integrated data and coordinated access: boston’s open ......integrated data and coordinated...
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Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein
Advisor to the Mayor of Boston Initiative to End Chronic Homelessness
City of Boston
Jennifer Flynn HMIS Administrator
City of Boston
Ian Kozak Director of Strategic Development
Green River
Our system needed redesign...
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
1. End Veteran homelessness 2. End chronic homelessness 3. System transformation
“I am so proud to announce: we have ended chronic veterans’ homelessness in Boston. And we are working every day to end all chronic homelessness by the year 2018.” -Mayor Walsh, State of the City Address, January 2016
Action Plan Goals
1,900+ years of homelessness ended: housed 296 chronically homeless individuals since January 2016
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
System Transformation
FRONT DOOR TRIAGE • Pilot launched
Feb 2016 • Collecting precise
data about history and need
RAPID REHOUSING • City invested
$1.8M • $1.5M from HUD
COORDINATED ACCESS • Built system • Hired Manager • System
improvement
PERMANENT SUPPORTIVE HOUSING • BHA units +
services • Affordable
housing + services • Produce PSH
6
Coordinated Access System
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Housing/Units Available
People in Need of Housing
CAS
Match Suggestion
Communications to involved parties: notify and request action
Move in!
Housing inventory, current vacancies, and homeless individual data initially managed from within the CAS, now mostly coming from warehouse.
A core function of the CAS is to generate ideal matches between individuals and housing opportunities.
Email notifications go to interested parties regarding a proposed match. These can be strictly informational, or provide an opportunity for a match to be explicitly rejected.
● Targets resources to most vulnerable first
● Requires transparency
● Facilitates accountability
● Improves efficiency
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Coordinated Access System
Within the City’s CoC: ● 11,670 Single Adults in ES Annually
○ ~1,700 on any given night
● 2,663 Families in ES Annually ○ ~1,250 on any given night
● 27 service agencies using HMIS ● 4 HMIS installations ● ~700+ Users
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
City of Boston Background
A 2015 initiative set out to address technical systems to support: ● Consolidated HMIS reporting (federal and local) ● 360 degree client view ● Performance analysis across the CoC ● Housing Coordinated Access processes
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Scope
● Preserve existing HMIS infrastructure ● Minimize duplicate data entry/points of access ● Leverage data analytics ● Enable future extensibility
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Technical Goals
● Publicly advertised RFP with very explicit needs for both the warehouse
and housing placement systems. ● Worked with Mayor’s Office of New Urban Mechanics and the Department
of Innovation and Technology on Ownership Rights ○ Work for Hire - Boston owns the code and intellectual property ○ Agile Development - weekly sprints, put system in production
quickly then make changes based on usage
● Open source/copyleft licensing ○ Licensed for public use ○ For Coordinated Access: github ○ For Warehouse: available soon
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Solution Path
Warehouse
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Admin Client View
Warehouse
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Aggregated Census
Warehouse Admin Reports
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Warehouse “Window” Application for Providers
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Warehouse Data Import
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
HUD-Spec HMIS Exports Demographic information Program enrollment Income details
API Calls Assessment results Case manager information Client photos Information releases Client contact information (phone, email)
HMIS HMIS HMIS HMIS
Data Management Application
Window to the Warehouse
Admin Web Application Oversee deduplication Manage users and roles Run aggregate reports View full client records
Service Provider Portal View (redacted) client records
Warehouse Database
Warehouse Data Import
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Automatic and suggested deduplication
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Include health information for coordinating a wider set of agencies: ● Medical provider notes ● Medical appointments (past and future) ● Integrated multi-agency care plans
Health Care Integration
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Health Care Integration Healthcare for the Homeless wireframe
Coordinated Access
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Roles and workflows: notifications and logins
Coordinated Access
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Coordinated Access
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak Successes:
● 40 chronically homeless individuals successfully matched; 8 housed
● Nightly data from three different HMIS legacy systems ● Coordinated Access System and HMIS data warehouse linked ● Data driven accountability and system improvement ● HUD Reporting in XML/CSV format ● Performance dashboards ● Network data sharing Challenges: ● Coordination of IT resources and stakeholders ● HIPAA expertise ● Speed to housing
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
● Add Rapid Rehousing, Veterans ● Including housing opportunities beyond CoC-
funded ○ 10% homeless set-aside units ○ HUD Multifamily affordable housing ○ Boston Housing Authority
● Integration with Health Care providers ● Additional HMISs from nearby CoCs ● Additional case manager activity/notes ● Open source the homeless response system
Future Plans
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Leverage analytics for identifying: ● Client vulnerability ● Housing opportunity match success ● Program performance
Future Plans
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Collaboration
https://github.com/greenriver/boston-cas
● Open Source, GPLv3
● Ruby on Rails
● MS SQL Server/PostgreSQL
● Hosted Solution
Integrated Data and Coordinated Access: Boston’s Open Source Solution
Laila Bernstein, Jennifer Flynn, Ian Kozak
Laila Bernstein [email protected] Advisor to the Mayor of Boston Initiative to End Chronic Homelessness City of Boston Jennifer Flynn [email protected] HMIS Administrator City of Boston Ian Kozak [email protected] Director of Strategic Development Green River
https://www.boston.gov/housing/bostons-way-home Twitter:@BostonsWayHome