REPORT OF THE BUSINESS PROCESS REINGINEERING PROJECT: AN INTEGRATED CASE MANAGEMENT SYSTEM FOR THE RICHMOND DEPARTMENT OF SOCIAL SERVICES December, 2012 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 TABLE OF CONTENTS TABLE OF CONTENTS........................................................................................................... 1 Chapter 1: Introduction and Principal Recommendations ................................................ 4 Introduction .................................................................................................................... 4 Principal Recommendations ........................................................................................... 5 Importance for Richmond Residents .............................................................................. 7 Chapter 2: Project Goals and Work Activity ...................................................................... 9 Project Goals ................................................................................................................... 9 TATC Project Work Activity ............................................................................................. 9 Chapter 3: The Current State of RDSS.............................................................................. 12 Introduction .................................................................................................................. 12 Summary of RDSS strengths and Improvement Opportunities .................................... 17 Chapter 4: Industry Trends and Best Practices ................................................................ 19 Industry Trends ............................................................................................................. 19 Human Services Summit 2010 .................................................................................. 19 Examples of innovative Trends ................................................................................. 20 Best Practices Analysis .............................................................................................. 23 Trends in the City and Commonwealth ........................................................................ 27 Integrated Services within RDSS ............................................................................... 27 City of Richmond Safe Passages Model .................................................................... 28 Commonwealth Initiatives ........................................................................................ 29 Chapter 5: The Integrated Client Service Model ............................................................. 33 The Concept Plan .......................................................................................................... 34 Change in Perspective ............................................................................................... 34 Conceptual Model ..................................................................................................... 36 Assessment of the Conceptual Model ...................................................................... 38 The Integrated Client Service Process .......................................................................... 45 Intake Process ........................................................................................................... 47 Page 1 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Emergency Protective Services ................................................................................. 50 Emergency Economic Stabilization ........................................................................... 56 Request Processing and Routing (Base Request) ..................................................... 59 Request Processing and Routing (Advanced Assessment) ....................................... 62 Case Management .................................................................................................... 66 Foster Family Management ...................................................................................... 73 Support Processes ......................................................................................................... 78 Document Management ........................................................................................... 79 Quality Assurance ..................................................................................................... 83 Utilization Management ........................................................................................... 89 Finance (Supplies and Materials) .............................................................................. 99 Recovery (Fraud) ..................................................................................................... 104 Ability to Resolve Performance Issues ........................................................................ 109 Chapter 6: Organizational plan ...................................................................................... 115 Organizational Framework ......................................................................................... 116 Intake and Assessment ........................................................................................... 118 Case Management .................................................................................................. 119 Policy and Programs Support .................................................................................. 120 Family Support ........................................................................................................ 121 Finance and Administration .................................................................................... 122 Human Resources ................................................................................................... 123 Staffing in the new organizational model ................................................................... 123 Phasing of the Organizational Changes ...................................................................... 126 Chapter 7: Human Resources Model ............................................................................. 129 Wage and Classification .............................................................................................. 129 Performance Appraisal ............................................................................................... 133 Tiered Performance Appraisal System ................................................................... 137 Advantages of the Tiered Review System .............................................................. 140 Career Development ................................................................................................... 141 Career Development Plan ....................................................................................... 141 Career Training Plan ................................................................................................ 145 Human Resources Conclusion..................................................................................... 146 Page 2 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Chapter 8: Information Technology ............................................................................... 147 General Overview of Information Technology ........................................................... 147 Assessment of the Harmony System .......................................................................... 150 Assessment of Harmony ......................................................................................... 151 Recommendations Relating to Harmony................................................................ 152 Electronic Document Management Systems (EDMS)................................................. 154 Overview of EDMS .................................................................................................. 154 Business Case for an EDMS ..................................................................................... 155 Acquiring and Installing an EDMS ........................................................................... 156 Chapter 9: Performance Management .......................................................................... 160 Performance Measurement........................................................................................ 160 Understanding the Concept of Performance Measurement.................................. 160 Mandated Performance Reporting ......................................................................... 164 From Performance Measurement to Performance Management ............................. 166 Chapter 10: Summary of Recommendations ................................................................. 169 Chapter 11: Implementing change ................................................................................ 174 Change Management.................................................................................................. 174 Implementation Plan .................................................................................................. 176 Implementation Schedule ........................................................................................... 219 APPENDIX: PROCESS FLOW MAPS ................................................................................. 234 Page 3 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CHAPTER 1: INTRODUCTION AND PRINCIPAL RECOMMENDATIONS INTRODUCTION In early 2010, the Richmond Department of Social Services embarked on a plan to review and revise its business processes. The goals of this effort then, and now, are to: Provide better and more expedient services and benefits to the Department’s clients; Ensure that the Department’s processes fit its mission, vision, values, and mandates; Eliminate redundant and/or inefficient processes; Make sure that staff have the tools necessary to perform assigned duties; and, Promote continuous quality improvement. To accomplish its goals, the Department established a Business Process Redesign Steering Committee. The role of the Committee was to develop and implement a plan to assess the Department’s policies and procedures and to develop improvement recommendations. As part of its efforts, the Committee, through the Department, secured the services of TATC Consulting, Inc. The assignment given to TATC was to work with the Steering Committee and the personnel of the Department to perform a business process review which would result in recommendations for new business processes. This report is the result of this analysis. The principal work steps which we followed in undertaking this project included: We gained an understanding of the current operations of the Department through interviews with Department management and supervisors, interviews with representatives of community partner agencies, and field observations. Page 4 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 We added to that understanding through a series of meetings with Department staff to review the current business processes used for client service and business support. A concept planning committee worked with project staff to design a new concept for integrated case management for the Department. Using a modified—and simplified‐‐version of Integrated Definition Modeling (IDEF), we met with groups of employees to design “To‐Be” business flows for the key client service and support processes. Each team reviewed the to‐ be flows three times: when they first met to develop the flows, individual reviews of the models developed in the first work session, and then a final review session to make any last modifications to the processes. A process integration team combined the individual functional service flows into a single integrated case management flow. Using the integrated flow model, we developed alternative recommendations for an organizational structure to carry out the new processes. We also reviewed, and developed recommendations, relating to the human resources, information technology, and performance management systems that would be instrumental in effecting the process changes. PRINCIPAL RECOMMENDATIONS This report provides recommendations for improved business processes and operations at several different levels. These include business processes themselves, potential reorganization of the Department to effect the process recommendations, and recommendations pertaining to support elements of the Department. We provide a summary list at the end of this report. There are, however, some recommendations which are most important, either because they inform the Department’s long‐term improvement strategy or they are recommendations on which other recommendations are based. These include: Commit to being the best Social Services Department in the Commonwealth of Virginia and recognized as a leader throughout the United States. Adopt and implement the functional and support business processes for integrated case management as developed by the project team and Page 5 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Department staff, monitoring the implementation to identify continued process improvements. Adopt and implement the organizational framework designed to align with, and support, the new business processes. When transition is completed, this organization will have two service functions (Intake and Assessment and Case Management) and four support functions (Policy and Programs, Family Supports, Finance and Administration, and Human Resources). Use an integrated case management team approach in which the Department creates case management teams consisting of both social workers and benefit works. Teams will serve clients through a lead worker system and will serve as an integrated service provider for clients with multiple needs. Create an Organizational Performance Support unit which will serve to monitor the internal performance of the department through quality assurance, utilization management, performance management, employee development and training, and information technology. Create a Program Support unit by combining under single leadership the CSA, TDM, Resource Family Unit, ECDI, Healthy Families, and Healthy Start programs. Realign staff positions consistent with the process and organizational recommendations of the report. It is expected that the new business processes will result in freeing a substantial number of work positions. The Department should reassign those positions to the recommended work units, making certain that personnel receive the proper training and skills development to be successful in their new assignments. The Department should adopt and implement a compensation banding approach that will reduce the number of individual job classifications and expand wage ranges. The Department should, to the extent possible, develop a new internal performance appraisal system, using a tiered evaluation approach, with assigned counselors responsible for individual reviews and employees having optional, self‐selected mentors to serve as advisors and advocates. Using a comprehensive job expectation matrix, employees should prepare multi‐year career development plans, identifying short and long‐term career Page 6 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 goals and identifying work and training opportunities that will enable completion of the goals. The employee and Department should recognize mutual responsibility for completion of the career development plans. The Department should continue using the Harmony application for its own case management and financial integration purposes, but with some important considerations. The Department should acquire and implement a robust Electronic Document management system, including the capacity for electronic forms generation. While continuing to report performance through the State’s mandated performance reporting system, the Department should develop its own performance management system that will be consistent with the City’s Balanced Scorecard requirements and provide timely performance data that the Department can use to assess overall performance, identify and resolve problem areas early, and provide an accurate report of Departmental performance to all interested stakeholders. IMPORTANCE FOR RICHMOND RESIDENTS This project, and the recommendations stemming from it, must be relevant to the residents of the City of Richmond or it will have no value. Throughout the report, we comment that RDSS has committed itself to a greater emphasis on its clients, assuring that client needs and services come first. So, what does this mean: Residents will not have to spend so much time obtaining or maintaining services. Electronic submission of information, including applications, will greatly reduce requirements to come to the RDSS offices and wait for long periods of time to see someone. Reduced time in having to come to RDSS offices will mean less time away from work, fewer requirements for having someone look after the children while being at RDSS offices, and reduced transportation costs. Clients will not be on their own to figure out what services they need and how to get them. Instead, RDSS staff will work closely with clients to identify needs and solutions. Page 7 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RDSS staff will have access to better, more complete information by which to anticipate and to assess client needs and to develop appropriate service strategies. More streamlined processes mean that residents will experience faster response to applications for services, and an emphasis on quality review will minimize the potential for error. Clients will have single points of contact for service support. That individual case worker will have the ability to help residents with all of the programs of the Department, not just individual programs. With one point of contact, rather than many different individuals, clients will be able to be better able to obtain services and to develop a more personal relationship with their case worker. Backed by the resources of broad case teams, the case worker will be better able to bring the capabilities of the Department into focus for the client. Greater emphasis on community partnerships and services will enable clients to obtain a broader range of supports. The greater efficiency of operation will mean more resources for the residents of Richmond, leading to a better quality of life for the City. Page 8 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CHAPTER 2: PROJECT GOALS AND WORK ACTIVITY In this chapter, we describe the project goals and our approach to undertaking the work. PROJECT GOALS At the outset of this business process redesign project, the Department established five goals that it wished to achieve. These goals include: Provide better and more expedient services and benefits to our clients; Ensure that our processes fit our mission, vision, values, and mandates; Eliminate redundant/inefficient processes; Make sure that you have the tools necessary to perform your duties; and, Promote continuous quality improvement. During the course of the project, it became apparent to the participants that these five goals merged into two overarching purposes. These are: Addressing performance deficiencies; and, Creating a new organizational culture which emphasizes client service and acknowledges the awareness of consequences if the Department fails to meet its client obligations in a timely, effective manner. This project, then, gained energy from using these two focal points as the guide for the accomplishment of project goals. TATC PROJECT WORK ACTIVITY In June of 2012, RDSS contracted with TATC Consulting to consider revised business process models, based upon the Department’s stated desire to develop a customer‐focused, community‐driven approach to improving self‐sufficiency for its clients. RDSS had already begun work which supported the TATC process improvements, including: Key employees of the Department had previously participated in a SWOT analysis in 2010; the current business process consulting project has continued to involve a wide cross section of employees in SWOT analyses of business process alternatives. Several teams have worked within RDSS to develop tools which would support a revised business process model, including a Technology Upgrade Plan and Core Competency Models. Page 9 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Employment related functions and programs such as the Workforce Development Pipeline, the Full Employment Program, and View are focused on moving clients to self‐sufficiency. Quality Service Review supports improvements in social services practices. Team Decision Making integrates employees from many parts of RDSS, families, and other family support members, to support youth in foster care and to move them from foster care. The Comprehensive Services Act focuses on strengthening community‐based services and ensuring those services support RDSS clients. Building upon these improvements, the TATC team has worked extensively with many different RDSS staff members and supervisors to complete the following major activities: We conducted 31 work sessions involving more than 150 employees to gain an understanding of all current processes (as‐is analyses). Based upon work with RDSS’s management, informed with the information, from the as‐is sessions and TATC staff experience, we developed a set of guiding principles. Based upon the guiding principles (which are explicated below), a select set of RDSS employees worked with TATC to design a preliminary concept of an improved process flow. TATC worked with RDSS management to further develop the improved flow process and to re‐emphasize the guiding principles for any process improvements. This work included twenty‐nine work sessions involving nearly 150 employees to design new business processes for functional work and support systems. Based upon the concept of an improved flow process and the guiding principles, as well as the concerns of RDSS management, TATC team members once again worked with teams of employees to review the to‐be processes to determine how to integrate the functional processes into a service continuum. Page 10 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 TATC team members have taken the suggested improvements from these latest process teams and have developed human resources approaches, funding strategies, implementation plans, and organizational strategies to support the to‐be processes. In summary, RDSS has many tools and work methods in place which support a revised business process. The experience and expertise developed can support even more advanced improvements in a business process intended to provide consistent and comprehensive support of the families which form the RDSS client base. All of the process improvements, and associated recommendations have been developed based upon the guiding principles which support these recommended improvements, including: RDSS supports a comprehensive, integrated approach to service provision. This approach to service provision is intended to utilize best human services practices to move clients to self‐sufficiency in the manner which is as unobtrusive as possible for clients. This approach is also intended to focus on transition form services as soon as possible, given the specific circumstances of each client and family involved. In addition, this approach is focused upon showing that better processes and practices can also result in improved performance measures. Finally, this approach is intended to improve the working environment for RDSS employees by showing the real staffing requirements and assisting in improved results for the clients that they so passionately serve. Page 11 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CHAPTER 3: THE CURRENT STATE OF RDSS In this chapter, we review the current state of the Department of Social Services. This review includes an introductory overview of the Department, a summary of the Department’s strategic planning, a summary of the perceived strengths and weaknesses of the Department, the conclusions from the As‐Is, or Current State, review, and a comparison of the Department against industry best practices. INTRODUCTION The Richmond Department of Social Services is committed to achieving its mission “to strengthen families, assure safety, promote self‐sufficiency, and improve the quality of life for all citizens of the City of Richmond.”1 The current economic situation in Richmond has created challenges for RDSS: Twenty‐one percent of the population of Richmond was enrolled in Medicaid in 2011. More than twenty‐five percent of the population of Richmond was enrolled in the Supplemental Nutrition and Assistance Program (SNAP) in 2011. These data are supported by the fact that Richmond’s poverty rate is 22.1%, according to the latest available census data. At the same time that caseloads have risen to their highest levels in four years (except for Foster Care), the Department of Social Services has operated with a vacancy rate of between 12% and 15% for most of the year. Because of the economic situation and low staffing levels, RDSS has struggled in “meeting key performance benchmarks.”2 The following table presents the RDSS case loads for the fourteen month period from July 2011 through August 2012. It shows a steady increase in work load for the Department, with the exception of the slight decline in VIEW enrollment. RDSS CASE LOAD, JULY 2011 THROUGH AUGUST 2012 # Medicaid Applications Taken # Active Medicaid Cases # Active Medicaid Enrollees Jul‐11 484 24,963 43,814 Aug‐11 538 25,095 43,967 Sep‐11 507 25,196 44,156 MONTH OF Oct‐11 Nov‐11 545 489 25,371 25,463 44,359 44,420 Dec‐11 482 25,579 44,680 1 Annual Report for the City of Richmond Department of Social Services, A Look Back 2010‐2011, pg. 1. 