Monitoring PATH ProvidersPATH 2010 Grantee Meeting
Washington DC December 7-10, 2010
Creating Effective PATH Programs in the
Era of Health Reform
Robert H. Snarr, Utah SPCBrooke Dawson, Missouri SPCTahtia K. Smalling, Illinois SPC
PATH Program & Quality of Care
The PATH program is designed to support the delivery of eligible services to persons who are homeless and have serious mental illnesses and co-occurring substance use disorders, with a particular emphasis on (a) persons most in need of services, and (b) services which are not supported by mainstream mental health programs.
Health Care Reform & Quality Care
• Outreach & Community Integration• Housing First Models and the “10-Year
Plan to End Chronic Homelessness”• Integrated Primary Care and Behavioral
Care • Cultural Competency (Vets, Immigrants)• Trauma Informed Care
PATH RFA
• Using the RFA to build your contractRequired servicesMatch and funding limitationsEligibility and Enrollment
• Developing the Scope of Services• Budget & Intended Use Plan• Required elements of the Annual Report
Outcome Measures & Effective PATH Programs
• Housing; Income Benefits; Earned Income; Medical Insurance & Primary care
• Consumer Involvement• Quarterly Reporting• Number & cost of clients served
Government Performance and Results Act (GPRA)
• Increase the number of homeless persons contacted
• Increase the percentage of contacted homeless persons with serious mental illness who become enrolled in services
• Increase the percentage of enrolled homeless persons who receive community mental health services
• Maintain the average Federal cost of enrolling a homeless person with serious mental illness in services
Monitoring a PATH Provider Program
• Find a date• Send monitoring tool to the provider• Ask PATH Program Director to
develop a structured plan for the day• Confirm date and receipt of
paperwork with provider
Prepare Yourself• Review the agencies Intended Use Plan (IUP)• Make copies of the IUP, Monitoring Tool, and
interview questions for Staff and Consumers• Review Grant Requirements with the
Agency’s IUP in mind• Review agencies billing practice with Grant
Fiscal Manager(make sure you are booked into a hotel you like
and you have reserved a State car!!!)
Site Visit• Arrive on time• Meet and Greet• Follow the agencies plan for the day• Give PATH Program Director a synopsis of
your initial impression• Discuss program strengths and
weaknesses• Exit Agency
Desk Audit
• Entrance & Exit • Quantitative Review• Data check list• Meet Me Conference &
Teleconference
Report Back and Follow Up• Write a draft report • Share draft with program director and
other reviewers • Issue a final report• Set follow up times if you find program
deficiencies• Ask for and act on feedback about your
own performance
Navigating Travel Restrictionsand other SPC challenges
• Become familiar with travel policies within your state
• If possible review programs near each other on consecutive days so your mileage is consolidated
Consider the following variables in
Pre-Conference Planning
• The number of PATH Providers • Central Location• Date/Time-line• Allocation of funds• Evaluations and Feedback
Planning on the “Front-End”
• Identify/obligate funds• Share the opportunity to participate• Schedule/begin monthly teleconferences• Develop a budget
SPC + Providers Collaborate to determine the
following• Theme
• Band-width of Conference
• Topics/Session Presenters
• Duration/Length
• Central Location
• Advertisements and Memorabilia
SPC + ProvidersDesignation of Responsibilities
• Assignments and Projects• Fiduciary Agent/Registrar/Questions Contact• Donations and Contributions• Development/Release of Brochure• CEU’s• Behind-the-scenes Paperwork
SPC + ProvidersEstablish/Share Deadlines
• Technical Assistance
• Materials
• Reservations
• Registration
• Meals
• Vendors
SPC + ProvidersThe Value of Communication
• Facilitate effective monthly teleconferences
• Maintain regular contact with fiduciary agent
• Practice professional courtesy!
SPC + Providers Finalize… the Details
• Visit the Location• Forward PPT Materials to Printer/CEU
Reviewers• Purchase and confirm Mementos/Giveaways• Transportation• Schedule a final “touch base”
teleconference
During the PATH Conference Reality of the “Back End”
• E-N-J-O-Y the experience!
• Cultivate a nurturing and comfortable environment
• Ensure a “same page” approach (Share
Information)
• Encourage the completion of evaluations
• Announce the availability of CEU’s
• Take Pictures to memorialize the occasion!
After the PATH Conference…
• Share your Thanks and Appreciation! • Distribute CEU’s and Certificates of
Participation• Process Vouchers/Invoices ASAP• Schedule “Wrap Up” teleconference• Complete mass mailings as soon as possible• Forward final reports of Evaluation outcomes• EXHALE
Questions/Feedback? Please Contact:
Robert H. Snarr, Utah SPC, [email protected]
Brooke Dawson, Missouri [email protected]
Tahtia K. Smalling, Illinois SPC [email protected]