Friday, April 13, 2018

GH CAN Leadership and Sub-COC 4/4/18


Greater Hartford Coordinated Access Network
Leadership Committee Agenda
Wednesday, April 4th, 2018

1.      Welcome and In Attendance:
Brian Baker  - South Park Inn
Steve Bigler - CRT
Sonia Brown - CRT
Crane Cesario - DMHAS
Justine Couvares - Chrysalis Center
Sarah DiMaio - Salvation Army
Fred Faulkner - The Open Hearth
Lou Gilbert - ImmaCare
Mollie Greenwood - Journey Home
Andrea Hakian - CHR
Lauren Fair - Salvation Army
John Lawlor- The Connection
Kyren McCrorey - The Open Hearth
Matt Morgan - Journey Home
Lionel Rigler - City of Hartford
Barbara Shaw - Hands On Hartford
Kathy Shaw - My Sisters' Place
Cathy Zeiner - YWCA
Niya Solomon - Journey Home
zoe Schwartz - CRT
Stephanie Corbin - Mercy Housing and Shelter Corp



CT BOS COC Items
2.      CT BOS CoC Regional Representation Sub-CoCs/CANS
a.      We have officially changed from Sub-COCs to CANs for representation on the CT HMIS steering committee.  In CT there are 2 COCs, ODFC and CTBOS.  Up until recently CTBOS was running on Sub-COC representation.  We’ve had a vote to move towards CAN representation.  We have the same number of representatives.  We can now merge our agenda with CAN meetings. Matt and Crane are our representatives.  We need alternative representatives.  We do get two votes, so if there’s a time where one person can’t attend, the other attendee can send a representative.  It gives us some room to do that.  It’s in our best interest. 
b.      Organizational structure:  CT BOS CoC and Reaching Home structures for coordination
                                                    i.     Reaching Home tries to organize our structure from Reaching Home.  There are many many committees under Reaching Home.  They’ve changed one subcommittee to being more focused on family homelessness.  Reaching Home didn’t have the HUD mission embedded and there was no formal connection between CT BOS and Reaching Home.  CT BOS will now be under the Reaching Home campaign, we need the feedback loop between the campaign and the Continuum of Care.  There will be an organizational chart change, and it may improve communication, and may change CT BOS’s administrative requirements. 
                                                   ii.     Matt’s on the Steering Committee and Coordinating Committee – Sharon is on Coordinating, Diane is on Steering Committee.  Crane’s on the Estimated Data Needs Group.

3.      CT BOS Renewal Evaluations
a.      Current Evaluations: If you would like to file a grievance regarding your score for consideration by the CT BOS Grievance Committee, please SUBMIT THE ATTACHED FORM NO LATER THAN MONDAY, APRIL 10th, 2018 to ctboscoc@gmail.com
b.      Upcoming Evaluations – determining standards in spring, not fall
                                                    i.     In the past we’ve had to identify the evaluation standards in the fall, as we are doing the work.
                                                   ii.     Evaluations for Rapid ReHousing programs are facing double jeopardy, if folks obtain more income during the program, which is ultimately a success, the programs get dinged for missing out on non-cash benefits.
                                                  iii.     If our consultants don’t fully understand some of the unique constraints of new program types we will continue to encounter similar issues, which is why we are working to determine evaluation standards earlier this year.

4.      Reallocations and New Projects - Evaluating the cost per person on the services 
a.      There has been a lot of discussion on programs with underspent funds reallocating. 
b.      HUD has standards on what you can spend on FMR.  Some programs have high costs for services for cost per person.  We’re trying to sort out programs that are overfunding services, and are basically looking for efficiencies.  If you can look at your renewal evaluation worksheet to see what you’ve expended, check on it.  There are some programs statewide who have up to 40% unexpended.
c.      HUD’s pressure to recapture unexpended funds is extreme, and it’s national.  We may be impacted by national trends, so in an effort to retain funds we need to be mindful of it.
d.      Housing Search Staffing, Support Services to attach to subsidy programs
                                                    i.     It would be helpful to get some more information from DOH on what is being discussed.  There’s been discussion about having more flexible support services role.  The idea is not trying to hand them off as much.
                                                   ii.     In terms of funding new program types, there’s not a lot of consensus about whether the COC wants to prioritize funding RRH vs PSH.
                                                  iii.     Sarah DiMaio mentioned that Jamie, a foundation-funded PSH case manager for programs that don’t provide case management, has had to limit her caseload because so many of her high intensity cases, and everyone she currently has require weekly home visits.  Adding any type of supportive services would definitely be beneficial for our CAN, through what Salvation Army has done with Private funds.

