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Annual Performance Plan 508

Annual Performance Plan 508

MAJOR MILESTONES

MAJOR MILESTONES 9/30/2014 With HHS, publish report for evaluation of the impact of linking supportive services with health care coordination through Supports and Services at Home (SASH) on health care utilization, health care costs, and health outcomes among HUD-assisted households. Achieved as of this publication. • The first of three SASH reports was published in FY 2014: http://aspe.hhs.gov/ daltcp/reports/2014/sash1.cfm Ongoing Spring 2015 Building evidence of effective models and cross system impact • With the Centers for Medicare and Medicaid Services (CMS), provide a draft memo on enrollment and eligibility for Medicaid and Medicare among HUDassisted individuals and descriptive information about high health care utilizers (in 12 jurisdictions). Spring 2015 • Continue to engage CMS and HHS in the Aging in Place Demonstration and Evaluation. Summer 2015 • With HHS, publish second report for evaluation of the impact of linking supportive services with health care coordination through Supports and Services at Home (SASH) on health care utilization, health care costs, and health outcomes among HUD-assisted households. 8/31/2015 • Publish process evaluation report of the Section 811 Project Rental Assistance Demonstration to examine implementation outcomes. 12/31/2015 • Using data matched to HUD-assisted household identifiers, prepare a publication with the National Center for Health Statistics (NCHS), on descriptive household characteristics, health outcomes and disparities, health insurance, and healthcare access, utilization and costs for HUD tenants. 3/31/2016 Increasing use of Medicaid as a source for services • Develop 20 community action plans with local and state healthcare service representatives to improve access and effective use of services for HUD-assisted individuals. • Disseminate local case studies on the use of Medicaid and other ACA-expanded services in supportive housing programs. 9/30/2015 Improve tracking of client level health outcomes in HOPWA • Determine an appropriate client level data collection method for HOPWA grantee reporting to track health outcomes. • Provide joint technical assistance and training to both HOPWA and Ryan White program grantees to build local capacity to integrate health care planning and outcomes measures into HIV housing plans. 88 Retrospective: FY 2014-2015 Agency Priority Goal End Veterans Homelessness

MEASURING OUR PROGRES 85 To help achieve this objective, HUD has established the following performance indicators. Number of successful transitions from institutions through Section 811 Project Rental Assistance program FY12 Actual FY13 Actual FY14 Actual FY14 Target FY15 Target No Data No Data No Data 86 NA 510 862 FY16 Target Percent of PHAs with smoke-free housing policies (cumulative) 88 CY12 Actual CY13 Actual 89 CY14 Actual CY14 Target FY15 Target 90 FY16 Target 14% 16% 18% 16% 20% 25% Average CMS STAR rating of Section 232 nursing home commitments FY12 Actual FY13 Actual FY14 Actual FY14 Target FY15 Target FY16 Target 2.9 3.1 3.2 >2.2 91 >2.8 >2.8 85 The HUD FY 2013 APR and FY 2015 APP performance indicator “Percentage of HUD-assisted residents with public or private health coverage” has been removed, as the data are not available and tracking is reliant upon the National Center for Health Statistics. 86 Leasing under the Section 811 PRA Program will start in early FY 2015, transitions forthcoming. 88 Reports Calendar Year through 2014. 89 The Office of Lead Hazard Control and Healthy Homes (OLHCHH) gathered and recorded these data on a calendar year basis (in December of each calendar year). At the end of FY 2014, the office shifted to fiscal year reporting, as shown for FY 2014-16. 90 The Office of Lead Hazard Control and Healthy Homes (OLHCHH) has been gathering and recording these data on a calendar year basis (in December of each calendar year). In FY 2015, the office will shift to fiscal year reporting, as reflected in the FY 2015-16 targets. 91 When HUD initially established the quality target of 2.2, it was the national U.S. average of proprietary skilled nursing facilities; this has since risen to above 3. FHA’s 232 portfolio insures risky credits where there is a crucial need for the agencies’ support – for financial turnaround of facilities and providing services to the most vulnerable populations. The target indicates FHA’s commitment to maintain its average rating of 2.78, and its mission to ensure quality care for all. Retrospective: FY 2014-2015 Agency Priority Goal End Veterans Homelessness 89

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