2 Ibid. Page 12 Jan‐12 536 25,487 44,712 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RDSS CASE LOAD, JULY 2011 THROUGH AUGUST 2012 # SNAP Applications Taken # Active SNAP Cases # Active SNAP Enrollees # TANF Applications Taken # Active TANF Cases # Active TANF Enrollees Total Enrollees in View # Child Care Applications Taken # Active Child Care Cases # Foster Care Cases # Medicaid Applications Taken # Active Medicaid Cases # Active Medicaid Enrollees # SNAP Applications Taken # Active SNAP Cases # Active SNAP Enrollees # TANF Applications Taken # Active TANF Cases # Active TANF Enrollees Total Enrollees in View # Child Care Applications Taken # Active Child Care Cases # Foster Care Cases Jul‐11 1,499 27,848 53,424 224 2,995 8,518 1,140 245 1,359 256 Feb‐12 453 25,213 44,083 1,379 29,892 55,532 198 2,983 8,219 204 1,308 221 Aug‐11 1,847 28,260 54,279 312 3,020 8,615 1,110 281 1,350 242 Mar‐12 549 24,864 43,498 1,329 29,894 55,218 214 2,869 7,896 1,020 255 1,357 211 MONTH OF Oct‐11 Nov‐11 1,685 1,459 29,122 29,512 55,422 55,527 278 278 3,007 2,977 8,576 8,473 1,084 280 219 1,353 1,359 1,358 238 245 242 Sep‐11 1,651 28,670 54,784 332 2,977 8,473 Apr‐12 576 25,065 43,820 1,236 29,915 55,373 252 2,853 7,922 1,001 207 MONTH OF May‐ 12 652 23,581 44,309 1,424 29,996 55,503 303 2,881 8,061 994 284 1,440 204 Jun‐12 725 25,780 45,505 1,424 30,025 57,893 257 2,851 8,102 202 Dec‐11 1,503 29,663 55,774 291 2,990 8,490 1,077 181 1,343 234 Jan‐12 1,503 29,790 56,168 219 2,984 8,038 Jul‐12 627 25,870 45,154 1,501 30,559 56,154 299 2,816 7,942 996 218 1,339 194 Aug‐12 643 26,096 45,454 The Department has been called upon to maintain this work load with existing staff resources, complicated by an overall vacancy rate averaging over thirteen percent in the last two years: RDSS AUTHORIZED STAFF AND VACANCIES, FY 2006-12 Vacancy Positions Rank Vacancy Fiscal Year Among Rate Authorized Filled Large Depts FY 2012 496.0 425.7 13.3% 2 FY 2011 496.0 422.3 13.6% 3 FY 2010 496.0 447.0 8.5% 3 FY 2009 499.0 467.0 6.3% 8 DY 2008 500.0 466.3 8.9% 8 FY 2007 499.0 444.0 12.2% 5 FY 2006 502.0 446.0 8.4% 7 Page 13 214 1,091 228 329 2,973 7,961 242 1,339 195 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Performance continues to be an issue for the Department. The following table, presents the Department’s performance against State established targets for the period from July 2011 through August 2012, fourteen months of data reporting: RICHMOND DEPARTMENT OF SOCIAL SERVICE PERFORMANCE RELATIVE TO STATE TARGETS JULY 2011 THROUGH AUGUST 2012 No. of Reports Goal Met By 5% or less More than 5% Goal Met Missed by 5% or less Missed by more than 5% Timely Processing of Medicaid applications Timeliness of Medicaid Reviews Timely Processing – SNAP Expedited Timely Processing – SNAP Regular Timely Processing of SNAP Combined Applications SNAP Participation Rate SNAP Quality Assurance Payment Error Rate SNAP Quality Assurance Negative Action Error Rate VIEW – Job Retention VIEW – Average Hourly Wage VIEW – Percent Employed Timely Processing of TANF Applications VIEW – Federal Work Participation Rate Timely Processing of Child Care Applications Absence of Maltreatment (Quarterly) Absence of Abuse While in Foster Care (Quarterly) Percentage Reunified w/in 12 Months (Quarterly) Foster Care Re‐Entry Rate (Quarterly) Adoptions Finalized w/in 24 Months of Entering Care Percentage Discharged to Permanence (Quarterly) Placement Stability – 1st 12 Months (Quarterly) Number of Adoption Disruptions Percentage of Youth in Congregate Care Kinship Care Placements Monthly FC Visitation Percentage of Performance Goal State Performance Measure Goals Missed >=0.97 >=0.97 >=0.97 >=0.97 14 14 11 11 0 0 7 1 0 1 4 10 14 13 0 0 0% 0% 64% 9% 0% 7% 36% 91% 100% 93% 0% 0% 11 14 7 1 14 6 10 0 0 0 0 1 9% 100% 86% 91% 0% 0% 0% 0% 14% 8 14 14 14 14 10 14 5 0 0 14 0 0 0 2 5 0 6 0 0 7 0 6 0 8 8 0 14 7 10 6 0 0% 0% 100% 0% 0% 0% 14% 100% 0% 43% 0% 0% 50% 0% 43% 0% 100% 57% 0% 100% 50% 100% 43% 0% 5 3 2 0 60% 40% 0% 5 5 2 3 0 1 3 1 40% 60% 0% 20% 60% 20% 5 0 0 5 0% 0% 100% 5 0 0 5 0% 0% 100% 5 14 14 14 14 2 13 14 0 11 3 0 0 0 3 0 1 0 14 0 40% 93% 100% 0% 79% 60% 0% 0% 0% 21% 0% 7% 0% 100% 0% >=0.97 >=.80 <=.03 <=.02 >=.75 >=7.25 >=.50 >=.95 >=.50 >=.95 >=.95 >=1.0 >=.75 >=.10 >=.37 >=.29 >=.86 =0 >=.16 >=.24 Page 14 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RICHMOND DEPARTMENT OF SOCIAL SERVICE PERFORMANCE RELATIVE TO STATE TARGETS JULY 2011 THROUGH AUGUST 2012 No. of Reports Goal Met By 5% or less More than 5% Goal Met Missed by 5% or less Missed by more than 5% Monthly Client Visits with Family CPS Ongoing Contacts Met CPS Prevention Contacts Met CPS Response within Priority Time ‐ First Attempted CPS Response within Priority Time ‐ First Completed Timely CPS Assessments Timely CPS Investigations Timely APS Investigations Absence of APS Recurrence within 90 Days TOTALS Percentage of Performance Goal State Performance Measure Goals Missed >=.90 >=.90 >=.90 14 14 14 0 5 0 0 5 0 14 4 14 0% 36% 0% 0% 36% 0% 100% 29% 100% 14 2 2 10 14% 14% 71% 14 13 13 14 13 384 1 1 1 9 13 130 2 1 0 3 0 66 11 11 12 2 0 188 7% 8% 8% 64% 100% 34% 14% 8% 0% 21% 0% 17% 79% 85% 92% 14% 0% 49% >=.90 >=.90 >=.90 >=.95 >=.95 >=.95 This table shows that the Department has consistently missed its state‐ mandated performance targets over the past fourteen months. Many of these performance issues relate to the timeliness and frequency of work to be performed. These are the types of performance issues that business process redesign can help. It does so by identifying and removing work impediments such as bottlenecks in work processes, redundant reviews, and lack of time standards designed to reduce overall time averages. One optimistic statistic is the fact that foster care caseloads decreased by more than twenty percent during 2011. This improvement has been attributed to several revisions that RDSS has made in its approach to serving families, including: 3 Using Team Decision Making, which gives “the child and family the ability to invite their support system to be involved in decision making and service planning;”3 Ibid, pg. 27. Page 15 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Providing “high quality, child centered family‐focused cost effective community‐based services;”4 Training foster/adoptive families and reducing “the number of foster care youth placed in a congregate care setting;”5 Participating in Quality Service Review, a review process that “focuses on the positive aspects of ...practice and leverages this practice to correct areas not aligned with the model;”6 Using the Continuous Quality Improvement Unit (CQI) to “target and improve practice where practice was determined to be marginal.”7 Although programs operated by the Economic Support and Independence Division have not yet shown the positive turnaround experienced in Foster Care, several positive steps have been taken to improve the benefits side of the house, including: Working in partnership with several other community groups to “develop workforce readiness and create employment opportunities for recipients of the various public assistance programs.”8 Working in “partnership with the Virginia Department of Social Services (VDSS) to implement a full employment program which provides opportunities for public assistance recipients to receive training and careers in the fields of construction, office administration, office management, licensed practical nurse, certified nursing assistant...”9 Reorganizing training for newly hired Benefit Program Specialists Reorganizing the RDSS Intake Area and implementing a Customer Care Center which provides clerical support to each team within the Division 4 Ibid, pg. 27. Ibid, pg. 20 6 Ibid, pg. 20. 7 Ibid, pg. 21. 8 Ibid, pg. 16. 9 Ibid, pg. 16. 5 Page 16 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 SUMMARY OF RDSS STRENGTHS AND IMPROVEMENT OPPORTUNITIES The RDSS has undertaken several different analyses of its strengths, weaknesses, threats, and opportunities (SWOT). Most recently, the Department conducted an agency‐wide analysis with its leadership and managerial personnel as part of its Balanced Scorecard strategic planning. Additionally, the Concept Planning Team charged with developing the initial business process redesign concept conducted a SWOT analysis, focusing principally on strengths and areas of improvement opportunity. The different analyses had the same conclusions: RICHMOND DEPARTMENT OF SOCIAL SERVICES PERCEIVED STRENGTHS AND IMPROVEMENT OPPORTUNITIES Strengths Staff who are knowledgeable, skilled and diverse workforce Drive to want to work together Intake supervisors are phenomenal DSS staff want to help and have a passion to assist our customers Management open door policy Situations will get handled quickly Strong mentoring relationships exist and we have a culture that emulate others Willingness to adapt and change Comment cards for feedback Positive Initiatives such as Congregate Care Caseload Reduction Applying creative approaches to service delivery that allow us to meet our performance benchmarks The Continuous Quality Improvement, Team Decision Making, and Comprehensive Services Act units Collaborations: We are good at the development of relationships with community partners and other city departments Training and development of our workforce DSS staff feel accountable Opportunities for Improvement RDSS has an employee‐focused culture of “me” Limited resource guides Strengths are inconsistent throughout the Agency Meeting compliance standards Underutilization of available training Lack of technology Staffing levels Inefficient client and business processes Financial and intake processes need major improvements Many processes are done manually and rely on paper records Lack of interfaces with state systems Communication Issues Information does not always filter throughout the organization or to the correct individuals Communication mechanisms are used inappropriately Lack of use of DSS All‐Staff Client information is not available or shared throughout the agency Employee performance management issues Page 17 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RICHMOND DEPARTMENT OF SOCIAL SERVICES PERCEIVED STRENGTHS AND IMPROVEMENT OPPORTUNITIES Strengths Opportunities for Improvement DSS Customer Service Beginning of a positive culture change in the agency Shared efforts DSS IT Support/Help desk FAPT team inside agency Building security staff Improving appearance of Marshall building ADAPT training manual Quality Council While the strengths relate primarily to attitudes within the Department’s management structure, the weaknesses point to fundamental deficiencies in work processes and essential resources. The objective, therefore, of the process redesign is to use the identified strengths as the starting point for overcoming the perceived weaknesses. Page 18 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CHAPTER 4: INDUSTRY TRENDS AND BEST PRACTICES An important part of any business process redesign is developing a system that reflects industry trends and best practices. The purpose of tracking to trends and practices is not to mimic those; rather, it is to learn from them and use them as a cornerstone for processes that fit the unique circumstances of the Department. In this chapter, we conduct an overview of trends and practices in order to inform the design and recommendation of new business processes in the following chapter. INDUSTRY TRENDS All human services agencies are undergoing significant stresses. RDSS is no exception, as described in the previous chapter. In the following sections, various documents that illustrate the current trends in human services operations are discussed, to provide a practical background for assessing the concept plan discussed above. Human Services Summit 2010 A review of current academic studies as well as professional journals indicates that all human services agencies are struggling with the same issues. These issues have been simply summarized in a report from the 2010 Human Services Summit at Harvard University (The Next Generation of Human Services: Realizing the Vision): “Demand [for services] is increasing.”10 This increasing demand for service seems to parallel the unemployment rate and is intensified by the demographics of an aging population. “Cases are intensifying;” that is, “client challenges are becoming more complex.”11 “Cost is escalating.”12 Resources are dwindling.”13 10 The Next General of Human Services: Realizing the Vision, A Report from the 2010 Human Services Summit at Harvard Universtiy pg. 3 11 Ibid, pg. 3 12 Ibid, pg. 3 Page 19 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 In response to this environment of increasing demand for more complex and costly service needs and dwindling resources, RDSS and other human services agencies have made many incremental changes, with varying success. According to the leaders in the human services field who attended the Human Services Summit in 2010, human services agencies must “respond in new ways to create and deliver previously unattainable outcomes.” In other words, complete paradigm shifts are necessary to deal with current challenges to the system. Summit attendees recognized the need to comply with the wide ranging set of regulations which rule the use of the funding from Federal and State sources, while moving to a more collaborative business model. These collaborative processes included working with others who provide similar services and developing some limited information‐sharing and decision‐ making. However, there was general recognition that to provide human services today and into the future, significant challenges face agencies providing these services, including the need to: Foster flexible organizational cultures to meet changing client circumstances to maximize service outcomes. Support predictive information organization‐wide to support policy and program innovations. Involve all stakeholders in the integrated service system, utilizing social media and communication tools to involve stakeholders in the creation of solutions community‐wide. Such far‐reaching changes in planning, developing, providing, and evaluating human services means that human services organizations may not look much like the organizations of today. Thus, the comprehensive and integrative approach being considered for RDSS appears to be in line with the trend toward the more integrated and comprehensive approach described at the end of the 2010 Human Services Summit. Examples of innovative Trends Both grant funding organizations and service providing organizations have recognized that the future of human services can be described as follows: Is based upon an integrated approach to service delivery; Requires cross‐organizational collaboration and cooperation—both within the organization itself and within the community at large; 13 Ibid, pg. 3 Page 20 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Will require significant improvements in technology needed to provide information for family‐focused service delivery; Will require a workforce that is well‐trained and familiar with all of the services available; Will focus upon a stringent review and evaluation of the outcomes of service delivery; Will require new ways of staffing and of managing services; and, Will involve clients in decision‐making. The following examples further emphasize the requirements for future strategic planning. There are examples from private, non‐profit grant funders, illustrating that the funding organizations are focusing on integrated, collaborative service delivery and measurable outcomes. There is an example of a California County taking on the integration of programs across public and mental health, human services, employment, and veterans and public guardian aspects. And, finally, an example of how legacy systems are being revised to assist the Vermont Agency of Human Services is attempting to accelerate the integration of programs using a specialized architecture, relying upon its current legacy system and the data collected, but using that data in new ways. In other words, many jurisdictions are working on ways to achieve a new strategic approach to providing human services, but each is approaching these changes in its own way. With the RDSS process review, we have attempted to identify the methods that others are using to inform a unique approach based upon RDSS vision, mission, goals, values, and client needs. Grant Funding—Connect Strategy and Outcomes Even grant funding agencies are focusing on new strategies for funding projects. For example, TCC Group, which consults with non‐profits, issued a briefing paper in 2005 that recommends a more stringent approach to designing projects for funding, focusing on illustrating how the inputs of grant funding are expected to impact outcomes of the project. This paper discussed methods used by the Doris Page 21 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Duke Foundation and by the Wachovia Foundation to focus on continuing evaluations of the effectiveness of a program and the related funding.14 The Kresge Foundation, a non‐profit which funds many human service projects, also emphasizes the fact that they fund direct service organizations that: “Employ an explicit multiservice, integrated approach to meet client needs and draw on promising practices known to help people move out of poverty. Have a record of working on systems and policy change and have documented program success in moving people out of poverty. Do work with the potential to inform national policy and/or practice. Are financially sound and have robust systems and controls for financial management in place. Have a formal collaborative approach to working with other agencies. Are at a critical phase of growth. Can clearly articulate the rationale for their proposed interventions and outcomes... Have leadership and personnel that are representative of the communities they serve.”15 Examples of Innovative Programs—Humboldt County, CA (combining many programs that provide health, employment, and social services) Humboldt County, CA is in a five year implementation of an expansive integration project, which includes far more than social services. The following describes the strategic approach they are using to integrate social services, mental health, public health, employment training, veterans services and public guardian programs: “Developing integrated, co‐located and decentralized community based services concurrently; Establishing stakeholder inclusion structures and processes that advise the Department in terms of policy and programming; 14 “Funding for Impact: How to Design Strategic Grantmaking Programs,” ttc group (on their website: http://www.ttcgrp.com, 2005. 15 http://www.kresge.org/programs/human‐services/advancing‐effectiveness‐and‐resiliance‐ direct‐service‐organizations Page 22 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Focusing on quality improvement and systems accountability in terms of outcomes linked to improved individual and family recovery and self‐ sufficiency, as well as improved community health”16 Consolidating and integrating all support and administrative services for all of the departments involved Examples of Innovative Programs—Vermont Uses SOA Approach to Make Legacy Systems Work In its August 2011 edition, Policy and Practice published a short paper on Service‐Oriented Architecture (SOA) and how Vermont is using this approach in “addressing the challenges of connecting disparate systems.” 17 SOA is an architectural approach to using information from legacy systems to update systems and put the updating of systems into the hands of the system users. The Vermont Agency of Human Services (AHS) is identified as an example of how “SOA can accelerate the journey to integrated human services.”18 This article illustrates that technology firms recognize the need to assist human services agencies implement integrated service deliveries, even to the extent of providing ways to utilize legacy systems to achieve integration goals. Best Practices Analysis Best practices in the human services can be defined as: “State‐of‐the–art lessons learned as culled and extrapolated from basic research and evaluation reports and field experience—the best information currently available that decision makers can use in human service program development.“19 For academics, this definition is fitting; however, for practitioners, it is often extremely difficult to determine whether a promising practice has been verified with basic research. Therefore, this report uses a broader definition, which uses published reports of reported promising best practices. In other words, although these best practices are noted in many publications, albeit discussed 16 Humboldt County 2011‐2016 Strategic Plan Update, Released May 2011, pg. 4 “Technology Speaks, “Enterprise Architecture as the Foundation for Legacy Systems Renewal” Policy & Practice, August 2011, pg. 1 18 Ibid 19 Best Practice Brief No. 1, published in 1998, by the Outreach Partnerships @ Michigan State University. 