5.      CT BOS Save the Date: June 15, 2018 – Next Semi-annual meeting – anyone can attend. 
a.      If you have questions about environmental reviews, reach out to Crane.  As far as Lionel knows he has done all the Environmental Reviews

6.      CT HMIS Topics / System Performance Measures
a.      Crane is the current chair of CT HMIS’s Steering Committee.  System Performance Measures is something we’ve been looking at.  HUD will ultimately be looking at our SPMs as a community.  Our data coordinator should know about it. 
b.      Annual reviews need to be done within 60 days of annual assessment.  The date is not the current lease date, it’s their original lease date.  If you don’t have the assessment done on time, you’ll lose points on your evaluation. 
c.      The Point In Time Count is almost done, data coming soon. 
7.      Re-signing Up for CT BOS Emails - http://www.ctbos.org/
a.      Select “Sign up for CTBOS newsletters and emails”
b.      Andrea commented that the CT BOS website is very helpful. 
c.      Zoe Schwartz of CRT will now be the person to remind you about the HIC, PIT, GIW, and help with application review prior to BOS submission. 
GH CAN Leadership Items
8.      City of Hartford ESG Allocation – Lionel Rigler
a.      Lionel distributed proposed ESG funds.  Four years ago came up with a formula that ESG allocation would be based on 45% # of beds, 45% total bed stays, 10% based on permanent exits.  This is a proposal for this fiscal year.  It was distributed in email.
b.      We assume a 2,500 reduction in ESG, we don’t know our numbers yet.  Because of the increase in number of beds that TOH had, their funding went up 3500 because their beds went up from 25 to 40.  Because of their increase, other organizations went down a bit. 
c.      Lionel was hoping we could approve it today, once there’s an actual allocation numbers would go up or down based on actual. 
d.      Cathy’s question is how we should be perceived.  YWCA is contracted for 12 beds by DOH.  But they’re serving at a higher capacity, up to 18.  So YWCA is operating at 18 beds, which isn’t necessarily reflected here.. 
e.      In the past, our numbers weren’t based on much data, they were based on what had been historically done.  This is much fairer than before, but if there are issues we can work it out. 
f.       We need to come to an agreement on what we count.  Do we go based on what’s contracted, do we go by overflow?  Does HMIS enter data in your contracted category for your overflow beds.  Using this calculation, anyone who uses seasonal and overflow beds would get hit hard by the permanent exit portion of the calculation. 
g.      There seems to be consensus not to include seasonal beds.  If we’re going by HMIS we’re going by HMIS.
h.      We want to go by contract.  We’ll change CRT to 78 beds.  If the decision is to include seasonal beds the calculation will need to be adjusted. 
i.       Can we run it without overflow beds to see the impact and share that, it will help people make a decision.  People will figure out what if they added 1/3 of overflow to account for part of the year, and if that is a more accurate reflection. 
j.       We will make a final determination on this at next meeting.

9.      Households Over Income Limits – Crane Cesario, Mollie Greenwood
a.      We’ve lately been having challenges in our housing matching processes and concerns raised by shelters that they are serving folks who are over income limits for some of our programs but are remaining in shelter.
b.      We’ve talked before that people who go into stay in a hotel but are returning to the system, how do we manage this?  It’s one of those continuing problems that will keep impacting our performance. 
c.      Lisa’s doing a great job helping us move forward.  All of you need to engage your staff in figuring out who has disabling conditions.  We need these things to be verified.  If we don’t do that for the longer term folks we will start taking people from other communities to serve them. 
d.      We have a higher volume of PSH than other areas so it’s a more urgent issue.  We’re having trouble filling buildings because the only chronically homeless folks don’t fit into a lot of our openings.
e.      Do people have income over a certain level become identified as ineligible for shelter resources?  It will be impossible to identify on the front end.  When Diversion talks to people about their income, what we’re looking for is identifying eligible financial status for shelter diversion funding.
                                                    i.     We’re having several discussions right now around this.  RRH can only serve people up to 30% AMI in addition to “people are in shelters with resources”
                                                   ii.     I don’t think we can filter it out.  But once we have folks on the BNL and they’re ineligible for things because their income is too high.  You’ll also find people quitting jobs to fit into programs. 
                                                  iii.     Crane’s more concerned about how we prioritize it, and we want to have the protection of policy above us. 
                                                  iv.     We can also park this.  If there are better questions Diversion can be asking at Diversion, they want to know. 

