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system of care for rhode island's children, youth and families

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APPENDIX K: PERFORMANCE MEASURES AND OUTCOMES FOR THE IDEAL SYSTEM OF<br />

CARE<br />

Per<strong>for</strong>mance Measures <strong>and</strong> Outcomes - Recommendation 1: The Children’s Cabinet must develop, implement <strong>and</strong> fund an<br />

evaluation/accountability plan to comprehensively assess the State’s effectiveness in implementing the recommendations <strong>of</strong> this report<br />

over the five year phase-in period. The development <strong>of</strong> this plan must include <strong>families</strong> (parents, kin, foster <strong>and</strong> adoptive <strong>families</strong>.<br />

Overview -<br />

Department(s) Action Steps –<br />

Year 1-2<br />

Within the<br />

Children’s<br />

Cabinet -<br />

DCYF<br />

DHS<br />

RIDE<br />

DOH<br />

MHRH<br />

! Establish MOA<br />

<strong>for</strong><br />

Implementatio<br />

n Team with<br />

identified<br />

funding<br />

resources.<br />

! Assign key<br />

staff.<br />

! Establish<br />

implementatio<br />

n milestones<br />

<strong>and</strong> schedule.<br />

Indicators -<br />

Establish Baseline<br />

In Year 1<br />

Identify relevant<br />

percentage <strong>of</strong><br />

service<br />

utilization <strong>for</strong><br />

tracking -<br />

! Utilization <strong>of</strong><br />

prevention<br />

services<br />

! Utilization <strong>of</strong><br />

emergency<br />

services<br />

! Utilization <strong>of</strong><br />

health plan<br />

child/family<br />

services<br />

! Utilization <strong>of</strong><br />

HBTS (EPSDT)<br />

Data Sources<br />

! DHS -<br />

• Rite Care<br />

• HBTS<br />

(EPSDT)<br />

• CEDARRs<br />

• Medicaid<br />

FFS<br />

expenditures<br />

! DCYF -<br />

RICHIST:<br />

<strong>children</strong>/<strong>youth</strong><br />

receiving <strong>of</strong><br />

out-<strong>of</strong>-home<br />

mental health<br />

or therapeutic<br />

tx services<br />

Per<strong>for</strong>mance<br />

Measures – Year 2-5<br />

! Data<br />

infrastructure<br />

operational.<br />

! Data elements<br />

being shared,<br />

trends tracked.<br />

! Systems<br />

alignment<br />

evolving.<br />

! Services<br />

accessed.<br />

! Waiting lists<br />

reduced/elimina<br />

ted.<br />

Outcomes -<br />

Year 2-5<br />

Compare with Year 1<br />

- baseline data<br />

! Prevention service<br />

capacity - expected<br />

increase<br />

! Emergency services<br />

<strong>care</strong>- expected<br />

decrease<br />

! Community-based<br />

support - expected<br />

increase<br />

! Court referrals -<br />

expected decrease<br />

83

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