GPRA Overview PowerPoint - Mental Health Services Research ...

Getting from Talk toActionTask Group Orientation – Day TwoWindward Community College, KaneoheThursday, June 26 2008MHT-SIG Evaluation TeamPart I: UnderstandingGrant required GPRAMeasuresGPRA BINGO!Government Performance andResults Act 1993 (GPRA)• Hold government agenciesaccountable for using resourceswisely and achieving program results• All federally funded grants require anevaluation component• Purpose is to assess extent thatproject is accomplishing its intendedgoals1

GPRA #3 Activity Statement Examples• The Lt. Governor’s Office will work withHawai`i legislature to increase FY2008funding by 75% in FY2010 forconsumer-operated programs (NFCGoal 2.2).• The Department of Human ServicesMedicaid Specialist will develop StateMedicaid Plan revisions by January2009 that make the needed changes toreimburse peer specialists throughMedicaid (NFC Goal 2.2).GPRA #4: OrganizationChanges• Increase percent of organizationalchanges completed as a consequenceof the CMHP– something that is created, eliminated,or altered within or betweenorganizations– state or private agencies providingmental health or related services topersons who have or at risk fordeveloping mental health needsGPRA #4 Activity Statement Examples• Adult Mental Health Division (AMHD) andAlcohol and Drug Abuse Division (ADAD)through the assistance of ManagementInformation Systems (MIS) will develop adata sharing Memorandum Of Agreement(MOA) by March 2009 (NFC 6.2).• Each CAMHD and AMHD contractedproviders, with technical assistance fromthe HI Center for Evidence-Based Practices,will establish a protocol by July 2009 toscreen for and refer clients experiencingtrauma to trauma specific therapy (NFC5.4).4

GPRA #5: Data Collection• Increase the number of organizationsthat regularly obtain and analyze datarelevant to the goals of the CMHP– data: quantitative or qualitativeinformation– collected on a repeated and ongoingbasis– analyzed: systematic review to facilitateplanning, consumer choice or shareddecision-making, improve quality/efficiency of servicesGPRA #5 Activity Statement Examples• The Governor will establish aninterdepartmental Task Force to develop aplan for a statewide integrated electronicmedical recordkeeping system byDecember 2010 that is consistent withfederal and state statutes (NFC Goal 6.2).• DOH Injury Prevention and ControlProgram with support from MHSRET willdevelop a process by January 2009 toannually obtain and analyze data on HIsuicide rates (NFC Goal 1.1).GPRA #6: CFM Networks• Increase the number of consumersand family members that aremembers of statewide consumerandfamily-run networks– Consumers are any persons who havereceived mental health services in thepast or are eligible to receive servicesbut choose not to– Family members can be extended familynetworks, friends, co-workers,neighbors or caregivers– A member is anyone whom theorganization recognizes as a member5

GPRA Measure #6(continued)• A network must connect and interactwith mental health consumersand/or family members across asignificant region of the state• A network must be controlled andmanaged by mental healthconsumers and/or family membersand over half the board membersmust identify as mental healthconsumers and/or family membersGPRA #6 Activity Statement Examples• DOE will coordinate efforts with SBBHstaff to double the membership ofHawai`i Families as Allies by September2010 (NFC 2.2).• The AMHD Office of Consumer Affairswith support from the MHT-SIG staff andthe HI Disability Rights Center will workwith key stakeholders to create a charterby December 2008 to establish astatewide consumer network with agoverning board of over 50% consumers(NFC 2.2).GPRA #7: Implement Practices• Increase the number of programsimplementing practices consistent withthe CMHP– Programs are implementing practiceswhen practices are being activelydelivered to consumers, familymembers, etc.– Practices include treatment,rehabilitation, prevention, andsupportive services– Practices must be mentioned or impliedin the CMHP6

GPRA #7 Activity Statement Examples• The Department of Public Safety (DPS)Deputy Director with technical assistancefrom AMHD Housing Services Director willestablish 5 supportive housing programs bySeptember 2011 for inmates with mentalillness reentering the community (NFC 2.3).• The University of Hawai´i Office of the VicePresident for Information Technology withinput from key state departments willestablish telehealth capacity to 80% of allHI rural and remote communities bySeptember 2010 (NFC 6.1).Part II: Overviews of theWork Plan Cycle and theNeeds Assessment andResource Inventory (NARI)NARI Quest!Project Work Plan Cycle (PDCA)1. Plan the activitiesto achieve anoutcome2. Do the plannedactivities3. Check to see whatoutcome theactivities achieved4. Act to maintain orimprove theoutcomes(Shewhart, n.d.)7