10.   HOME Funding for Security Deposits – Mollie Greenwood
a.      Could be a resource for the Diversion Center staff – also had PATH able to access it so they can go after the funds.  CHR thought of more using it among existing programs.
b.      The issue is a program became available and agencies could apply to access it for folks we serve.
c.      There’s a concern that providers who didn’t sign up for it won’t be able to get it and we have many in the community who won’t be served by it.
d.      This may be where we push back to DOH to say that if we had the housing navigator.  If we wanted to reimagine how we are doing things and resubmit. 
e.      Sometimes supportive housing case managers signed up to do it they could help out with it.  It never asked you to serve people outside of your population.  If you can only serve 3 people a year, you have to be able to do HQS.  Mercy didn’t go in on it because we didn’t have the case management piece.  The question is.  YWCA applied because Chrysalis said they would help with housing HQS. 
f.       Andrea may be able to help with some HQS inspections; they just can’t take it on for every single household in the CAN.
g.      We will continue discussing this item at future meetings.

11.   Dynamic Prioritization/Progressive Engagement Update – Crane Cesario
a.      A lot of pushback and political concerns.  We’ve had one meeting, and there’s a workgroup this Friday to talk about next steps.  We’re already ahead of the curve in terms of trying to sort out local prioritization. 

12.   Medical Records in CT HMIS – Matt Morgan
a.      The HOPWA housing providers have been coming together to figure out ways to better collaborate among the programs we have.  We aren’t able to prioritize their programs in the same way.  They’re trying to de-duplicate existing processes.  One issue that came up was “what about HIPPA compliance”.  The HMIS release was a question, and there are HIV questions that are self-report.
b.      We got clarity from CCEH on the HMIS Release.  There isn’t a separate sign-off for HIV, SA, MH, the way there would be on a HIPPA compliant ROI.  Because it’s self-report, it was OK to input it into a system.  Medical records are documents that have been uploaded.  We will be guiding people to keep it on FILE, but not upload into HMIS.
c.      We’re continuing to take the DIG project into account throughout this process.  That’s the integration between Ryan White and CT HMIS.  Most of the medical info is coming from medical records not self-report.  Matt can help raise it to CCEH.  It’s odd because it’s a different ROI.  Barbara will talk to John Merz.  If you get info from a person on a source, you get them to give you permission to enter it into the system.   

13.   GH CAN Shelter and Housing Data – Mollie Greenwood
                                                    i.     See p.2
                                                   ii.     Can we make progress on shortening shelter time?
                                        
14.   Future Agenda Items?
a.      Barbara is curious if we’ve talked about when we’ll be planning for next Cold Weather Planning.  Need to be thinking about the full 24 hours each day, not just nighttime coverage.  Another issue to consider, because the Warming Center is going to be considered unsheltered.  We need to push back with the City.  It makes it complicated to administer the process for a provider.  But it’s going to have a negative impact on community. 
                                                    i.     City of Hartford will RFP it soon, in the summer. 

15.   Announcements
a.      Advocacy Day will be taking place next Wednesday, April 11th, from 10:15 AM – 11:15 AM.  Everyone planning to attend should meet in the cafeteria of the LOB at 9:30.
b.      CT Department of Housing has made Capital Funding available for shelter improvements.  See DOH website for more information.

GH CAN Housing Data
Data Element
Number
Notes
Chronically homeless households housed in 2015
102
This includes clients housed through GH CAN programs as well as through other subsidies or independent housing
Chronically homeless households housed in 2016
211
This includes clients housed through GH CAN programs as well as through other subsidies or independent housing
Chronically homeless households housed in 2017
179
This includes clients housed through GH CAN programs as well as through other subsidies or independent housing
Chronically homeless households housed in 2018
27
This includes clients housed through GH CAN programs as well as through other subsidies or independent housing
Total Chronically homeless households housed in GH CAN
519

Verified Chronic Matched
36

Verified Chronic Not Yet Matched
0
We currently have 0 chronic verified clients who have not yet been matched to housing.
Potentially Chronic Refusers
2

Verified Chronic Refusers
1

Potentially Chronic Matched
13
These households did not disclose a disabling condition, and are matched to various programs.
Potentially Chronic Not Yet Matched
28
Right now we believe 28 households have the chronic length of homeless history, but none of these individuals have their homeless and disability verifications completed.
Individuals - Active – Not Matched
487
This includes Enrolled in CAN, In an Institution, and Enrolled in TH
Families – Active – Not Matched
22
This is Active – Enrolled in CAN.

SmartSheet Shelter Priority List Data
Individual Men
Individual Women
Families
288 Unsheltered or in Cold Weather Placement
95 Unsheltered or in Cold Weather Placement
33 Unsheltered or in Cold Weather Placement
395 Total
147 Total
50 Total



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