17 Page 23 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 somewhat differently, it is not always clear that the practices have been verified with research. Some promising practices include broad‐based management practices, and others are specific to individual clients and specific programs. This section addresses best management practices only. It does not address the issues of program specific or worker specific best practices, as those issues are outside the purview of this project. Based upon a current literature search, the following are promising management practices, particularly in dealing with the current challenges to human services programs. Harvard Human Services Summit The first set of organizational best practices included here was identified during the 2010 Human Services Summit at Harvard University: “Develop policy and program strategies across programs.”20 “Share eligibility, service delivery and case management across programs.”21 “Utilize technology and tools that enable decision making across organizations.”22 “Develop a performance management system that supports fully integrated, client‐centric service delivery.”23 “Develop governance structures and business processes that focus on common outcome goals and the support of cross‐organization collaboration.”24 “Implement an integrated, single‐view system for case management across programs and organizations.”25 20 The Next General of Human Services: Realizing the Vision, pg. 17 Ibid, pg. 17 22 Ibid, pg. 17 23 Ibid, pg. 25 24 Ibid, pg. 25 25 Ibid, pg. 25 21 Page 24 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Accenture Survey Accenture interviewed 60 government officials in 21 countries about how to deal disadvantaged citizens with the goal of improved outcomes. In addition, the Accenture staff did extensive secondary research on this issue. In a paper, available on line at www.accenture.com/us‐en/Pages/Insight‐empowerment‐ activation‐participation‐disacvantaged‐people.aspx (Empowerment, activation, and participation: Actively engaging disadvantaged people in improving the quality of their lives), several components of improving performance included: Using a comprehensive set of outcome measures; Collaborating to all service providers and at all levels within organizations; Fostering flexibility and working to enable high performance via: Developing strategies to tackle complex issues and to achieve citizen‐ centered outcomes Involving citizens as active stakeholder participants and utilizing one‐stop shops that help deliver services holistically Preparing the workforce to adapt and to tackle problems with fewer staff, as well as attracting and retaining those able to work in this difficult environment Ensuring appropriate IT support for all strategic goals North Carolina Families First As far back as 2001, the State of North Carolina had begun work on a program called Families First. This program was intended to “provide family centered services by means of an efficient, seamless service delivery process that provides flexibility for the counties and accountability throughout the system.” 26 In this paper, Mr. Cox recognizes that some Federal policies regarding the funding of information technology projects made sharing service costs difficult. Some of these issues remain today. Thus, an additional best practice could be identified as: Working with the State and Federal agencies responsible for reviewing cost allocation methods to develop a reasonable way to fund integrated 26 Cox, Bill, Director of the Division of Resource Management, North Carolina Department of Health and Human Services, Reengineering Business Processes to Integrate the Delivery of Human Services in North Carolina,” a paper prepared for the Conference on Modernizing Information Systems for Human Services, 2001, pg. 7 Page 25 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 information systems to be used to support the information needs of a human services department offering integrated services. Center for Law and Social Policy In 2004, Rutledge Q. Hutson, of the Center for Law and Social Policy , published a paper about legal barriers to providing comprehensive integrated social services. In this paper, Hutson also described an integrated social services system, thereby defining a set of best management practices, including: “No wrong door”—meaning that a family can be connected to services, no matter how they enter into the system; A comprehensive family assessment needs to be completed to support a service plan; Although a single case plan is developed for a family, a multidisciplinary team from all applicable programs would coordinate with a primary caseworker; In order to ease service delivery, programs should be co‐located. This issue may be of less importance in the current technology environment; Staff work differently, by focusing on what the family needs and identifying potential programs and funding available to meet those needs; and, Staff need more cross‐training and knowledge about all of the programs and services which might be available to their clients27 Conclusions about Industry Trends Our review of the trends and practices discussed directly in this report, other trends which project staff reviewed during the course of the project, and the current best practices in the industry lead to a common conclusion: that the future direction of social service delivery in the United States will be in the direction of providing integrated services to a large, diverse client base. The most successful agencies will be those who can adapt to this new direction and build business processes which will enable them to provide a full battery of client 27 Hutson, Rutledge Q. “Providing Comprehensive, Integrated Social Services to Vulnerable Children and Families: Are There Legal Barriers at the Federal Level to Moving Forward?”, Center for Law and Social Policy, Washington, DC, 2005. Page 26 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 services in a manner that is not intrusive to the client and provides caring response to the total battery of needs that clients present. TRENDS IN THE CITY AND COMMONWEALTH As important as national trends and best practices are in the development of new models of client service, there needs to be some locally based history to support radical change to business processes and organization. It is this local perspective that creates the understanding of potential improvements and allows the personnel within an organization to have some perception about change alternatives. There are several initiatives affecting the Department which provide this valuable trend history. These include current integrated service approaches used in part within the Department, the City’s SafePassages initiative, and various Commonwealth initiatives that indicate a Commonwealth commitment to service integration. Integrated Services within RDSS The Richmond Department of Social Services has a number of operational programs and practices which work from integrated service models. Principal among these are: VIEW Client Integration. The City’s VIEW program operates from a perspective of integrated client benefits. As a client comes to the VIEW program, the case managers are responsible for assessing all of the benefit needs of the client in developing an employment program. This effort is limited, however, in that it does not factor other client services available through the Department and it relies on individual case workers to be aware of opportunities. Team Decision Making. The Team Decision Making model within the Department’s Children, Families, and Adult Services, works primarily with the children’s services component but can also work with adult protective services upon the request of the client. This model provides a means for the Department to provide a broad assessment of the client’s needs and to work as a team to identify potential service strategies. The strength of this approach is the team approach to problem solving and the inclusion of the client and client family. It is, however, limited to the service component of the Department. Page 27 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Comprehensive Services Act. This unit, established by Commonwealth law, operates as an independent unit of the Department. It provides a comprehensive assessment of children in foster care settings or children with Individual Education Plans (IEP) and incorporates other service providers within the City, including the Schools, Richmond Behavioral Health, the justice system, and contract providers. It also includes the client and families. While this program is limited to a single client base, it represents the broad outreach and service coordination of an integrated case model. It is, in great part, this model that the project team has used to develop the integrated case model system recommended in this report. Second Responder Staff. RDSS uses a shift of protective service workers to provide both children and adult emergency services after hours on workdays and on the weekends. The role of this staff is immediate intervention for a crisis call and relief of the crisis. Housed in police offices, the second responders receive a call from the State or other parties, assess the situation, and respond immediately. As quickly as possible, this unit hands the case off to the Department’s day‐based protective services units. The model of this is the concept of immediate response to alleviate life safety issues. We use this model in the construction of a comprehensive emergency intervention system that provides for immediate response at any time while freeing case workers to manage on‐going cases. Continuous Quality Improvement. The Department has created a Continuous Quality Improvement unit within the CFA Division. While the general concept was to provide CQI services throughout the Division, the practical effect has been to use CQI primarily in the management of the IV‐E payment process. This involvement has enabled the Department to address serious performance deficiencies successfully. A key element of the integrated service model is the expansion of the CQI concept into a Department‐wide risk management and performance assessment unit. City of Richmond Safe Passages Model Under the leadership of the City’s Deputy Chief Administrative Officer for Human Services, the City of Richmond has developed a concept to integrate case assessment from a variety of internal and external data sources. The idea is to use multiple points of information in order to understand the full situation of a client family as it presents itself for assistance and to use that information to develop a more comprehensive approach to problem resolution. Called Safe Passages, this model seeks to incorporate data from the Schools, Behavioral Health, Health, and Juvenile and Criminal Courts. Page 28 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 The driver for this model is the understanding that the current modality of response to a client is for a single work unit to address just a single problem that a client presents at any given point in time. As a result, each time a client comes into the human services system, there is a patch to a given symptom. The concept of Safe Passages is that each presentation is really a symptom of a larger problem and solution of the problem depends on knowing the full magnitude of the problem and developing a comprehensive service strategy. Safe Passages represents a unique opportunity for RDSS to become a leader in the use of integrated case data to assess client family needs and to develop a comprehensive service plan. The key will be the ability of the Department to collect integrated data, to use those data for comprehensive assessment, and then to deliver a broad range of services based on an integrated plan. Commonwealth Initiatives The Commonwealth of Virginia is undertaking a number of initiatives that foster an integrated case model. There are two such initiatives which appear to have the most immediate impact on RDSS’ integrated capabilities: CommonHelp. In September, the Commonwealth went live with a new customer portal by which clients can use computer access to enter applications for benefits, check on application status, and make edits to previously submitted materials. This eliminates the requirement for clients to go to a local social services agency to request benefits and to conduct other business with the agency. This system has the potential for greatly enhancing the service capacity of the Department. It simplifies the data entry aspects of application, expedites departmental capacity to obtain and assess information, allows staff to plan their work better, and still be more responsive to the client. The design of the RDSS integrated client service model rests heavily on the effective implementation of this model. Single Pool RMS. At a meeting of local directors at the end of October, the VDSS announced plans to implement a single pool Random Moment Sampling (RMS). The sampling technique used by the Department currently divides to four different budget lines. A single pool system, to be implemented in July 2013, reduces that to two lines. Historically, the local departments had to maintain separate work records for case workers in order to receive proper Commonwealth reimbursement. With the single pool system, all direct workers will be sampled in one pool. This will be transparent to staff, but will allow simpler administrative reporting and eliminates the reporting of joint costs. The importance of Page 29 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 this change for the Department is that it no longer has to maintain a physical separation of case workers in order to receive State reimbursement. This removes a key barrier from the concept of an integrated case model system in which social workers and benefit workers will labor together in integrated teams. eHHRS Initiatives. The Commonwealth of Virginia has plans to go forward with a broader strategy of electronic health and human resources (eHHRS) management. The Commissioner of Social Services described the Commonwealth’s goal in an October 2012 newsletter: The eHHRS (electronic Health & Human Resources) vision for eligibility and enrollment modernization assumes that while some people will always need additional assistance applying for benefits, over time, the vast majority of citizens will enroll online by themselves. This is what the online services industry considers self‐directed service. Self‐directed service has many benefits for Virginia, its state workers, and the citizens served. Not the least of these benefits includes: Through increased automation, case workers will have more time to spend with the neediest population: for example, the aged, blind, and disabled. Customers will be able to apply for benefits when it’s convenient for them. The customer portal is available online 24/7, which eliminates challenges like transportation, child care, or time off work. A call center will be available to help customers with questions. Case workers will be able to reach members of the community who may be eligible for benefits using portable technology. For instance, workers will be able to take tablets or laptops into places like nursing facilities, schools, or HeadStart programs. Eligibility determination will be more accurate and streamlined when applicants’ information is verified in real‐time, when a single set of rules are applied, and when any missing information on the application is flagged prior to application submission. This will help customers get the right services at the right time while greatly reducing rework and enrollment errors. So what will self‐directed service look like? Customers with an internet connection will be able to log into the CommonHelp customer portal and apply for programs including Medicaid, CHIP, TANF, Energy Assistance, and SNAP. Medicaid and CHIP eligibility determinations will be performed automatically using a business rules engine. Whenever possible, Page 30 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 verifications will be done electronically in real‐time by matching data against federal and state databases. When an applicant is found eligible, Medicaid and CHIP enrollments will be captured in the case record and sent to the MMIS. Instances of ineligibility will also be captured in the case record, alerting workers to any necessary action. Some program requirements may require the case worker to perform an action within the workflow manually—such as the case with SNAP requiring phone interviews. Any exceptions or errors identified by the rules engine will trigger an alert to the case worker. The worker will be able to view a report stored in the eHHRS document management system that will show where an exception or error occurred so the worker can resolve the issue as needed. When it comes time for a customer to renew their eligibility, they will receive an automated reminder. Automated renewals will replace the current multi‐step, inefficient, and often time consuming renewal processes. As a result, more customers will maintain their eligibility and may be more likely to seek important preventive and routine medical care. You can expect to see the following developments in the near future: Implement consent collection via CommonHelp and changes to paper forms: CommonHelp, also known as the Customer Portal, is a web‐based software application that provides a streamlined, secure, and interactive customer experience that will maximize automation, in addition to real‐time eligibility determination while protecting privacy and personal identifiable information. Consent functionality features are being added to CommonHelp to provide verbiage asking the customer to allow information that identifies the person to be shared. The person may or may not consent to this basic information being shared. If the person consents it will be easier for this person to obtain services across COV agencies and it will help COV reduce fraud and abuse of the social services programs. Engage local DSS offices in process change discussion regarding new eligibility workflow: The Virginia Departments of Social Services works with some 120 local DSS offices to administer social services programs for the citizens of Virginia. The increase in automation and self‐directed services that will be implemented by EDSP will bring about changes in the eligibility process and workflow. These changes will allow social workers to spend less time on repetitive administrative tasks and allow them more time to help needy individuals and families with the more complex Page 31 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 issues they face, providing the right services to the right people at the right time. VDSS will be working with local DSS to provide information and training to support the new eligibility workflow. Map migration of eligibility rules/policy from ADAPT to EDSP vendor system: An effort is underway to implement eligibility rules and policies into a configurable and flexible external rules engine that allows non‐technical staff the ability to alter and maintain business rules. These business rules are administered through existing software systems, such as ADAPT, as well as through manual processes. To expedite the process of implementing existing COV eligibility rules in the new rules engine VDSS is working to extract rules from ADAPT to avoid re‐creating all the rules from scratch. This includes DMAS staff reviewing the rules in CHAMPS to determine what can be extracted for use in the rules engine. This is an ambitious undertaking, one, though, that is consistent with the direction of human services technology integration. The integrated case model process described in this report relies on such integrated approaches and the elimination of excess staff time doing repetitive actions in order to effect integrated case management. Page 32 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CHAPTER 5: THE INTEGRATED CLIENT SERVICE MODEL The primary work activity of this project is the redesign of the Department of Social Services’ principal business processes. The redesign focuses on those processes relating directly to client services and essential support services. At the outset of the engagement, the project team conducted a series of review meetings with RDSS staff to gain an understanding of the Department’s current business processes. We conducted 31 sessions involving nearly 150 different employees of RDSS. We also interviewed representatives of various providers to understand the Department’s work processes from their perspective. The purpose of these reviews was not to detail existing processes, since the Department had already done so. The purpose was to gain an understanding of why the processes functioned in the way they did and to identify weaknesses to be addressed. As a result of the review of the current (“As‐Is”) business processes, we observed the following problem areas: Traditional organization and function Siloes of work units and clients Growing demand with shrinking resources Loss of work productivity as a result of: Manual work processes Inadequate document management Frequent loss of information Linear processing of information since only one person had possession of a given record at any time Excess level of duplication Lack of trust among staff Limited data access Client siloes Unwillingness to give up work A general perception that staff could take up to the State limits for processing client applications Consistent failure to meet state performance requirements Use of state standards as internal performance standards guaranteed to result in failure Staff attitudes emphasize passive response Few meaningful consequences Limited capacity to: Page 33 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Anticipate future conditions Assess and remedy internal performance issues Operate in cross‐functional mode These problems were present in virtually every individual work process. Even more telling, one process team would frequently report duplicating the work of the previous process team because of lack of supervisory oversight and lack of consistency in data collection and assessment. Also, staff regularly reported that one of their greatest problems was the inability to obtain a complete set of information due to data access and security regulations and to a lack of knowledge about what other programs the Department offered to clients. As a result of these observations, the project team and Department Steering Committee agreed that meaningful change would occur only if the Department were to alter fundamentally the way it performed work. Based on industry trends and best practices, the Department decided to embark on the development of a more open, integrated approach to its service delivery. There are three elements to the design of a new approach. The first was the creation of an overall concept of a continuum of service that the Department would use. The second was to build that concept into a set of specific process flows. Finally, we needed to identify essential supports that would enable the new processes to be successful. This chapter describes the concept model and the business processes. In subsequent chapters, we discuss the organizational, human resource, technology, and performance management issues that will need to be in place for long‐term success. THE CONCEPT PLAN The Department convened a Concept Planning Committee to develop the framework of an integrated approach to service delivery to address the issues identified in the review of current conditions. Staff representing each of the principal work areas of the Department met in a two day retreat to develop a concept framework. Their work started from a basic framework prepared by the project staff, with the Concept Committee having the charge to challenge and redesign the concept as they deemed most appropriate. Change in Perspective After extensive discussion about how the Department currently delivers services, the Concept Committee concluded that the Department needed to revise its Page 34 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 approach to client. The previous service model of the Department has been that an individual client or family has been enrolled in one or more service delivery units and had