who exit directly to PH upon leaving a GPD BH program in FY 2020.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Bridge.

Veteran is included in the denominator if Veteran has an exit date from a GPD BH program between 10/1/19 and 9/30/20.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Bridge.

1. Veteran has a Length of Stay (LOS) of seven days or less.

o HOMES data source: Residential Treatment Exit Form, item 1 and exit date-entry date is < or = 7.

2. Veteran is ineligible for VA health care.

o Patient Enrollment File data source: The Health Eligibility Center is the official source of enrollment data, and time to make an official determination of eligibility is dependent on a number of factors outside of the local VA medical center’s control.

Therefore, Veterans with an eligibility status of “not eligible,” “pending,” “unverified,” “not applicable,” or “rejected” will be excluded from the denominator for this measure. Veterans with an eligibility status of “verified” and those who have never been processed through the HEC will be included.

3. Veteran is deceased at discharge.

o HOMES data source: Residential Treatment Exit Form, item 2, option 8

4. Veterans who have been discharged from GPD programs due to threatened/actual violence to self or others.

o HOMES data source: Residential Treatment Exit Form, item 2a, option 1.

5. Veteran is placed into a hospital or another residential non-psychiatric medical facility, long-term care facility or nursing home, or psychiatric hospital or other psychiatric facility.

o HOMES data source: Residential Treatment Exit Form, item 3, options 17, 18, or

19.

GPD-BH1: Percent Exits to Permanent Housing

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6. Veteran is transferred to another residential program due to temporary or permanent suspension of program operations. Please submit a Veteran-level list and explanation for these requested exclusions to the GPD National Program Office at gpdgrants@va.gov

2. Veteran is ineligible for VA health care.

3. Veteran is deceased prior to discharge.

4. Veteran is placed into a hospital, long-term care facility or nursing home.

5. Veteran is discharged due to threatened violence to self or others.

6. Veteran is transferred to another residential program.

RATIONALE

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Percentage of Veterans who have a negative exit from VA Grant and Per-Diem (GPD) Bridge Housing (BH) programs.

POPULATION

Veterans exiting GPD BH programs in FY 2020.

TARGET AND BUSINESS RULES

The FY 20 target for this measure is 23%. Lower is better.

ESCALATING TARGETS AND STOP LIGHT FORMATTING

23% or below (Green), 24-28% (Yellow), 29% or above (Red)

NUMERATOR

Number of exits from GPD BH programs in which the Veteran was asked to leave because of violation of program rules (excluding exits due to threatened/actual violence to self or others), failure to comply with program requirements, or left the program without consulting staff.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Bridge.

o HOMES data source: Residential Treatment Exit Form, item 2, options 3 (If 2a = 2, 3, or 4; Veteran was asked to leave because of violation of program rules or failure to

Veteran is included in the denominator if Veteran has an exit date from a GPD BH program between 10/1/19 and 9/30/20.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Bridge.

1. Veteran has a Length of Stay (LOS) of seven days or less.

o HOMES data source: Residential Treatment Exit Form, item 1 and exit date-entry date is < or = 7.

2. Veteran is ineligible for VA health care.

o Patient Enrollment File data source: The Health Eligibility Center is the official source of enrollment data, and time to make an official determination of eligibility is dependent on a number of factors outside of the local VA medical center’s control.

Therefore, Veterans with an eligibility status of “not eligible,” “pending,” “unverified,” “not applicable,” or “rejected” will be excluded from the denominator for this measure. Veterans with an eligibility status of “verified” and those who have never been processed through the HEC will be included.

3. Veteran is deceased at discharge.

o HOMES data source: Residential Treatment Exit Form, item 2 option 8.

4. Veterans who have been discharged from GPD programs due to threatened/actual violence to self or others.

GPD-BH2: Percent Negative Exits

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o HOMES data source: Residential Treatment Exit Form, item 3, options 17, 18, or

19.

6. Veteran is transferred to another residential program due to temporary or permanent suspension of program operations. Please submit a Veteran-level list and explanation for these requested exclusions to the GPD National Program Office at gpdgrants@va.gov

2. Veteran is ineligible for VA health care.

3. Veteran is deceased prior to discharge.

4. Veteran is placed into a hospital, long-term care facility or nursing home.

5. Veteran is discharged due to threatened violence to self or others.

6. Veteran is transferred to another residential program.

RATIONALE

VHA’s Plan to End Veteran Homelessness calls for residential and transitional housing programs to place a focus on successful completion of residential programming and effectively

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Percentage of Veterans discharged from VA Grant and Per-Diem (GPD) Low Demand (LD) programs to permanent housing (PH).

POPULATION

Veterans who exit GPD LD programs during FY 2020.

TARGET AND BUSINESS RULES

The FY 20 target for this measure is 50%. This target is intended to guide the field in the direction of greater prioritization of placement in PH in the community.

ESCALATING TARGETS AND STOP LIGHT FORMATTING

50% or above (Green), 45-49% (Yellow), 44% or below (Red)

NUMERATOR

Number of Veterans who exit directly to PH upon leaving a GPD LD program in FY 2020.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Low Demand.

