This report describes the more than 100 quality improvement activities and initiatives taking place throughout DHS, using the Council on Accreditation’s (COA) Performance and Quality Improvement standards to frame the discussion of how DHS currently manages quality improvement. It discusses best practice approaches and provides benchmarking information about what organizations similar to DHS are doing, and was used to inform the development of DHS’s Quality Improvement unit.

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Family Support Center staff are required to meet hourly training goals each year, in addition to maintaining certifications for specific positions.  This training is primarily provided by the University of Pittsburgh’s Office of Child Development. Focus groups were held to collect feedback about the training and to identify ways in which training could better support FSC staff. This report describes the evaluation process, the findings and suggestions for future trainings.

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DHS examined a cohort of homeless individuals to describe the demographic composition and service utilization of the county’s homeless population, as well as to quantify the costs associated with their care.

Homeless individuals in Allegheny County frequently consume public resources and contribute to a measurable and sizable public expense; the consumption of mental health services by the homeless has the most impact on the overall costs calculated in this study; and there is a small high-end user population that has expenses beyond what would be typically anticipated. These high-end users access more behavioral health services and are incarcerated more frequently than the general homeless population; the number of individuals in this high-end user group (<100) is manageable for targeted services; and the costs associated with their care are sizable enough to offer opportunities for savings.

 

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