separate case workers for each individual within the family and each service being received. To effect this delivery model, the Department has traditionally organized, and operates, with individual service programs being the core of the client service model. The functions necessary to deliver each service were duplicated by service. The following graph represents that delivery model: CONCEPTUAL REPRESENTATION OF CURRENT RDSS SERVICE DELIVERY MODEL This model is common among social service agencies in the United States. Its basis is the growth and implementation of individual services, a product of a single‐issue approach to policy development. The result is that attention is given to program structure, not to the entirety of client needs. Navigation through the social services system is left to the client’s own devices or representative parties. The Committee felt that this service model did not place emphasis where it belonged: on the client. It was necessary, therefore, to design a new approach Page 35 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 where the client was the center of concern, and the Department provided services in a manner that was most beneficial to the client. Conceptual Model The Committee devised the integrated process plan in the following graph: INTEGRATED CASE MANAGEMENT CONCEPT PLAN Client Contact Intake Triage Emergency Non-Emergency Entry/App Processing Intervention Triage Action Assessment Preliminary Eligibility Case Assessment (Family) Rapid Response Action Taken Initiate Relief Case Assessment (Eligibility ) Case Routing Transition Random QA Case Management Mandatory Services Voluntary Services Transition to Self Sufficiency The key elements of the concept plan are: Triage entry into the system Emergency response Transitions From emergencies to continuing services From RDSS support to self sufficiency Universal assessments Family needs Eligibility determination and assistance packaging Multi‐disciplinary service delivery Page 36 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 The plan sought to address the timeliness of application processing by separating emergency response needs from routine needs, effectively using a medical triage concept. Once the emergency situation were resolved, then the client would enter the Department’s on‐going service delivery capacity. Upon entering into the on‐going delivery, a key feature is a broad assessment of needs. The purpose here is to expand, to the extent possible, the level of information gathered and eligibility review that would enable a fuller examination of client needs and a more integrated approach to case management. In particular, the committee felt that a singular period of case assessment would eliminate the problems associated with redundant review and the lack of understanding of department programs. Finally, the client would enter into the case management system, in which integrated teams of both social workers and benefit workers would provide services, with an individual staff person having lead responsibility for the client. The purposes behind this approach were to eliminate excessive Department intrusion into the client’s life, reduce the number of different contact points, give the client a single point of contact (with backup), and perform an on‐going assessment of the client’s needs. There are two critical aspects of this model: defining the client and emphasizing helping the client through the system. First, in this conceptual model, the Department defines the client as a family unit, not just an individual. This model recognizes an individual as possibly being a family unit. And, the importance of the use of the family as the service basis is to understand the multitude of dynamics that occur in the client’s life setting. Throughout this report, and in the implementation actions to follow, it is key to understand that reference to a client means the family unit. That unit may be just one individual; it may be a small nuclear family; it may be a large, extended family unit. The point is this: a single individual reflects his or her family environment. In order to provide the best level of service to an individual, the Department must understand that person’s family and social environment and be prepared to assist with that entire environment. Second, this conceptual model flips the point of emphasis of service delivery and of the Department itself. The current system is based on a series of individual program siloes, each relatively self‐contained. With limited exception, there is little cross communication or service coordination. The new model breaks from this silo. Now, the primary structure of the service plan will be the flow of the individual from one process to another. Each process, i.e., intake, assessment, case management, etc., will be able to deliver necessary services. One intake process will be common to all programs, rather than each program having its Page 37 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 own. Similarly, one assessment process will be applicable to all programs. And, most importantly, there will be a common case management system. The following graphic represents the new model: THE NEW RDSS SERVICE DELIVERY MODEL Assessment of the Conceptual Model The goal of the concept planning was to develop a framework that built on the strengths of the Department while addressing the perceived weaknesses. The Concept Committee tested the plan against the Department’s SWOT analysis, as shown in the table below: Page 38 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 ASSESSMENT OF CONCEPT PLAN RELATIVE TO RDSS SWOT: STRENGTHS **Staff: Knowledgeable, skilled and diverse workforce CURRENT STRENGTHS Staff: Knowledgeable, skilled and diverse workforce Drive to want to work together Intake supervisors are phenomenal DSS staff want to help and have a passion to assist our customers Management open door policy BENEFITS/CHALLENGES OF THE NEW MODEL Enhances/requires enhanced skills Enhances/requires enhanced skills May need to be redeployed Remains the same with a greater emphasis on client centric approach Should remain the same in theory, but depends on what changes are made to the organizational structure and the people put in leadership positions. Strong belief that the current open door policy should continue and be encouraged. Situations will get handled quickly This model should improve the efficiency of handling situations. There is also the added benefit of clear case ownership and should eliminate those disagreements. Strong mentoring relationships exist and we have a culture that emulate others The new model will not change this positive practice and can be leveraged to incorporates best practices and encourage more positive behaviors. This is crucial in the implementation of the new model and will push and test the organization’s willingness to change to the limits. Willingness to adapt and change Comment cards for feedback Business Processes DSS has high level of expectation for our clients to change and should not ask of our clients to do more than we are willing to do ourselves. These changes will be a good example to model what we want our customers to do. A best practice that should be continued in the current model. The new model will enhance client centric environment Will enable DSS to look at the whole family and provide comprehensive evaluation of family needs Will make service delivery more accessible, seamless Page 39 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 ASSESSMENT OF CONCEPT PLAN RELATIVE TO RDSS SWOT: STRENGTHS **Staff: Knowledgeable, skilled and diverse workforce CURRENT STRENGTHS BENEFITS/CHALLENGES OF THE NEW MODEL and efficient The process will be more proactive than reactive and will allow the opportunity to anticipate client needs The new model will promote prevention and reunification; and earlier and more complete intervention In theory the new model should result in a shorter period of involvement with DSS These should not change and will: Prevent agency errors; Positive Initiatives: Congregate Care Caseload Reduction; Innovative Approaches: We apply creative approaches to service delivery that allow us to meet our performance benchmarks Flow of information CQI, TDM, CSA Retain the TDM, CSA models; and Lead to more thorough assessment and therefore more appropriate placement and placement stability. The new model should improve and spread out the opportunity for the organization to be creative Will allow better information flow to all programs and give us another opportunity to build on the TDM, CQI, CSA models for collaboration This model will: Collaborations: We are good at the development of relationships with community partners and other city departments Training and development of our workforce Assist with the identification of what current relationships exist; Provide guidance on how to improve and enhance those relationships; and And afford the opportunity to assign responsibility for building those relationships. DSS has awesome training and with the implementation of the new model it will require greater need for more focused and competency based training. Components such as segments on professional moral compass may Page 40 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 ASSESSMENT OF CONCEPT PLAN RELATIVE TO RDSS SWOT: STRENGTHS **Staff: Knowledgeable, skilled and diverse workforce CURRENT STRENGTHS BENEFITS/CHALLENGES OF THE NEW MODEL have to be added. There will also be more opportunity for cross training DSS staff feel accountable DSS Customer Service Beginning of a positive culture change in the agency Shared efforts DSS IT Support/Help desk FAPT team inside agency Building security staff Improving appearance of Marshall building ADAPT training manual Quality Council This client centric model will further enhance the high degree of professional ethics within the agency The client centric focus of the model will improve the commitment to provide sensitive, timely and efficient service to internal and external customers The implementation of this model will speed up change and may have an impact at the city level The redistribution inherent in the new model will facilitate these efforts IT is the foundation of this change effort and will become an even more critical component. The current IT resources will be stretched to capacity and DSS will have to seek out staff and technological resources. FAPT team can remain the same, but this model has the potential to build and expand on this concept. N/A Initiating customer portal use can make the current environment more user friendly This resource can be used as a model to provide staff more complete resources at their fingertips. Making the resources electronic in the future would be a plus Will provide more interesting information and allow people another forum to give input Page 41 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 ASSESSMENT OF CONCEPT PLAN RELATIVE TO RDSS SWOT: WEAKNESSES CURRENT PERCEIVED WEAKNESSES PERCEIVED IMPROVEMENTS WITH IMPLEMENTATION OF THE NEW MODEL Limited resource guides The development of quick access resource tool will be incorporated into the training and transition to the new system Strengths are inconsistent throughout the Agency The team based approach coupled with better processes will make up for some of the deficiencies and lead to more consistency Meeting Compliance Standards Underutilization of available training Lack of technology Staffing levels Inefficient client and business processes Financial and intake processes need major improvements Many processes are done manually and rely on paper records Lack of interfaces with state systems The skill levels of existing staff may present a problem in meeting this goal after implementation. However the new model has strengths and offers: Additional Caseload support Increased workload balance by equally distributing work Increased knowledgeable of the team Better application of technology to effectively implement systems, address problems, evaluate progress, and improve efficiencies The new model is designed to eliminate inefficiency within the agency. Automation of both financial and intake processes will enable DSS to mine date more effectively and will eliminate the need for manual processes and paper records Page 42 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 ASSESSMENT OF CONCEPT PLAN RELATIVE TO RDSS SWOT: WEAKNESSES CURRENT PERCEIVED WEAKNESSES PERCEIVED IMPROVEMENTS WITH IMPLEMENTATION OF THE NEW MODEL Communication Issues Information does not always filter throughout the organization or to the correct individuals Communication mechanisms are used inappropriately Lack of use of DSS All Staff Client information is not available or shared throughout the agency If model is implemented properly communication should improve throughout the agency RDSS has an employee focused culture of “me” The new model is client centric and more team focused, which will make a shift in the organizational culture. Employee performance management issues Model justifies the need for competencies, career paths and progression, and better evaluation systems Lack of Accountability Lack of consequences for failing to meet requirements Practices do not promote self‐sufficiency for clients Staff perceptions about how the organization views/treats employees Non‐competitive salaries No clear career advancement Lack of staff empowerment Heavy caseload balances Working conditions (privacy, HVAC, carpet, Accountability has to be built in at the implementation and transition phases Team environment fosters staff self‐policing Will create a positive competitive environment The new model presents the opportunity to possibly: Add additional positions and resources Reallocate staff May increase salaries Require different and increased skill set Will create different jobs The new model will benefit the client, organization, and staff by: Providing a stable workforce, tools for staff to perform duties, Clear job descriptions, duties and titles Eliminating current silos and encouraging a more client centered focus for service delivery Page 43 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 ASSESSMENT OF CONCEPT PLAN RELATIVE TO RDSS SWOT: WEAKNESSES CURRENT PERCEIVED WEAKNESSES etc.) Management effectiveness Ineffective use of mid‐ level managers and supervisors; don’t let them supervise “Wait out” management mentality People don’t see benefit of change Disconnect between mission and what Department actually does Organization effectiveness Tension, talking behind backs, particularly at supervisory level CQI being stretched too thin Staff do not know what CQI is Psychological conflict between management and supervisory levels Internal Customer Service PERCEIVED IMPROVEMENTS WITH IMPLEMENTATION OF THE NEW MODEL Preventing duplications and reducing fraud activity Moving towards a team focused environment will encourage people to stay Redesign of workspaces to accommodate team environment In addition to the assessment of the concept plan against the Department’s strengths and weaknesses, the project team also assessed the concept plan relative to industry best practices. The following chart illustrates compliance with best management practices in the development of the concept plan: Page 44 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 BEST PRACTICES AND THE RDSS BUSINESS PROCESSES CONCEPT PLAN BEST MANAGEMENT PRACTICES ELEMENT OF THE CONCEPT PLAN RELATED TO BEST MANAGEMENT PRACTICE Strategies cross programs Concept plan is developed to encourage such a strategic approach Shared eligibility , service delivery and case management Concept plan is focused upon such a shared approach Technology and other tools enable decision making across the organization Concept plan must be supported by the use of technology and other tools Performance management system supports fully integrated client‐centric delivery system Concept plan assumes a performance management system that supports fully integrated client‐centric service delivery Governance structure and business processes focus on common goals and cross organization collaboration Concept plan has assessed business processes for common goals and collaboration; implementation of concept plan will require a supportive governance structure Use of a comprehensive set of outcome measures Implementation of concept plan will require such a set of outcome measures Collaboration at all levels Concept plan assumes the need for such collaboration Fostering flexibility Concept plan and supporting organizational structure assumes flexibility THE INTEGRATED CLIENT SERVICE PROCESS The Department leadership adopted the Concept Plan as the framework for a new, integrated case management model and presented the plan to the department staff in a series of open meetings. Following the meetings, the next step in the redesign was to convene staff teams to build out the to‐be business processes anticipated in the concept plan. The Department convened sixteen teams to look at individual processes. In sessions lasting from a half day to two full days, each team built its own recommended to‐be process flows for the process assigned. Project staff converted the process maps into flow diagrams and sent the diagrams to the respective team members for review and comment. We, then, revised the flow diagrams to address comments and questions. After the revisions, we conducted fourteen follow‐up Page 45 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 sessions, each lasting two to four hours, to review the maps and make any final changes. At that point, we had fifteen separate processes, many of which duplicated steps from other maps. It was necessary to integrate the different processes and eliminate any further duplication. The Department convened a staff team for this purpose. The team consisted of the original concept team, leaders selected by each to‐be process team, and other staff selected to assure a full representation of all the organizational units of the Department. As with all of the project team, the composition of the team was primarily work staff rather than supervisors and managers. The new team convened for an intense two‐day session. Operating in two separate work groups, each group developed its plans for the integration of the process flows that related directly to the continuum of service delivery. At the end of the session, the teams presented their recommendations. It is notable that the recommendations of the two teams were nearly identical, and the two teams were able to quickly synthesize the differences into a single model. The functional process—that is, the continuum of service delivery—consists of the following process elements: Intake; Emergency Protective Services; Emergency Economic Stability Services; Request for Service Processing, Base; Request for Service Processing, Advanced; Case Management; and, Foster Family Services. The following sub‐sections of this report narratively present the work steps for each of these processes. We include in the appendix to this report a map of the work flows for each process and table identifying the inputs, outputs, controls, and resources relating to each process. Page 46 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Intake Process The principal purpose of the Intake process is to collect sufficient information to determine whether RDSS has jurisdiction and, if so, whether the request should be routed for emergency or non‐emergency handling. The process outlined in this report is applicable to the intake activity of all elements of the Department, regardless of the means by which the client seeks assistance—i.e., electronic submission, telephone call, fax transmission, personal appearance, and the like— and the service or program being sought. Since the intake process is the starting point for the Department’s creation and maintenance of client records, it is important that the intake process described here be read, and understood, in the context of the document management support process described later in this chapter of the report. INTAKE PROCESS STEP ACTION DESCRIPTION 1.0 Receive request for RDSS assistance A request for assistance may come to RDSS via the customer portal, a fax, an email, or a phone call. 1.1 Confirm RDSS jurisdiction The intake worker will verify if the applicant is within the jurisdiction of RDSS (i.e., is a Richmond City resident). If the applicant is not within RDSS’ jurisdiction, the intake worker will refer the applicant to the proper locality or to appropriate community services. The intake worker will also enter the application into a “Screened‐Out” database. 1.2 Date/time stamp request (automated) The request for assistance will be date/time stamped through an automatic feature that will be built into the computer system. 1.3 Obtain minimum information needed for request If it is determined that RDSS has jurisdiction, the intake worker will collect the minimum information needed to determine if the request should be referred for emergency or non‐ emergency handling. Page 47 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 INTAKE PROCESS STEP ACTION DESCRIPTION 1.4 Determine if known to agency systems The intake worker will also search the RDSS information system(s) to determine if the applicant/family is or has been an RDSS client. 2.0 Determine appropriate routing The intake worker will determine if the request requires emergency handling or can be handled as a non‐emergency request. 2.1 Make determination of emergency based on established criteria The intake worker will use the established criteria to determine if the request constitutes an “emergency.” If the request does not meet the established criteria, it will be considered a non‐emergency. 2.2 Create base data record The intake worker will create the case record, which will contain the basic information he or she has collected thus far. Once this record is created, the case can be referred to the appropriate unit while the case is being entered into the appropriate information systems. 2.3 Enter into systems The intake worker will enter the case into the appropriate information systems (OASIS/ASAPS, HARMONY, ADAPT). 3.0 Refer to appropriate unit The intake worker will forward or route the case to the appropriate unit based on the case designation as an emergency or non‐emergency. 3.1 If emergency, route to appropriate emergency triage unit There will be various Emergency Triage Units with the capacity to handle different kinds of emergency requests (e.g., child protective service or adult protective service). The intake worker will refer the case to the appropriate unit based on the nature of the request. Page 48 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 INTAKE PROCESS STEP ACTION DESCRIPTION 3.2 If non‐emergency and “known” to RDSS, route to case management If the request does not qualify as an emergency and the applicant is “known” to the agency (i.e., is in the RDSS system/s as a past or current client, the intake worker will route the case directly to case management. 