Veteran is included in the denominator if Veteran has an exit date from a GPD LD program between 10/1/19 and 9/30/20.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Low Demand.

1. Veteran has a Length of Stay (LOS) of seven days or less.

o HOMES data source: Residential Treatment Exit Form, item 1 and exit date-entry date is < or = 7.

2. Veteran is ineligible for VA health care.

o Patient Enrollment File data source: The Health Eligibility Center is the official source of enrollment data, and time to make an official determination of eligibility is dependent on a number of factors outside of the local VA medical center’s control.

Therefore, Veterans with an eligibility status of “not eligible,” “pending,” “unverified,” “not applicable,” or “rejected” will be excluded from the denominator for this measure. Veterans with an eligibility status of “verified” and those who have never been processed through the HEC will be included.

3. Veteran is deceased at discharge.

o HOMES data source: Residential Treatment Exit Form, item 2, option 8.

4. Veterans who have been discharged from GPD programs due to threatened/actual

GPD-LD1: Percent Exits to Permanent Housing

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o HOMES data source: Residential Treatment Exit Form, item 3, options 17, 18, or

19.

6. Veteran is transferred to another residential program due to temporary or permanent suspension of program operations. Please submit a Veteran-level list and explanation for these requested exclusions to the GPD National Program Office at gpdgrants@va.gov

2. Veteran is ineligible for VA health care.

3. Veteran is deceased prior to discharge.

4. Veteran is placed into a hospital, long-term care facility or nursing home.

5. Veteran is discharged due to threatened violence to self or others.

6. Veteran is transferred to another residential program.

RATIONALE

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Percentage of Veterans who have a negative exit from VA Grant and Per-Diem (GPD) Low Demand (LD) programs.

POPULATION

Veterans exiting GPD LD programs in FY 2020.

TARGET AND BUSINESS RULES

The FY 20 target for this measure is 23%. Lower is better.

ESCALATING TARGETS AND STOP LIGHT FORMATTING

23% or below (Green), 24-28% (Yellow), 29% or above (Red)

NUMERATOR

Number of exits from GPD LD programs in which the Veteran was asked to leave because of violation of program rules (excluding exits due to threatened/actual violence to self or others), failure to comply with program requirements, or left the program without consulting staff.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Low Demand.

o HOMES data source: Residential Treatment Exit Form, item 2, options 3 (If 2a = 2, 3, or 4; Veteran was asked to leave because of violation of program rules or failure to

Veteran is included in the denominator if Veteran has an exit date from a GPD LD program between 10/1/19 and 9/30/20.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Low Demand.

1. Veteran has a Length of Stay (LOS) of seven days or less.

o HOMES data source: Residential Treatment Exit Form, item 1 and exit date-entry date is < or = 7.

2. Veteran is ineligible for VA health care.

o Patient Enrollment File data source: The Health Eligibility Center is the official source of enrollment data, and time to make an official determination of eligibility is dependent on a number of factors outside of the local VA medical center’s control.

Therefore, Veterans with an eligibility status of “not eligible,” “pending,” “unverified,” “not applicable,” or “rejected” will be excluded from the denominator for this measure. Veterans with an eligibility status of “verified” and those who have never been processed through the HEC will be included.

3. Veteran is deceased at discharge.

o HOMES data source: Residential Treatment Exit Form, item 2 option 8.

4. Veterans who have been discharged from GPD programs due to threatened/actual violence to self or others.

GPD-LD2: Percent Negative Exits

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o HOMES data source: Residential Treatment Exit Form, item 3, options 17, 18, or

19.

6. Veteran is transferred to another residential program due to temporary or permanent suspension of program operations. Please submit a Veteran-level list and explanation for these requested exclusions to the GPD National Program Office at gpdgrants@va.gov

2. Veteran is ineligible for VA health care.

3. Veteran is deceased prior to discharge.

4. Veteran is placed into a hospital, long-term care facility or nursing home.

5. Veteran is discharged due to threatened violence to self or others.

6. Veteran is transferred to another residential program.

RATIONALE

VHA’s Plan to End Veteran Homelessness calls for residential and transitional housing programs to place a focus on successful completion of residential programming and effectively

Page: 24 of 49 VHA Homeless Program Office ● Performance Measure & Metrics Technical Guide 10/01/2019

Percentage of Veterans discharged from VA Grant and Per-Diem (GPD) Hospital to Housing (HH) programs to permanent housing (PH).

POPULATION

Veterans who exit GPD HH programs during FY 2020.

TARGET AND BUSINESS RULES

The FY 20 target for this measure is 65%. This target is intended to guide the field in the direction of greater prioritization of placement in PH in the community.

ESCALATING TARGETS AND STOP LIGHT FORMATTING

65% or above (Green), 60-64% (Yellow), 59% or below (Red)

NUMERATOR

Number of Veterans who exit directly to PH upon leaving a GPD HH program in FY 2020.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Hospital to Housing.

Veteran is included in the denominator if Veteran has an exit date from a GPD HH program between 10/1/19 and 9/30/20.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Hospital to Housing.