Planning Benchmarks (June-Sept. 2008)1. Read the Comprehensive Mental Health Plan(CMHP) – 06/30/082. Read the Needs Assessment Resource Inventory(NARI) – 06/30/083. Prioritize 1-3 CMHP Recommendations (refer toTG Prioritizing Handout), begin Action PlanTemplate by developing goals and objectives foreach priority– 07/15/084. Incorporate Annual Gathering Feedback –07/31/085. Submit Priorities for Review – 08/04/086. Draft Action Plan Template on Selected Priorityand draft applicable CMHP Status Update –08/31/087. Complete Action Plan Template with specified,measurable outcomes and applicable GPRATemplate(s) – 09/15/08NARI Overview• Intent – Capturing resources, needsand need justifications• Balance between breadth and depth• Report Core Structure:– Executive Summary– 4 Chapters– References, Acronym List– Appendix– Fiscal Resource AddendumChapter 3 Structure• 6 New Freedom Commission (NFC)Goals and its 19 Recommendations– Expanded into 10 additional SpecialConsiderations• 2 HI Special Concerns (Workforce andNatural Supports)• Total of 31 sections consisting of:– Written Narrative (31)– Corresponding Matrix (30)8

Part III: Applying theAction Plan TemplateSmall Group ActivityGoalsGoals are the “end result toward whicheffort is directed.”– Provide clear direction, guidance.– State the desired results, intentions,or desires.Example:Early mental health screening,assessment, and referral to servicesare common practice. (NFC Goal 4)Objectives• Specify what result is to be achieved.• Describe how a result is measurable.• State the time frame for achieving theobjective.Example:DOH will develop a Memorandum ofAgreement by July 2009 with relevanthealth associations/organizations toconduct depression screening and referraltraining in primary health care settings.9

Activity Statement• Describe the activity.• State how the activity is to be accomplished.• Describe the desired outcome or level ofperformance.• List the resources required to complete theactivity.• Identify who is responsible.• Set completion date.Example:DOH, through the office of the Deputy Director ofBehavioral Health Administration, will establish andstaff a task group of key informants from relevanthealth associations/organizations to develop aMemorandum of Agreement by July 2009 toconduct depression screening and referral trainingin primary health care settings.Part IV: Completing theGPRA TemplateSmall Group ActivityGPRA Templates• Information from the GPRAtemplates will be entered directlyinto the FederalTRANSFORMATION TRACKER bythe MHTSIG Evaluation Team• 7 GRPA Templates; 1 for everyGRPA measure• Presentation Example:GPRA Template #1: Policy Change10

Organizational Structure• GPRA Indicator• Definitions – Explanation of termsused within the GPRA Indicator1. Action Plan Activity StatementDOH , through the office of the Deputy Directorof Behavioral Health Administration, willestablish and staff a task group of keyinformants from relevant healthassociations/organizations to develop aMemorandum of Agreement by July 2009 toconduct depression screening and referraltraining in primary health care settings (NFC4.4)2. GPRA Specific Content• What is the nature of your policy objective? (e.g.written agreement, administrative regulation,law)– Answer: Memorandum of Agreement• What is the intent of your policy objective? (e.g.ensure children receive trauma-informed care)– Answer: Conduct depression screening andreferral training in primary health care settings3. Criterion for completion• e.g., drafted, publicly reviewed, final draft written,approved or passed, issued or implemented asmeasured by– Answer: Memorandum of Agreement approvedby the DOH, Deputy Director and relevanthealth associations/organizations4. Long Term impact□ Increased service capacity5. Groups & Agencies Involveda. Project Lead(s): DOH Deputy Director of BHA;Kaiser Permanente; HMSAb. Contact Information for Project Lead(s)c. Agencies Participating□ Mental Health; □ Other: Kaiser/HMSA6. Population(s) affected:a. Age (e.g. □ Across the Life Span)b. Gender (e.g. □ male and female)c. Race (e.g. □ All)d. Additional Considerations (e.g. □ All)11

7. Anticipated Time Frame• (e.g. Start Date: July-Sept 2008; CompletionDate: Month July, Year 2009)8. Origina. Activity formally began before MHTSIG?□ NoIf “No” was this activity begun by MHTSIG□ Yesb. Raised in NARI? □ Yesc. Noted in CMHP? □ Yesd. Recommended by TWG? □ Yes9. Anticipated Ease of Completion• (e.g. □ Average/realistic)10. Relevant NFC Goals (e.g. Goal 4.4 □)11. Additional Comments12