3.3 If non‐emergency and not “known” to RDSS, refer for processing and routing If the request does not qualify as an emergency and the applicant is not “known” to the agency (i.e., has never been an RDSS client and is not found in the RDSS information systems), the intake worker will refer the case for processing of the base request and routing to the appropriate unit. Page 49 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Emergency Protective Services The emergency protective services contemplated here are those needed to assure the immediate safety of clients, both children and adults. The focus is on taking steps as quickly as possible to protect clients from imminent or potential risk of serious harm. The process is straightforward: receive the case, determine the action needed, and initiate relief. The process steps described below are similar to current steps used, principally by the Department’s current “Second Responder” unit, for after hours and weekend responses. The similarity begins with response for both child protective services and adult protective services. The concept is for immediate relief of a dangerous situation—essentially defined by federal and Commonwealth regulations—and movement of the case into an on‐going case management system as quickly and effectively as possible. EMERGENCY PROTECTIVE SERVICES STEP ACTION DESCRIPTION 1.0 Receive and assign case It is envisioned that once a request for services is determined to be an emergency, the intake worker will route the case to an appropriate emergency triage unit. This unit will be headed by a supervisor or team leader, who will assign the case to a specific RDSS worker. 1.1 Notify public safety officials if appropriate Under certain circumstances, it may be appropriate for the supervisor/team leader to immediately notify public safety officials of the circumstances described in the request for services. For example, if the request for assistance is to prevent further injury to an individual, police authorities may need to intervene immediately. 1.2 Assign case to RDSS worker The supervisor/team leader will assign the case to an RDSS worker who is qualified to handle the type of emergency involved. 2.0 Determine action needed After receiving the case referral, the RDSS worker will immediately act on the case. The focus is on quickly determining the appropriate response from RDSS to bring about relief for the client. Page 50 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 EMERGENCY PROTECTIVE SERVICES STEP ACTION DESCRIPTION 2.1 Receive briefing or review case in OASIS/ASAPS The assigned worker will immediately try to get familiar with the case. This can be done by getting a briefing from another RDSS worker (e.g., the intake worker or a case manager who has dealt with the client/family in the past). If a briefing is not appropriate or practical (e.g., the case is referred in the middle of the night), the assigned worker will review the case on the RDSS information system(s). 2.2 Arrange for police escort to site if needed Based on the circumstances of the case, the assigned worker will determine if a police escort to the site will be needed and, if yes, will arrange it. The police escort is as much a protection for the client as it is for the assigned worker. 2.3 Initiate contact to assess client situation The assigned worker will initiate contact with the client to ascertain the need for RDSS intervention. To get an accurate picture of the situation, the worker will most often initiate contact in person at the place where the client is currently located. This process requires great skill in examination, observation, and discernment because many clients are too young to express themselves clearly while other clients find it difficult to express themselves freely and without fear of further harm to themselves. 2.4 Determine case relief response Based on the circumstances of the case, the assigned worker will determine the appropriate intervention from RDSS to relieve the client from the current emergency situation. 2.5 Obtain action approval or consensus The assigned worker will obtain the approval of his or her supervisor/team leader or the consensus of his or her team. Page 51 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 EMERGENCY PROTECTIVE SERVICES STEP ACTION DESCRIPTION 3.0 Initiate relief Once the approval of, or consensus on, the proposed action is received, the assigned worker will initiate relief. There are three possible options: remove the client, keep the client in place with some guarantee of safety, or provide a one‐time service. 3.1 Remove client if appropriate Sometimes, removing the client is the most appropriate option to prevent further harm. 3.1.1 Secure placement When removal is the most appropriate option, the assigned worker will identify an appropriate place where the client can be immediately moved on a temporary basis. 3.1.2 Refer to RFU If appropriate, the worker will also refer the case to the VDSS Resource Family Unit (RFU) to get assistance in identifying options from among the Commonwealth’s resource families. 3.1.3 Take to destination Once the temporary location is identified and secured, the assigned worker will take the client to the selected destination. 3.1.4 Complete placement paperwork The assigned worker focuses on providing removal and placement relief as quickly as possible and completes the placement paperwork only after placement is complete. 3.1.5 Contact follow‐up resources The assigned worker will contact and arrange for follow‐up resources, as needed, to ensure continued support to the client. Page 52 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 EMERGENCY PROTECTIVE SERVICES STEP ACTION DESCRIPTION 3.1.6 Conduct TDM if required or client requests RDSS conducts Team Decision Making (TDM) meetings during critical placement decisions, such as when a child's initial removal from his/her family is being considered, when there is a possibility of a change in a child's placement, or when recommendations are made for a permanent plan such as reunification, adoption, etc. RDSS will also conduct TDMs at a client’s request. TDMs are strength‐based meetings with the child, the family, their support systems, agency staff, and community partners. These informal meetings are collaborative, led by a trained facilitator who guides the meeting and ensures that all participants have a voice, and held in the community or at the local DSS agency. 3.1.7 Appear in court if needed There is always the possibility that a case will involve court action, which will require the appearance of the assigned worker. Therefore, the assigned worker is always vigilant in documenting observations (e.g., signs of abuse, neglect, and exploitation) and actions taken, as well as meticulous in maintaining and preserving other relevant documentation. Keep client in place if appropriate In some situations, the most appropriate option is to keep the client in place. In this case, the client will need some protection against future harm. 3.2 Page 53 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 EMERGENCY PROTECTIVE SERVICES STEP ACTION DESCRIPTION 3.2.1 Develop safety plan A safety plan is a voluntary written agreement between the agency and the family that serves as a short‐term solution to address specific concerns about the client’s safety in a home. In developing the safety plan, the assigned worker will target the factors that are causing or contributing to the risk of imminent serious harm to the client and will identify the interventions needed to ensure the client’s safety. 3.2.2 Obtain signatures The assigned worker will obtain the family’s signatures on the safety plan. However, because a safety plan is voluntary, it is not legally binding and, therefore, is appropriate only for a limited time. 3.2.3 Develop service referral if needed If follow‐up service is needed, the assigned worker will develop a service referral. 3.2.4 Complete service application The assigned worker will work with the client to complete the application for service(s). 3.2.5 Follow up with resources if needed The assigned worker will identify potential resources for the client and follow up with these resources. 3.2.6 Appear in court if needed As in the first option, a court case is always a possibility, and the assigned worker should be prepared to appear in court as needed. 3.3 Provide one‐time services if appropriate At times, the most appropriate option is to provide a one‐time service. 3.3.1 Receive request The assigned worker will receive the request and identify the service needed. 3.3.2 Refer to case assessment process The assigned worker will refer the case to case management for assessment. Page 54 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 EMERGENCY PROTECTIVE SERVICES STEP ACTION DESCRIPTION 4.0 Complete file/records management While the focus in emergency protective services is providing relief as early as possible, the assigned worker will eventually need to pay attention to the case records. 4.1 Compile all forms The assigned worker will compile all forms that have been produced for the case. 4.2 Complete narratives The assigned worker will write or update whatever narratives still need to be written or completed. 4.3 Secure missing data as necessary The assigned worker will identify and obtain missing data. 4.4 Update electronic databases The assigned worker will update the case file on the appropriate information systems. 4.5 Coordinate with finance for payment if appropriate If the service of a vendor is used to bring about relief for the client, the finance office will need to process payment. However, the finance office cannot do this without the collaboration of the assigned case worker. The assigned worker will need to inform the finance office of the service provided, specify the amount due, and provide vendor information. 4.6 Transfer to case assessment process The assigned worker will refer the case to case management for assessment. Page 55 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Emergency Economic Stabilization The City of Richmond’s Department of Social Services provides emergency economic stabilization services covering many basic human needs. The benefits include food stamps, fuel assistance, Medicaid, general relief, and other public assistance programs for those who qualify. Historically, the Department has responded to high‐need situations based on existing program regulations and requirements. In developing this process, however, the process team felt that there were circumstances which would warrant a more immediate departmental response, either in terms of direct assistance or referral to a community partner. This process reflects that feeling. An open question, though, is what will constitute such an emergency situation. This will be addressed in the implementation phase, when the intake staff and leadership will establish a formal policy on emergency response. EMERGENCY ECONOMIC STABILIZATION STEP ACTION DESCRIPTION 1.0 Assess emergency When a request for economic assistance is determined to be an emergency, the intake worker will route the case to an emergency triage unit capable of rapid response to such a request. The focus will be on providing relief as quickly as possible based on the circumstances of the case and on the timeframes established by law. 1.1 Review request for assistance The assigned worker will review the request for assistance. 1.2 Complete applications needed The worker will complete whatever applications are needed to receive the potential types of relief available. 1.3 Enter into systems as needed The worker will enter additional case data into the appropriate information systems. 2.0 Develop action plan The assigned worker will develop an action plan to provide emergency relief to the client. 2.1 Determine action type and eligibility The worker will identify, based on established criteria, what emergency relief the client is eligible for, as well as the actions needed to provide that relief. Page 56 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 EMERGENCY ECONOMIC STABILIZATION STEP ACTION DESCRIPTION 3.0 Initiate relief The assigned worker will initiate relief immediately once the client’s eligibility for specific services or benefits is established. 3.1 If eligible, discuss eligibility and benefit options with client The worker will have a conversation with the client to discuss the emergency benefits for which the client is eligible, as well as to explain why the client may not be eligible for certain benefits at this time. 3.1.1 Secure placement If emergency shelter is needed and the client qualifies for it, the worker will secure placement. 3.1.2 Issue benefit If appropriate, the worker will arrange for the issuance of other benefits for which the client is eligible. If not eligible, refer to community partners Even when the client is not eligible, RDSS workers will still try to help by networking with established community partners. 3.2.1 Contact community partners The worker will contact community partners to identify available resources for the client. 3.2.2 Connect client with relief resources The worker will put the client in contact with whatever community resources could provide relief to meet the client’s emergency needs. 4.0 Complete file/records management While the focus in emergency economic stabilization services is providing relief as early as possible, the assigned worker will eventually need to pay attention to the case records. 4.1 Compile all forms The assigned worker will compile all forms that have been produced for the case. 4.2 Complete narratives The assigned worker will write or update whatever narratives still need to be written or completed. 4.3 Secure missing data as necessary The assigned worker will identify and obtain missing data. 3.2 Page 57 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 EMERGENCY ECONOMIC STABILIZATION STEP ACTION DESCRIPTION 4.4 Update electronic databases The assigned worker will update the case file on the appropriate information systems. 4.5 Coordinate with finance for payment if appropriate If the service of a vendor is used to bring about relief for the client, the finance office will need to process payment. However, the finance office cannot do this without the collaboration of the assigned case worker. The assigned worker will need to inform the finance office of the service provided, specify the amount due, and provide vendor information. 4.6 Transfer to case assessment process The assigned worker will refer the case to case management for assessment. Page 58 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Request Processing and Routing (Base Request) This report includes two processes for receiving, processing, and routing requests for service, this base request and an advanced request. The original design concept for the revised business plans was for a program for a comprehensive assessment of client needs in all service areas, based on a broad review of the family situation and history and consideration of the full service capabilities of the Department. However, this is a timely effort and would not address the Department’s immediate needs to meet the Commonwealth’s performance targets for timely application processing. In order to address the performance target, the process teams split the intake and review processes into two parts. The purpose of this first process is to conduct an immediate assessment of the specific need that brings a client to the Department and to assure a timely enough response to meet the Commonwealth performance targets. This process, then, determines the applicant’s eligibility for the originally requested service or benefit. Once the Department achieves this goal, then the client has the choice of receiving the broader assessment that is the core of the Advanced Processing step. There is an important performance standard inherent in these request processing steps, which is processing timeliness. There is a general rule of conduct within the Department that the Commonwealth’s performance targets constitute the acceptable timeline for the review of, and action on, any given case. This rule of conduct almost certainly assures that the Department will continue to fall short of the performance targets. In rewriting the policies for intake processes, the Department will need to establish individual case performance goals that are no greater than half of the performance target. For example, if the performance target is 30 days, then the Department’s standard for any given case should be no greater than 15 days. This time standard will provide room for cases that actually require greater processing time while still keeping the overall performance deadline within the established target. REQUEST PROCESSING AND ROUTING (BASE REQUEST) STEP 1.0 1.1 ACTION Receive request for service Review request DESCRIPTION The request for service is received from Intake. The assigned worker reviews the request to determine the services and benefits applied for. Page 59 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 REQUEST PROCESSING AND ROUTING (BASE REQUEST) STEP ACTION DESCRIPTION 1.2 Conduct RDSS systems inquiry The worker will conduct an inquiry into the RDSS information systems to look for existing records of the applicant or his/her family. 1.3 Determine if client has active case with RDSS The worker will determine if the applicant is a current RDSS client. 1.4 If active case, route to case management process If the applicant is a current RDSS client, the worker will refer the case for case management. 2.0 Determine eligibility for base request If the applicant is not an active RDSS client, the worker will determine the applicant’s eligibility for his/her base request. 2.1 Interview client to determine eligibility The worker will interview the client to collect the information needed to determine eligibility based on the established criteria for the base request. 2.1.1 Assess needs per client input Based on input from the client, the worker will determine the client’s needs vis‐à‐vis the services and benefits that RDSS provides. 2.1.2 Verify income and household composition The worker will determine the client’s income and the people who live with the client to determine eligibility for benefits that have an income requirement. 2.1.3 Verify other program requirements The worker will also collect information needed to verify the client’s possible eligibility for other programs. 2.2 Notify client of additional information needs or discrepancies The worker will let the client know what other information is needed to fill in gaps or to correct any discrepancies that exists in the records. 2.3 Receive additional or corrected information The worker will give the client time to provide additional or corrected information. 2.4 Receive eligibility determination from system Once the minimum information to determine eligibility for the base request is received, the worker will generate a system report determining the client’s eligibility. Page 60 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 REQUEST PROCESSING AND ROUTING (BASE REQUEST) STEP ACTION DESCRIPTION 3.0 Approve or deny request The worker will approve or deny the request based on the determination made by the system. 3.1 Notify client of decision The worker will notify the client of the decision by the most practical means available. 3.2 Verify client interest in other possible services or benefits The worker will also try to determine if the client is interested in other services or benefits, explaining what information or documentation the client will be expected to provide and what the client can expect from RDSS if he/she is found to be qualified for these services or benefits. 3.2.1 If not interested & is qualified for base request, send to case management process If the client is NOT interested in any further service or benefit but is qualified for the base request, the case will be referred for case management. 3.2.2 If not interested & is not qualified for base request, close case If the client is NOT interested in any further service or benefit and is NOT qualified for the base request, the case will be closed. 3.3 If interested & is qualified for base request, refer to advanced assessment process If the client is interested in other potential services or benefits and is qualified for the base request, the case will be referred for advanced assessment. 3.4 If interested & is not qualified for base request, refer to advanced assessment process If the client is interested in other potential services or benefits but is NOT qualified for the base request, the case will be referred for advanced assessment. Page 61 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Request Processing and Routing (Advanced Assessment) During the intake process, the intake worker will discuss with the client the opportunity to participate in a broader assessment of needs and potential services. Except for some protective services cases where a broad needs assessment is required, participation in the advanced assessment will be up to the discretion of the client. The table below presents a client’s options: OTHER POTENTIAL SERVICES OR BENEFITS BASE REQUEST ACTION NOT Interested NOT Interested Interested Interested Qualified NOT Qualified Qualified NOT Qualified Refer for case management Close case Refer for advanced assessment Refer for advanced assessment The principal purpose of the advanced assessment process is to organize available information into a client/family profile that can be forwarded to case management together with the case. Should the client request the broader assessment, then the process described in this section will take effect. REQUEST PROCESSING AND ROUTING (ADVANCED ASSESSMENT) STEP ACTION DESCRIPTION 1.0 Determine eligibility for expanded services for interested clients The first step in the advanced assessment process is to determine if the client is eligible for the expanded services in which they have expressed an interest. 1.1 Ask client to complete uniform assessment consent The assigned worker will work with the client to complete a uniform assessment consent form. This form will authorize the agency to determine the client’s eligibility for the expanded services in which the client is interested. 1.2 Compare verified application data against program requirements The worker will verify the client’s application data against program requirements 1.3 Receive system advice on eligibility The worker will generate a system report determining the client’s eligibility for the expanded services for which they have applied. Page 62 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 REQUEST PROCESSING AND ROUTING (ADVANCED ASSESSMENT) STEP 1.4 ACTION DESCRIPTION Notify client of probable outcome(s) Once the worker receives the system advice, the worker will notify the client, through the most appropriate means, of the probable outcomes of the client’s request. 1.4.1 If not eligible, identify community resources If the client is NOT eligible based on current information, the worker will identify community resources with whom the client can work for assistance. 1.4.2 If probably eligible, submit application If the client is PROBABLY eligible, the worker will inform the client that he or she will need to submit a formal application 1.5 Help client complete application The worker will help the client complete a formal application. 1.6 Submit application Once completed, the application will be submitted into the system. 1.7 Obtain formal approval The worker will obtain formal approval of the application. 1.8 Link with client/family profile The formal application will be linked with the client/family profile that will be developed in a later step. 2.0 Conduct data research The assigned RDSS worker will conduct data research on the client and the client’s family to obtain a comprehensive picture of the benefits and services the client/family has received or is currently receiving, the client/family’s past or current challenges, etc. This research will be done principally through various information systems maintained by RDSS, the city, and the state. Page 63 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 REQUEST PROCESSING AND ROUTING (ADVANCED ASSESSMENT) STEP ACTION DESCRIPTION 2.1 Conduct detailed research of RDSS and appropriate city and state information systems The assigned worker will conduct detailed research using the appropriate RDSS, city, and state information systems. 2.1.1 Search HARMONY The worker will also search HARMONY. 