1. Veteran has a Length of Stay (LOS) of seven days or less.

o HOMES data source: Residential Treatment Exit Form, item 1 and exit date-entry date is < or = 7.

2. Veteran is ineligible for VA health care.

o Patient Enrollment File data source: The Health Eligibility Center is the official source of enrollment data, and time to make an official determination of eligibility is dependent on a number of factors outside of the local VA medical center’s control.

Therefore, Veterans with an eligibility status of “not eligible,” “pending,” “unverified,” “not applicable,” or “rejected” will be excluded from the denominator for this measure. Veterans with an eligibility status of “verified” and those who have never been processed through the HEC will be included.

3. Veteran is deceased at discharge.

o HOMES data source: Residential Treatment Exit Form, item 2, option 8.

4. Veterans who have been discharged from GPD programs due to threatened/actual

GPD-HH1: Percent Exits to Permanent Housing

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o HOMES data source: Residential Treatment Exit Form, item 3, options 17, 18, or

19.

6. Veteran is transferred to another residential program due to temporary or permanent suspension of program operations. Please submit a Veteran-level list and explanation for these requested exclusions to the GPD National Program Office at gpdgrants@va.gov

2. Veteran is ineligible for VA health care.

3. Veteran is deceased prior to discharge.

4. Veteran is placed into a hospital, long-term care facility or nursing home.

5. Veteran is discharged due to threatened violence to self or others.

6. Veteran is transferred to another residential program.

RATIONALE

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Percentage of Veterans who have a negative exit from VA Grant and Per-Diem (GPD) Hospital to Housing (HH) programs.

POPULATION

Veterans exiting GPD HH programs in FY 2020.

TARGET AND BUSINESS RULES

The FY 20 target for this measure is 23%. Lower is better.

ESCALATING TARGETS AND STOP LIGHT FORMATTING

23% or below (Green), 24-28% (Yellow), 29% or above (Red)

NUMERATOR

Number of exits from GPD HH programs in which the Veteran was asked to leave because of violation of program rules (excluding exits due to threatened/actual violence to self or others), failure to comply with program requirements, or left the program without consulting staff.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Hospital to Housing.

o HOMES data source: Residential Treatment Exit Form, item 2, options 3 (If 2a = 2, 3, or 4; Veteran was asked to leave because of violation of program rules or failure to

Veteran is included in the denominator if Veteran has an exit date from a GPD HH program between 10/1/19 and 9/30/20.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Hospital to Housing.

1. Veteran has a Length of Stay (LOS) of seven days or less.

o HOMES data source: Residential Treatment Exit Form, item 1 and exit date-entry date is < or = 7.

2. Veteran is ineligible for VA health care.

o Patient Enrollment File data source: The Health Eligibility Center is the official source of enrollment data, and time to make an official determination of eligibility is dependent on a number of factors outside of the local VA medical center’s control.

Therefore, Veterans with an eligibility status of “not eligible,” “pending,” “unverified,” “not applicable,” or “rejected” will be excluded from the denominator for this measure. Veterans with an eligibility status of “verified” and those who have never been processed through the HEC will be included.

3. Veteran is deceased at discharge.

o HOMES data source: Residential Treatment Exit Form, item 2 option 8.

4. Veterans who have been discharged from GPD programs due to threatened/actual violence to self or others.

GPD-HH2: Percent Negative Exits

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o HOMES data source: Residential Treatment Exit Form, item 3, options 17, 18, or

19.

6. Veteran is transferred to another residential program due to temporary or permanent suspension of program operations. Please submit a Veteran-level list and explanation for these requested exclusions to the GPD National Program Office at gpdgrants@va.gov for approval. NOTE: If the Veteran is readmitted to GPD, after the noted exclusion date,

2. Veteran is ineligible for VA health care.

3. Veteran is deceased prior to discharge.

4. Veteran is placed into a hospital, long-term care facility or nursing home.

5. Veteran is discharged due to threatened violence to self or others.

6. Veteran is transferred to another residential program.

RATIONALE

VHA’s Plan to End Veteran Homelessness calls for residential and transitional housing programs to place a focus on successful completion of residential programming and effectively

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Percentage of Veterans discharged from VA Grant and Per-Diem (GPD) Clinical Treatment (CT) programs to permanent housing (PH).

POPULATION

Veterans who exit GPD CT programs during FY 2020.

TARGET AND BUSINESS RULES

The FY 20 target for this measure is 65%. This target is intended to guide the field in the direction of greater prioritization of placement in PH in the community.

ESCALATING TARGETS AND STOP LIGHT FORMATTING

65% or above (Green), 60-64% (Yellow), 59% or below (Red)

NUMERATOR

Number of Veterans who exit directly to PH upon leaving a GPD CT program in FY 2020.

o HOMES data source: Residential Treatment Entry Form, item 3b = 1 and 3e = Clinical Treatment.

Veteran is included in the denominator if Veteran has an exit date from a GPD CT program between 10/1/19 and 9/30/20.

o HOMES data source:…