2.1.2 Search Richmond Public Schools (RPS),Richmond Behavioral Health Authority (RBHA, and applicable criminal justice information systems (CJIS) and juvenile justice information systems (JJIS) records The worker will also search the records of the following information systems: RPS, RHBA, CJIS, and JJIS. 2.1.3 Conduct an ACCURINT search if appropriate If appropriate, the worker will conduct a search on ACCURINT, the internet search system used to locate relatives and permanent connections for children and youth. 3.0 Develop client/family profile The final product coming out of this process is the comprehensive client/family profile, which will be a compilation of what is known about the client/family through the information systems of RDSS, the city, and the state. 3.1 Identify services for which client/ family has applied and agencies involved The worker will identify all the benefits and services for which the client/family has applied, as well as all the city or state agencies that have been involved in providing these benefits and services. 3.2 Identify community partners involved The worker will also identify the community partners who have been involved in providing benefits or services to the client/family. Page 64 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 REQUEST PROCESSING AND ROUTING (ADVANCED ASSESSMENT) STEP ACTION DESCRIPTION 3.3 Compile data into a comprehensive client/family profile The worker will compile all the available information into a comprehensive client/family profile. 3.4 Link with expanded services assessment This client/family profile will be linked with the expanded services assessment, which will be forwarded, together with the case, for case management. 4.0 Transfer to case management process Once the client/family profile is completed, the worker is ready to transfer the case for case management processing. 4.1 Submit client/family profile and forward case to case management The worker will submit the client/family profile and forward the case to case management for further processing as appropriate. Page 65 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Case Management This process outlines a specific method for coordinating services, based upon a case and transition plan. The process begins with the assignment of the case to a case management team and may include assessment, plan development, service provider coordination as well as other plan implementation, and final transition and/or closure of the case. The goal of case management is to have each family/client move to self‐sufficiency. Case management is a set of data collections and methods for monitoring service delivery that improve the efficiency of service delivery and expedite successful case closure and transition to self‐sufficiency. The underlying assumption of the case management process is that it will be applicable to all clients regardless of program. A client will have a single lead case worker, who will be the primary point of contact between the client and the Department. The lead case worker will have back‐up support through a case management team, so that one group of staff will be able to provide a comprehensive set of services through the lead case worker. The model envisions numerous case management teams so that case load is distributed among staff and so that special needs of clients can be met with specialized teams. Some of these teams will emphasize child or adult protection, others will emphasize benefit issues, and most will be able to provide a full range of case services. But, all will use a common case management approach, as follows: CASE MANAGEMENT STEP ACTION 1.0 Receive case from request processing DESCRIPTION When a need for case management is identified—whether by a service team, worker, judge, relatives, or others, a request for case management services is received from Request processing. If all appropriate data has been collected, the case will be assigned to a team and lead worker. If the case does not include any service needs, but only indicates the need for benefits, the case may be moved immediately to 4.0. Otherwise, the following actions will be taken: Page 66 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CASE MANAGEMENT STEP ACTION DESCRIPTION 1.1 Case familiarization Case Management, upon receipt of the case, reviews the case to determine the most appropriate team assignment. 1.2 Assign case to specific case management team Based upon the needs identified in the case files (electronic files), the appropriate team is identified to handle the case. Considerations for assignment to a team may include the overall strengths of the teams, as well as the current workloads of the teams. 1.3 Case management team assigns a lead worker Based upon the strengths and current workload of each worker, the team assigns a lead worker. The lead worker should have strengths in the service needs identified for the case. 1.4 If request is for benefit only, skip to 4.0 (implementation) If there is a determination that the case relates only to a single benefit action, then the work process will move forward to the implementation steps. 2.0 Conduct interpersonal assessment Based upon the extent of information already collected, it may be possible to move immediately to 3.0; however, the usual process will include initiating contact with the family or person constituting the “case.” The goal of this assessment is the development of a preliminary set of needs and priorities for each need. 2.1 Initiate contact by phone, email, or directly in‐ person The goal of the initial contact is to get together with the client, family or individual, to gather the information needed to develop the preliminary needs and priorities. 2.2 Identify strengths of the family or the strengths of the individual The goal of this search is to assist in identifying areas of strengths and weakness and to inform the case management team and lead worker developing the preliminary needs and priorities. Page 67 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CASE MANAGEMENT STEP ACTION DESCRIPTION 2.3 Identify additional needs (other services) Based upon information collected during 2.1 and 2.2, the team/lead worker develops a list of potential additional services which might benefit the client and move the case more quickly to closure or transition. 2.4 Obtain information on community partners Based upon the other service needs identified, as well as upon the strengths and weaknesses identified in 2.2, identify which community partners might be able to provide the services needed. 2.5 Develop preliminary needs and priorities Based upon data collected above, develop a preliminary set of needs and priorities for services. 3.0 Develop case/transition plan Based upon all of the data collected during 1.0 and 2.0 and earlier Advanced Assessment, service needs are finalized and a case plan, including transition to self‐sufficiency, is developed. The case plan will be the document to assist the assigned team and lead worker in assessing needs, monitoring the services required to meet these needs, and evaluating the family/individual for the move to transition/closure. 3.1 Generate initial case/transition plan (in information system) This includes entering all applicable case plan data not already entered into the information system in previous sessions. This plan will help the lead worker and assigned case management team in monitoring service delivery and in assessing the need for any change in the case plan to move the case to appropriate transition/closure. 3.1.1 Include family strengths The case plan will include an identification, and discussion, of the strengths of the family as the basis upon which to build the overall case and transition plan. It will be important that the strengths be independently verified to assure plan accuracy. Page 68 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CASE MANAGEMENT STEP ACTION DESCRIPTION 3.1.2 Develop goals and objectives The case plan will include a set of goals and objectives to be achieved in the service provision. The goals and objectives will need to be quantifiable and independently verifiable, to the extent possible. 3.1.3 Develop timelines The case plan will include a set of intermediate time lines for assessment of progress, consistent with the overall plan of achievement of goals and objectives. 3.1.4 Identify available resources based on funding The case plan will seek, to the extent possible, to identify resources available to the client. These resources may include City, Commonwealth, and federal resources as administered by the Department or other local and Commonwealth agencies and services available through community partners. 3.2 Coordinate with providers Based upon issues identified during all data collection and screening, contact external partners who might be appropriate matches for service needs identified. 3.3 Request foster home referral, if appropriate Move to Foster Family Management, 1.0. if appropriate. 3.4 Validate plan with family The case worker lead and staff will meet with the client family to review the case management plan and gain concurrence. 3.5 Finalize plan The finalized plan will be used to monitor service needs and delivery, to provide required outcomes, and to estimate timelines to be used to transition the family or individual to self‐ sufficiency. Page 69 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CASE MANAGEMENT STEP ACTION DESCRIPTION 4.0 Implement case plan This process will involve linking families/individuals with service providers providing appropriate timing for service delivery and for meetings with both the case lead worker and the case management team, setting initial schedules for transition, and monitoring methods for service and other outcome achievements. 4.1 Link family with service providers This includes providing contacts for service provision, discussion of required approaches for services, etc. In addition, where appropriate, lead workers or case management team members may need to meet with the involved families or individuals, as well as with the service providers. 4.2 Meet with family and providers re defined timeline Each case will contain defined timelines for achieving certain benchmarks and the lead worker or case management team will meet with the family to address these timelines. Similarly, there will be established timelines for transition to self‐sufficiency. 4.3 Monitor family progress For each case, a set of goals and objectives is established and the lead worker or case management team will monitor the progress of the family or individual in meeting these goals and objectives. As the case is monitored, the following reviews will also take place: 4.3.1 Assess services provided The lead worker will regularly assess the quality and level of services being provided and recommended changes as necessary and appropriate. 4.3.2 Obtain family and provider feedback The lead worker will review the service assessment with the family and suggest changes as necessary and appropriate. Page 70 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CASE MANAGEMENT STEP ACTION DESCRIPTION 4.4 Evaluate and determine family readiness to transition Based upon monitoring reports and other transactions and service reports, the lead worker or case management team will periodically assess the family’s or individual’s readiness to transition. If the family is ready to transition, then the team and the family proceed to 5.0. If not, the process requires a loop back to 2.0 or 4.0 to revise the plan and restart monitoring. 4.5 If family not ready, loop back to 2.0 or 4.0, as appropriate Using case review with the service team, the lead worker will determine if the family is ready for transition. If the family is not ready, then this service process will repeat at Action Item 2 or 4, as most appropriate. 5.0 Implement transition plan, if appropriate When a case (whether family or individual) is ready for transition, specific revisions to already prepared transition plans or development of a transition plan, is required. The following steps must be accomplished to implement this transition plan: 5.1 Validate transition plan with family The lead worker will review the draft implementation plan with the family and secure concurrence of make modifications as appropriate to the family’s needs and requests. 5.2 Begin implementation of transition plan Working with the family, the lead worker will initiate the steps in the transition plan. 5.3 Monitor based on schedule established in transition plan The lead worker will regularly monitor the transition plan, using a schedule that will be part of the transition plan. 6.0 Close case When the family or individual involved has successfully completed the transition plan, the case will be closed and records regarding the case will be archived and eventually purged, based upon departmental policies Page 71 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CASE MANAGEMENT STEP 6.1 ACTION Archive and purge case DESCRIPTION The lead worker will finalize case documentation and release it to records management for archiving, consistent with city and Commonwealth requirements. Page 72 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Foster Family Management Foster family management is a critical part of finding quality foster families, maintaining those relationships, and serving as a primary point of information about the placement of children. While foster family management is not, itself, part of the service continuum, it is a fundamental direct service delivery element that needs to be addressed as part of the protective services and case management processes. This process includes entry into foster care, assessment of foster care options, matching child/family with appropriate care, placement into foster care, setting reunification or other transition from care goals, and managing foster care payments. Foster Family Management also includes many of the elements of case management, but the described processes are unique to foster family management. The goals of redesigning this process include: (1) insuring expeditious placement of the child in the most appropriate setting (2) ensuring the least intrusive process for the family and all others involved (3) assurance that payment for foster families is expeditious and accurate. FOSTER FAMILY MANAGEMENT STEP ACTION DESCRIPTION 1.0 Receive request for foster home referral When a need for foster care is identified— whether by a service team, worker, judge, relatives, or others, a request for a foster home referral will be completed. If all appropriate data has been collected, or child is likely to be placed with a relative, it may be possible to move directly to 2.0. If a complete family history and relative search have already been completed, it may be possible to move immediately to conducting a best match conference. In rare situations, it may be possible to move directly to 4.0; however, it is still likely that a best match conference will need to be conducted. 1.1 Enter request in information system, if needed Data regarding the child and family and the situation leading to the referral should already have been collected in previous processes. Enter referral request into information system, if needed. Page 73 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 FOSTER FAMILY MANAGEMENT STEP ACTION DESCRIPTION 1.2 Refer to data gathering, if needed Should additional data be required, request for additional data will be referred to Data Gathering (See Request Processing and Routing‐ Advanced Assessment for additional data requirements). 1.3 Conduct a best match conference Conduct a conference with the assigned social worker/team, family, child, and other interested parties with information helpful for determining the criteria to use in completing the assessment and later screening of foster care options. 2.0 Complete initial assessment, as necessary If the Advanced Assessment Process did not provide enough information to properly screen foster family options, then an additional data search of child’s background and history needs to be conducted, including a relative search, and a best match conference needs to be conducted to establish family criteria. If all of the family information had previously been collected, it could be possible to move directly to a best match conference or to 3.0 for screening foster family options. 2.1 Conduct data search for child’s background or history if not done during advanced assessment process The goal of this search is to identify possible family members with whom the child could be placed. 2.2 Conduct relative search in ACCURINT (on‐going) The goal of this search is to identify possible family members with whom the child could be placed. 2.3 Conduct a best match conference Based upon family research, a best match conference may be conducted to determine criteria for a possible family placement. Page 74 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 FOSTER FAMILY MANAGEMENT STEP ACTION DESCRIPTION 3.0 Screen foster family options Based upon all of the data collected during 1.0 and 2.0 and earlier Advanced Assessment, possible foster care options are considered. This includes identifying families with whom child could be placed, as well as other placement options (external partners). In order to properly assess the options, home studies may be required of family and external partners. 3.1 Review information system for family criteria Review all data collected in information systems, as well as in 1.0 and 2.0, if not yet in system, to ensure capture of all of the issues important to the selection of the appropriate foster family or placement. 3.2 Contact external partner agencies for options as needed Based upon issues identified during all data collection and screening, contact external partners who might be appropriate matches for child and family. 3.3 Conduct and review home studies, as needed Based upon issues identified during data collection and screening and time since last home study, conduct and review home studies for match with child/family needs. 4.0 Select foster family/external partner If this is not an emergency placement, then the placement will be reviewed with the Family Reunification Permanency Unit. If it is an emergency, see emergency process. A family is selected, and notified of that selection, and the family requests financial assistance for caring for the child. 4.1 If not an emergency placement, review potential foster family with family reunification permanency unit The goal of this review is developing a plan for either reunification or other permanent situation for the child (e.g.,, adoption). Discussion of transition options at the beginning of placement keep the focus on permanency for the child. Page 75 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 FOSTER FAMILY MANAGEMENT STEP ACTION DESCRIPTION 4.2 Conduct pre‐placement visit and interview Before a placement is selected, the department must be certain it is the most appropriate for the child. The visit and interview allow the team/worker to investigate issues which may impact the success of the placement, in person. 4.3 Select family Based upon the visit and interview, as well as upon all of the data collected during the Advanced Assessment and data collected in 1.0, 2.0, 3.0, the team/worker will select the most appropriate family. 4.4 Notify selected family The selected family is notified and details of the placement are discussed. 4.5 Receive request for RDSS assistance If the family needs financial or other assistance, they notify RDSS. 5.0 Notify referring worker/team The referring worker is notified so that all electronic records can be updated and placement transition support can be provided to the child and family. If needed, a Placement Change Form is completed. Also, an “Icebreaker” Session is held to further ease transition into foster care for the family and child, as well as for the foster family. 5.1 Enter family data into electronic data system The data system to be used has not yet been determined, but the data should ensure that the assigned workers/team can easily track the placement situation for the child and provide the services needed to successfully carry out the placement and any transition plans. In addition, the data should support the management of payments, as identified in 6.0. 5.2 Provide placement transition support The assigned team/workers should ease the transition into placement for the family and child, as well as ease the transition for the foster family. Page 76 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 FOSTER FAMILY MANAGEMENT STEP ACTION DESCRIPTION 5.3 Complete placement change form, if needed Some method will be determined for updating foster family records to ensure proper case monitoring. 5.4 Conduct “icebreaker” sessions This meeting is a further method for ensuring that the transition into placement is successful, allowing all of the appropriate parties to be introduced, to directly address their questions and concerns about the placement. 6.0 Manage family foster care payments In order to manage payments, involved teams/workers must authorize services and funding eligibility to ensure that payments are made for children in placement, for the correct services, and to the correct foster family. 6.1 Initiate POSO/OTO for child care, respite care, maintenance, VEMAT, or clothing The lead worker will initiate appropriate work orders for services relating to child care, respite care, maintenance, VEMat, or clothing needs. 6.2 Appropriate worker/team verifies authorizations for services and funding eligibility In order to verify and authorize the services, the child must be placed with the requesting foster family on the dates for which services are being identified, and the services have to have been authorized by the appropriate team/workers. 6.3 Worker/team sends authorizations to Finance The lead worker will review and initially approve all authorizations for payment of foster care services and forward those authorizations to the RDSS accounts payable staff for payment. Page 77 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 SUPPORT PROCESSES In addition to the processes relating directly to the continuum of care, the redesign project identified five other processes which are essential supports to the functional work. These include: Document Management; Quality Assurance; Utilization Management; Financial Services; and, Recovery (Fraud) Services. The following sub‐sections of this report narratively present the work steps for each of these processes. We include in the appendix to this report a map of the work flows for each process and a table listing the inputs, outputs, controls, and resources relating to each process. Page 78 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Document Management The Department of Social Services is highly manual in its information management. While it uses a variety of electronic applications for case management, it relies primarily on manual documentation for applications, support material, case records, transactional histories, and the like. Even case files which are stored in the various applications are printed by staff and used for case processing. An effective, integrated case management system will rely heavily on the ability of case workers to have access to information across program activities, with the potential for multiple staff working on the same case file simultaneously, rather than the consecutive approach required when using manual case files. Electronic document management becomes an essential method for simplifying case management, expediting application review and approval, and saving time for staff to catch up with, and maintain, current case loads. Later in this report, we review electronic document management from an organizational and capability perspective. In this section, we describe a new process for handling case files from inception to closure through electronic record keeping. Throughout the functional processes, we describe business steps relating to records and information. In each case, the business step is intended to incorporate the business processes described here for electronic records management. DOCUMENT MANAGEMENT STEP ACTION DESCRIPTION 1.0 Receive request for service A client contacts RDSS for service through the Intake unit. 1.1 Look up record documentation The intake worker checks the on‐line record in Harmony’s master client file 1.2 Locate existing record or generate new case request The intake worker will use the document management system to determine if there is an existing hard copy data record. If there is, the worker will request the record. If there is not, the worker will request that a new record be generated by the document management staff. 1.3 Assign case number If an existing case number does not exist, the case worker will assign a new case number, based on the RDSS case numbering sequence. Page 79 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 DOCUMENT MANAGEMENT STEP ACTION DESCRIPTION 1.4 If necessary, digitize existing record If a case record exists in hard copy format, the document management staff will scan the hard copy record and enter it into the electronic document management system. 1.5 If necessary, assign record identifier If there is a new entry into the electronic document management system, the document management staff will assign a record identifier for each document, connecting the document to the case record. 2.0 Worker processing Once the electronic document is created, the intake or case worker will begin case processing. 2.1 Receive original documents The intake or case worker will receive any original documents from the client. 2.2 Code documents The worker will code each document, using the case record and record identifiers assigned. 2.3 Scan documents The case worker will scan the original documents into the document management system 2.4 Send hard copy to Records Unit for storage or return to client If the Department must retain the original document, the case worker will send the document to Records Management for storage. Otherwise, the case worker will return the document to the client. 2.5 Notify worker that case is ready If the previous work is performed by the intake worker, the intake worker will notify the case assessment work—as appropriate—that the case is ready for review. If the work is performed by a separate assessment worker, the worker will notify the case assignment worker or the client team leader as appropriate. 3.0 Case Closure The preceding work steps constitute an on‐going work cycle until the case is ready for closure. This sequence of steps relate to closing the case at its completion. Page 80 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 DOCUMENT MANAGEMENT STEP ACTION DESCRIPTION 3.1 Verification of file content The case worker reviews the case file to verify the information that is in the file. This will include a final verification of data accuracy. 3.2 Reconcile hard and electronic files The worker will reconcile the hard copy and electronic documents to make certain that they match. This relates only to hard copy documents that the Department is required to retain. 3.3 Note case closure in system The case worker will close the case in both the relevant case management systems and the electronic document management system. 3.4 System determines and assigns disposal date The electronic document management system will assign a disposal date according to decision rules established during implementation. 4.0 Record retention The Records Management unit will archive all hard copy records required to be retained, and the system will advise on purging requirements. 4.1 System generates purge schedule The system will generate a daily record purge schedule based on the case records on file. 4.2 System produces disposal alert report The system will print a disposal alert report for upcoming disposal actions. 4.3 Staff pulls hard copy file Based on the disposal alert report, Records Management staff will remove the hard copy files from the Department’s file system. 4.4 Staff destroys hard copy file and notes disposal in system Staff will physically destroy the eligible hard copy files and not the transaction in the electronic management system. 4.5 System transfers file to archive Upon notice of the record destruction, or automatically if there is no physical record destruction, the system will transfer the case data to an electronic archive. Page 81 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 DOCUMENT MANAGEMENT STEP 4.6 ACTION Staff purges electronic record from active file server DESCRIPTION Once the case has been transferred to the electronic archive, staff will purge the electronic record from the active server. Page 82 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Quality Assurance This is the process for ensuring that an organization is providing the best possible products or services. The mission of Richmond Department of Social Services is to strengthen families, assure safety, promote self‐sufficiency, and improve the quality of life for all citizens of the city of Richmond. It requires the efforts of the entire agency to fulfill this mission. The role of Quality Assurance is to help the agency achieve its mission. While RDSS has a Continuing Quality Improvement (CQI) unit, that unit’s duties and responsibilities are narrowly defined and are limited just to the Children, Families, and Adults Division. The process described here is one that will comprehensively serve the entire Department. Later in this report, we discuss the organizational implications of these process recommendations. There are many Quality Assurance (QA) tools that can be used to help ensure the best services are provided for its clients. One of the most popular tools is called the Shewhart Cycle, also known as the Deming Cycle. The Shewhart Cycle was developed by Dr. W. Edwards Deming, a twentieth century philosopher known for his proven quality and process improvement methods. The Shewart Cycle consists of four steps: Plan, Do, Check, and Act. The steps are repeated to ensure the process is constantly being evaluated and improved. The To‐Be process described below for Quality Assurance reflects the Plan, Do, Check, Act cycle. As part of planning, QA will perform a risk assessment to identify areas that need immediate action or attention. Once these areas are identified, QA will develop a plan to address the risk areas. As part of doing, QA will investigate each risk area and pinpoint areas of concern. QA will share their findings with the appropriate program areas. The program area will then complete their own Plan, Do, Check, Act cycle for the findings. The program will create a corrective action plan, complete the corrective actions, check to make sure the corrective actions are based on the findings and then permanently complete the corrective action across the program area. As part of checking, QA will constantly monitor the corrective action plan and outcomes. QA will continue this until the corrective actions have improved the areas of concern. By acting, QA will check to make sure the operating procedures have been updated to reflect any changes resulting from the corrective actions. QA will also issue a final report recording the improvements. The process described below is designed around an annual and three‐year risk management cycle. Even so, it is fully applicable to any quality review issue to Page 83 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 be addressed by the Department. In the case of specific case investigations, the Department should use this process to establish, carry out, report, and implement a quality review relating to a single case or incident that requires independent, neutral investigation. QUALITY ASSURANCE STEP ACTION DESCRIPTION 1.0 Perform risk assessment QA will perform a full risk assessment of the agency by evaluating the overall state of the agency. QA will review historical data and/or feedback in order to assist in the assessment. QA will also meet with Program Managers and Deputy Directors. QA will use a risk assessment tool to help identify and rank the risk areas. 1.1 Review external audits and performance reports QA will collect and review external audit results from previous years. QA will highlight major findings in the most recent audit results. QA will also highlight repeated findings across multiple years. QA will review performance reports and highlight the areas with major gaps between the performance results and the goal. 1.2 Review customer complaints QA will review the most recent year of customer complaints. If not already done, QA will organize the different types of complaints into categories. To find the most common issue, QA will tally the frequency of the types of customer complaints. 1.3 Review data with program managers QA will meet with the Program Managers to review the data. QA will request their feedback on identifying and ranking of the risk areas. 1.4 Review data with deputy directors QA will meet with the Deputy Directors to review the data. QA will request their feedback on identifying and ranking of the risk areas. 1.5 Determine risk areas After a detailed evaluation of the state of the agency, QA will determine the agency’s risk areas. Page 84 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 QUALITY ASSURANCE STEP ACTION DESCRIPTION 1.6 Prioritize risk areas QA will identify a risk assessment tool that best fits the social services industry. With the help of the risk assessment tool, QA will rank the risk areas. In order to rank the risk areas, QA must determine what might happen if the agency does not correct the risk areas right away. 2.0 Develop overall QA plan QA and RDSS leadership will create a 3‐year plan for addressing the high ranked risk areas. From the 3‐year plan, QA will draft a more detailed yearly plan to be used. 2.1 Establish/update 3‐year risk review cycle QA will draft a 3‐year plan or review cycle for addressing the high ranked risk areas from the assessment. 2.2 Review cycle with RDSS leadership QA will meet with RDSS leadership to exchange ideas and complete the 3‐year plan. 2.3 Prepare annual plan in advance of budget year For each year of the cycle, QA will create a more detailed yearly plan before the budget year. 2.3.1 Include all annual review risk areas QA will include all risk areas to be reviewed within the year. 2.3.2 Include 2‐year and 3‐year risks on cycle QA will also include the 2‐year and 3‐year risk areas so the next steps are always known. 2.3.3 Draft preliminary schedule QA will create a draft schedule for reviewing the risk areas for the year. 3.0 Communicate QA plan RDSS leadership or QA will communicate the results of the Risk assessment. QA and RDSS leadership will also communicate the plan for QA to address the high ranked risk area on a 3‐ year cycle. 3.1 Communicate objectives RDSS leadership or QA will communicate the goals of the QA plan and why it necessary. 3.2 Communicate expectations and support needs RDSS leadership or QA will address the expectations of the staff and their support of this effort. Page 85 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 QUALITY ASSURANCE STEP ACTION DESCRIPTION 3.3 Communicate schedule RDSS leadership or QA will cover the draft schedule for completing the QA plan. 4.0 Execute QA plan QA will investigate each risk area assessing the processes, staff and technology or lack of technology. QA will create a report for each risk area. The report will identify areas of concern to be addressed by the appropriate Program Managers. QA will cover the report with the appropriate Program Managers, clear up any discrepancies, and issue a final report. 4.1 Perform investigation of each risk area QA will meet with the appropriate Program Managers linked to each risk area based on the QA schedule. QA will review the appropriate operating procedures and policies to become familiar with the process. QA will observe the process to determine any issues. QA will review records or files as needed. 4.2 Identify areas of concern QA will identify areas of concern from the investigation. 4.2.1 Assess processes QA will decide whether an area of concern is a result of not following a process or not having a standardized process. 4.2.2 Assess staffing QA will decide whether an area of concern is a staffing issue; for example, lack of training, lack of education, or not having enough staff to meet the demand. 4.2.3 Assess technology QA will decide whether an area of concern is due to old technology, lack of technology, or technology that does not work well. 4.3 Analyze findings and review with program QA will meet with the appropriate Program Managers to analyze and review the findings. 4.4 Finalize risk assessment report QA will create the final assessment report. The final report will identify issues and findings. Page 86 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 QUALITY ASSURANCE STEP ACTION DESCRIPTION 5.0 Develop corrective action plan Program management will review a copy of the risk assessment report. The appropriate program area will develop a corrective action plan for the findings in the report. The corrective action plan should include: 1) the steps necessary to resolve the finding, 2) the date by which the corrective action will begin, 3) and the expected results of the corrective action. After approval of the plan by QA, the program area will begin using the corrective action plan. 5.1 Review findings with program management QA will meet with program management to examine the findings. 5.2 Program area develops corrective action plan The program area will be given a timeframe to develop a corrective action plan to address the findings. 5.3 Approve corrective plan The program area will submit the corrective action plan by the deadline to QA for approval. 5.4 Implement corrective action plan After approval, the program area will begin to use the corrective action plan. 6.0 Monitor corrective action plan QA will monitor the corrective action plan. QA will determine the effectiveness of the corrective action plan. If the results are not successful, QA will require the appropriate Program Managers to update the corrective plan. Then QA will monitor the updated plan. QA will monitor the plan until the areas of concern are no longer common. QA will issue a final report which will record the improvement. 6.1 Monthly or quarterly progress review QA will monitor the corrective action plan on a monthly or quarterly basis depending on the plan. Page 87 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 QUALITY ASSURANCE STEP ACTION DESCRIPTION 6.2 Update corrective plan status If after a certain amount of time, and the area of concern still exists, QA will request an update to the corrective action plan. The program area will be required to identify different action(s) or take a different approach to solving the problem. 6.3 Repeat monitoring until plan complete QA will continuously monitor the corrective action plan until the problem has been eliminated. 6.4 Prepare and issue final report QA will issue a final report that summarizes: 1) the risk area, 2) investigation results, 3) findings, 4) corrective action plan, and 5) corrective action results. Page 88 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Utilization Management This is the process of identifying providers to deliver the highest quality of services at the most effective cost to the clients of Richmond Department of Social Services. It also includes the process of monitoring and evaluating the utilization of these providers to ensure the implementation of adequate services. An efficient Utilization Management process impacts the overall effectiveness of the delivery of services. The evaluation and monitoring component are key elements to the overall process which involve routine monitoring, assessing performance results, and feedback from the clients. We observe that contractor management occurs in several different work units of the Department, each unit employing its own processes for contract development and management. This separation can result in a lack of control over contractors, lack of standardization of terms and requirements, inconsistent review of performance, and the continuation of contractors despite poor performance. The process described below is a consistent process for use throughout the Department. Organizationally, we recommend that the Department create a Utilization Management unit that would manage all provider contracts. With or without, that organizational change, the Department should institute this common provider management process. UTILIZATION MANAGEMENT STEP ACTION DESCRIPTION 1.0 Establish pool of providers Utilization Management (UM) will seek potential providers for services needed for the agency. There are several ways UM can find providers. One way is through the Request for Proposal (RFP) process. The RFP process is lengthy, but it is helpful in finding many potential providers. Another way is to invite known providers or providers who have solicited the agency in the past, to respond to a need. 1.1 Determine needs UM will receive internal requests for services from Case Management and other Agency departments. UM will evaluate the requests to determine the Agency’s service needs. Page 89 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 UTILIZATION MANAGEMENT STEP ACTION 1.2 Establish requirements for solicitation UM will establish the criteria for the solicitation including qualifications and deliverables in accordance with applicable policies and regulations. 1.3 Establish criteria for solicitation Relevant functional service staff will work with the RDSS procurement staff to develop a list of the essential criteria for the solicitation. This may include, but is not limited to, the type of work to be performed, the timeline for performance, objective standards for determining acceptable levels of performance, and pricing. 1.4 Determine if should be considered for fast track (emergency) If yes, target known providers Based on the internal request for services, UM will determine if the service need is immediate. If no, solicit providers via RFP UM will advertise the solicitation to the public at large. 1.4.1 1.4.2 DESCRIPTION UM will evaluate the profiles of known providers and the profiles of providers that have previously solicited the Agency. Based on the requirements of the solicitation and the profile evaluation, UM will establish a pool of targeted providers. Page 90 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 UTILIZATION MANAGEMENT STEP ACTION DESCRIPTION 2.0 Assess service providers UM will issue the solicitation in accordance with applicable regulations and policies. An evaluation team will be established comprised of personnel from UM, Case Management, and other departments impacted by the solicited services. The evaluation team will evaluate the proposals submitted in response to the solicitation and conduct on‐site evaluations when deemed appropriate. The evaluation team will recommend a service provider(s). The UM Manager will review the recommendation and make the final selection of the service provider(s). 2.1 Prepare solicitation document UM will draft the solicitation in accordance with the established criteria, qualifications, and deliverables. UM will issue the solicitation in accordance with applicable policies and regulations. 2.2 Evaluate provider proposals/qualification UM will establish an evaluation team comprised of personnel from UM, Case Management, and other departments impacted by the solicited services. The evaluation team will review the responses received in accordance with the deadline established in the solicitation. The evaluation team will evaluate the responses against the qualifications and deliverables detailed in the solicitation. The evaluation team will identify the responsive bidders. 2.3 Conduct on‐site evaluation, as applicable The evaluation team will conduct on site evaluations of the responsive bidders as deemed appropriate. Page 91 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 UTILIZATION MANAGEMENT STEP ACTION DESCRIPTION 2.4 Evaluation teams make recommendation The evaluation team will make a recommendation for a service provider(s). The evaluation team will submit the recommendation to the UM Manager for approval. 2.5 Utilization manager makes final decision The UM manager will review and approve the recommendation from the evaluation team. The UM Manager will issue the notice of award to the selected provider(s). 2.6 Notify awarded providers The notice of award will be distributed to the selected provider(s) in accordance with applicable policies and regulations. 2.7 Provider accepts award The awarded provider(s) will accept or decline the award. 3.0 Complete service contracts UM will create a contract between the Agency and the awarded provider(s). A contract template will be selected based on the type of service to be provided. The contract will reflect the deliverables, terms and conditions agreed to in negotiations, included in the solicitation, and included in the successful proposal. UM will fully execute the contract with the awarded service provider(s) in accordance with applicable regulations and policies. 3.1 Identify contract type Based on the solicitation and the type of services required, UM will select the appropriate contract type. 3.2 Select appropriate contract template UM will select the contract template based on the identified contract type. Page 92 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 UTILIZATION MANAGEMENT STEP ACTION DESCRIPTION 3.3 Create contract UM will populate the contract template in accordance with applicable regulations and policies. The contract will include applicable information from the solicitation and the successful proposal. 3.4 Collect required documents UM will obtain required documents from the awarded provider(s) in accordance with the terms and conditions detailed in the solicitation. UM will attach documentation to the contract file. 3.5 Conduct price negotiations as applicable UM will negotiate the price for the contracted services as appropriate and in accordance with applicable regulations and policies. 3.6 Fully complete contract UM will fully execute the contract by obtaining all required signatures. UM will digitize the contract file. 3.7 Notify non‐selected providers, as appropriate UM will notify unsuccessful bidders in accordance with applicable regulations and policies. Debriefing sessions with unsuccessful bidders will be held when appropriate. 4.0 Updated approved provider’s database UM will create a profile for the awarded provider in the Approved Provider’s Database. UM will designate the awarded provider as approved in the system. The approved provider designation will authorize the selection of the provider by internal RDSS personnel for the assigned services detailed in the profile Page 93 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 UTILIZATION MANAGEMENT STEP ACTION DESCRIPTION 4.1 Record pertinent data (i.e. Provider’s profile) UM will create a provider profile in the Approved Provider’s Database. The profile will include the provider contact, pertinent provider information, approved services to be rendered, and pertinent terms and conditions associated with providing services. 4.2 Complete provider application requirements UM will complete any necessary documents required by the provider. 5.0 Monitor service providers After a provider has been added to the Approved Provider’s list, that provider will be periodically evaluated. UM will create a plan for monitoring the providers. The monitoring plan will include: 1) who will be monitored, 2) the frequency of the evaluations, and 3) whether the on‐site evaluation will be announced or unannounced. 5.1 Create requirements for monitoring UM will establish the items to be evaluated during monitoring reviews for new providers, long term providers and special case providers. UM will define the categories and criteria for approved providers (e.g. New Provider, Experienced Provider, Special Case Provider, etc.). UM will determine the frequency of monitoring for each category of providers. UM will develop standardized monitoring tools and instructions for each review type and category of provider. UM will research best practices to aid in the development of these tools. 5.2 Identify providers to be monitored In accordance with the established criteria, UM will select providers to be monitored during the fiscal year. Page 94 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 UTILIZATION MANAGEMENT STEP ACTION DESCRIPTION 5.3 Select monitoring tool(s) UM will select the appropriate monitoring tool according to the review type and provider being evaluated. 5.4 Determine monitoring type (unannounced vs. announced) UM will establish criteria to determine if the monitoring review will be unannounced or announced. 5.5 Develop monitoring plan UM will create a monitoring plan. The monitoring plan will identify: 1) who will complete the evaluation, 2) what provider is being monitored, 3) the type of monitoring, 4) the monitoring tool to be used and 5) when the monitoring will take place. 5.6 Execute monitoring plan A Utilization Management representative (UM Rep) will carry out the monitoring plan. 5.6.1 Program review The UM Rep will complete a Program Review of the provider. 5.6.2 Financial review The UM Rep will also complete a Financial Review of the provider. 5.7 Identify corrective action The UM Rep will specifically identify any areas of noncompliance that require immediate corrective action. The UM Rep will require immediate corrective action be implemented within the established timeline associated with the infraction(s). 5.8 Issue report The UM Rep will complete a report summarizing the full evaluation of the provider. Include provider’s strengths The UM Rep will include things that were done well by the provider. 5.8.1 Page 95 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 UTILIZATION MANAGEMENT STEP ACTION DESCRIPTION 5.8.2 Include provider’s weaknesses The UM Rep will identify areas of noncompliance noted. The UM Rep will provide technical assistance where applicable. The UM Rep will provide required and/or recommended actions to achieve compliance. 5.8.3 Include recommendation for follow‐up In instances where corrective action is warranted (immediate/non‐immediate), the UM Rep will recommend a follow‐up visit to determine if the corrective action has been fully and permanently implemented. 5.9 Conduct exit conference UM will meet with the provider to review the results of the assessment report. UM will request written corrective action and implementation dates for corrective action from the provider. UM will inform the provider that a follow‐up review will be conducted. UM will obtain the signature(s) of the provider contact acknowledging their understanding of information contained in the report. 5.10 Notify case management of important findings UM will notify Case Management of important findings. 5.11 Follow‐up visit UM will conduct a follow up visit (announced/unannounced) to ensure that the corrective action has been fully and permanently implemented. 5.12 On‐going technical assistance UM will continue to work with the provider on making long term improvements. 6.0 Pay providers UM will approve payment to the provider after the service has been completed. 6.1 Receive provider invoice The provider submits an invoice to UM. Page 96 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 UTILIZATION MANAGEMENT STEP ACTION DESCRIPTION 6.2 Verify service delivery from case management UM contacts Case Management to verify the invoice. 6.3 Verify contract limits UM checks to make sure the invoice follows the contract terms with the provider. 6.4 Verify funding source UM verifies the funding source identified for the service in Harmony. 6.5 Approve for payment UM approves payment in Harmony. 6.6 Transmit approval to finance for payment in accordance with city procedures Evaluate performance outcome from providers The approval is electronically sent to Finance who will execute the payment. 7.0 UM will require approved providers to submit periodic performance results issued by other agencies and/or self‐assessment performance results. UM will evaluate the results as an additional resource for evaluating the utilization of approved providers for continued usage. 7.1 Determine reporting type, where applicable For those providers who do not have a performance reporting program, UM will determine the type of metrics to be reported to the agency. 7.2 Issue report template UM will issue a report template to those providers who do not have an existing performance reporting program. 7.3 Review reporting results UM will review the performance results in conjunction with internal monitoring results to determine if continued services are warranted. 8.0 Determine continued service UM will evaluate the Monitoring review(s) and Performance Reports to determine continued usage of the provider. Page 97 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 UTILIZATION MANAGEMENT STEP ACTION DESCRIPTION 8.1 If yes, continue monitoring plan UM will continue to monitor the provider based on the monitoring plan. 8.2 If no, remove from approved provider’s database UM will remove the provider from the Approved Provider’s Database. UM will notify Case Management that the provider is no longer eligible for usage. UM will work with Case Management where applicable to terminate the usage of the ineligible provider. Page 98 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Finance (Supplies and Materials) The financial function is an instrumental process where supplies and materials are procured for the Agency. The process is initiated with a need for a specific product. A person requesting the purchase (requestor) prepares a requisition detailing the requirements of the supply and/or material. A representative of the finance team submits a request for quote (RFQ) to potential suppliers. Suppliers submit quotations in response to the RFQ. The finance representative reviews the quotes and selects a supplier based on the established criteria including: price, quality, and availability. The finance representative generates a Purchase Order (PO) and submits it to the selected supplier. If the request is for a one time buy, a standard PO is issued. If the request is for a recurring purchase, a blanket PO is issued. Purchase Orders represent a contractual agreement of the transaction and are accompanied by terms and conditions related to the purchase. The supplier then delivers the product per the PO. The requestor evaluates the product against the specifications of the request. The supplier sends an invoice to the Finance for payment of the product. The finance representative compares the request for payment to the terms of the Purchase Order and confirms satisfactory receipt of the product by the requestor. If the invoice is correct, payment is made to the supplier. If it is not correct, the finance representative requires the supplier to correct the invoice. Once the corrected invoice is submitted, payment is made to the supplier. The To‐Be Process detailed below supports an efficient process for procuring supplies and materials. It reduces the probability for errors as the majority of the communication and 100% of the corresponding records are also electronic. This enables the Agency to readily address discrepancies, monitor productivity, and measure overall success of the process. FINANCE (SUPPLIES AND MATERIALS) STEP 1.0 ACTION Receive request for service DESCRIPTION When there is a need for a supply or material; the requestor will input a request into RDSS purchasing portal. The requestor will then indicate what is needed and any associated requirements or specifications. The requestor will also indicate the funding source and when the product is needed. The requestor will then submit the request. The request will be electronically sent to the finance department’s inbox. Page 99 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 FINANCE (SUPPLIES AND MATERIALS) STEP ACTION DESCRIPTION 1.1 Review request A buyer on the finance team will review the request to ensure there is enough information to fulfill the requirement. If there is not enough information, the buyer will call the requestor to clarify or electronically return the request to the requestor. 1.2 Verify funding source The buyer will verify the funding source identified on the request to ensure it is the appropriate funding source for the particular good requested. The buyer will verify that available funds exist from the identified funding source. If funds are not available or if the incorrect funding source is referenced, the buyer will inform the requestor and request the requisition be corrected. 1.3 Verify program eligibility, as applicable The buyer will check to see if the requested good is appropriate for program eligibility. If there is a problem, the buyer will inform the requestor in order to resolve or electronically return the request to the requestor. 2.0 Select vendor After the buyer receives a request, the buyer must identify a supplier. The supplier must provide the material within the requirements, time frame, and at a fair and reasonable price. 2.1 Conduct request for proposal (RFP)/ request for quote (RFQ) process if required by city The buyer will research the requested product and locate a group of suppliers who may meet the needs of the request. The buyer will identify the appropriate procurement method (e.g. RFP, RFQ, etc.) based on the request. The buyer will publish the procurement advertisement (e.g. RFP, RFQ, etc.) to the group of suppliers in accordance with applicable procurement regulations and standards. 2.2 Secure price quotes, if RFP not required The buyer will accept responses from potential vendors up until the deadline noted in the procurement advertisement. Page 100 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 FINANCE (SUPPLIES AND MATERIALS) STEP ACTION DESCRIPTION 2.3 Review quotes with requestor The buyer will inform the requestor that the quotes have been received. The buyer will invite the requestor to review all the quotes received by the deadline with the buyer. The buyer and requestor (when applicable) will review the quotes and identify the best offer. 2.4 Select vendor and input vendor data into advantage The buyer will select the vendor with the best offer based on price, quality, and availability. The buyer will indicate the selected vendor in the Request for Service and explain why the vendor was selected. The buyer will scan all the quotes and supporting material and attach them electronically to the Request for Service. The buyer will then enter the selected vendor into Advantage along with any required information; address, phone number, product ID, etc. 2.5 Finance approval The Finance Supervisor/Manager will review the Request for Service documentation and the selected supplier. The Finance Supervisor/Manager will approve the vendor in Advantage. 3.0 Generate purchase order (PO) in advantage Once the vendor has been selected, entered, and approved into Advantage, the buyer will create a PO. The buyer will then issue the PO to the vendor. After the vendor accepts the terms and conditions of the PO, they will ship the materials/goods. 3.1 Approve purchase order in ADVANTAGE The buyer enters the PO in Advantage. A second party will review and approve the PO. 3.2 ADVANTAGE encumbers funds The amount of the purchase is automatically subtracted from the funding source budget. Once this occurs, this amount cannot be used for other purchases. 3.3 ADVANTAGE notifies vendor of order The City’s Advantage financial system generates a notification to the vendor that an order has been placed. Page 101 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 FINANCE (SUPPLIES AND MATERIALS) STEP ACTION DESCRIPTION 3.4 Vendor accepts order via ADVANTAGE After the PO is approved; the vendor is notified electronically that the PO is ready for their acceptance. The electronic notification will contain instructions for the vendor to access Advantage via RDSS portal to review and accept the PO. 3.5 Vendor delivers materials After accepting the PO, the vendor ships the materials to the Agency. 4.0 Vendor submits invoice via ADVANTAGE portal When the good is received and the receipt of goods has been acknowledged in Advantage, a notification will be sent to the vendor. The notification will contain instructions for the vendor to access Advantage via RDSS portal to submit an invoice at their discretion. A finance representative will evaluate the invoice for accuracy. If there are problems, the finance representative will contact the vendor for resolution before approval. 4.1 Finance receives invoice After the vendor uploads their invoice in Advantage, the invoice will be electronically sent to the Finance’s inbox. 4.2 Send invoice to receiver of goods for verification Finance will electronically send the invoice to the receiver of the goods or materials. The receiver will review the invoice for accuracy. The receiver will make sure that the correct quantity was received. The receiver will also check that the goods received are the same as described in the invoice. Lastly, the receiver will make sure that the method of delivery was consistent with the agreed upon terms and conditions. 4.3 Identify discrepancies, if any After verifying of the invoice, the receiver will identify any problems. The receiver will note the problems on the invoice and electronically send the invoice to Finance. Review with vendor Finance will contact the vendor and discuss the discrepancies with the invoice. 4.3.1 Page 102 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 FINANCE (SUPPLIES AND MATERIALS) STEP 4.3.2 ACTION DESCRIPTION Settle discrepancy Finance will work with the vendor to resolve any problems and instruct the vendor to resend a corrected invoice if necessary. 4.4 Approve invoice Once the invoice has been verified by the receiver, Finance will approve the invoice in Advantage. 5.0 Issue payment via advantage After the invoice is approved in Advantage, the system will pay the vendor by releasing the funds. Finance will review the budget to ensure correct payment. 5.1 ADVANTAGE releases encumbrance The funds put on hold or reserved for the purchase will be released in the system. 5.2 The released funds will be paid to the vendor. 5.3 ADVANTAGE transfers to expenditure Generate ledger report 5.4 Match to budget Finance will review the General Ledger report and check it against the budget to ensure the funds were correctly paid. Finance will also check to make sure there were enough funds in the budget to cover the expense. 5.5 Resolve budget discrepancies If there are problems with the budget, Finance will contact the administrator of the budget to resolve the problems. The Finance Supervisor/Manager will generate a General Ledger report in Advantage at a set frequency. Page 103 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Recovery (Fraud) The Recovery and Fraud process is designed to recover excessive payments, investigate all allegations of fraud where there is sufficient evidence to lead a prudent, reasonable person to suspect that fraud has occurred. Fraud is a deliberate or unlawful deception, misrepresentation or concealment of facts practiced to secure advantage, benefit or gain or to cause loss to another. Fraud can also include the misstatement of a relevant fact or the failure to disclose a relevant fact. The investigative procedures used shall at all times be in accordance with applicable policies and laws. The investigation process shall be fully documented, including minutes of meetings, interviews, recommendations, determinations and actions taken. RECOVERY (FRAUD) STEP ACTION DESCRIPTION 1.0 Receive investigation request The requestor submits an investigation request to the Fraud department. 1.1 Acknowledge receipt in HARMONY A fraud representative will acknowledge receipt of the request in Harmony. Harmony will automatically time and date stamp the request. The details of the allegation and the allegation reporting method will be entered in Harmony (e.g. hotline, portal, etc.). 1.2 Assign to screening The request will be flagged in the system for screening. 2.0 Screen/validate request The request will be screened to determine if sufficient information has been received to initiate an investigation. 2.1 Review information for completeness A fraud representative will review the request to determine if pertinent information is identified including the allegation, date and time the allegation was received, method allegation received (hotline, walk in, etc.). 2.2 Determine if enough information exists to investigate The fraud representative will determine if sufficient information exists to investigate the allegation including RDSS jurisdiction, information to assist with identifying the alleged perpetrator, etc. Page 104 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOVERY (FRAUD) STEP ACTION DESCRIPTION 2.3 Determine if established criteria warrants investigation The information included in the request will be evaluated against the established investigation initiation criteria to determine if an investigation is warranted. If the request does not meet the criteria, the representative will deny the investigation request. If the request meets the criteria, it will be identified as valid and routed to an investigator. 2.4 Route to investigator Valid investigation requests will be routed to an Investigator. 3.0 Assign investigator(s) The Supervisor will assign an investigator(s) to the request based on established criteria including availability, experience, knowledge, skills, and ability. 3.1 Evaluate case load The caseload of existing Investigators will be evaluated by the supervisor to determine the pool of available resources. 3.2 Evaluate experience of investigator(s) The experience of the pool of available resources will be evaluated to identify parallels between allegations associated with successfully completed investigations and the allegation noted in the investigation request; and, experience conducting fraud investigations. 3.3 Assign investigator(s) The supervisor will identify the best available resource and assign the investigator(s) to the request. 4.0 Conduct investigation The assigned investigator will conduct an objective investigation in accordance with applicable policies and regulations. The investigation process includes creating an investigation plan, executing the plan, and generating a summary report of the investigation. Page 105 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOVERY (FRAUD) STEP ACTION DESCRIPTION 4.1 Input referral into fraud data tracking system (FDTS) The request/referral is entered into the Fraud Data Tracking System. All information noted in the initial request maintained in Harmony is entered into the FDTS. 4.2 Verify the subject is known to RDSS The Investigator will research all accessible RDSS systems to determine if the alleged perpetrator and/or parties identified in the investigation request have a history with RDSS. If historical data is located in the system, the Investigator will consider this information when establishing the investigation plan. 4.3 Establish investigation plan The investigator will create a plan for the investigation. The investigation plan at a minimum will consider timing, resources, and applicable standards, policies and regulations. 4.4 Conduct investigation The investigator will execute the investigation plan and conduct the investigation in accordance with applicable standards, policies, and regulations. 4.4.1 Conduct interview(s) The investigator will conduct interviews to collect information to contribute to the investigation. Interviews will be conducted in accordance with existing standards and laws. The interview type conducted (telephone, in person, etc.) will be at the discretion of the investigator; however, the contents of all interviews will be thoroughly documented. All interviews will be conducted objectively. 4.4.2 Collect data The investigator obtains documentation to support/refute elements of the allegation. The investigator will maintain the integrity of documentation obtained by documenting the chain of custody of all documents. At a minimum, the investigator will document what items were received, when the items were received, from whom the items were received, and where the items were maintained. Page 106 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOVERY (FRAUD) STEP ACTION DESCRIPTION 4.5 Engage case management team as necessary The investigator will interview Case Management personnel when appropriate to obtain information related to the investigation. 4.6 Scan all supporting data and attach electronic file to HARMONY and Fraud Data Tracking System The investigator will digitize all supporting documentation related to the investigation. The investigation will upload and attach supplemental digitized supporting file to the investigation case file in Harmony and the FDTS. Once uploaded, all documents will remain in the case file unless the information is subsequently determined to have been erroneous. The investigator will maintain all documentation in accordance with applicable record retention policies and regulations. 4.7 Create final report The Investigator will generate the final report detailing the results of the investigation in accordance with applicable standards and regulations. At a minimum, the report will include the following elements: Background, Executive Summary, Scope, Approach, Findings, Summary, Impact, and Recommendations. The final report will be digitized, attached to the investigation file, and submitted to the supervisor for review. 5.0 Issue final report The supervisor will review the investigation final report in conjunction with all supporting documentation. The supervisor will issue a copy of the final report to the appropriate parties in accordance with applicable policies and regulations. 5.1 Access investigation documents The supervisor will evaluate the final report in conjunction with the supporting investigation documentation. 5.2 Document findings and recommendations The supervisor will ensure that all findings and recommendations are detailed in the final report. Page 107 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOVERY (FRAUD) STEP ACTION DESCRIPTION 5.3 Determine fraud/non‐ fraud & finalize report The supervisor will determine if the conclusion of fraud is evidenced in the report. 5.4 Submit supervisory review and comments The supervisor will submit review comments to the investigator for consideration. 5.5 Take additional steps as necessary – administrative disqualification hearing (ADH); court, etc. The supervisor will distribute the final report to the appropriate parties. The investigator will participate in subsequent proceedings in accordance with applicable policies and regulations (e.g. ADH, Court, etc.). If the restitution is warranted, Accounts Receivable staff will be notified to initiate the collection process. 6.0 Close investigation request The investigator will close the investigation request. A summary of the investigation will be distributed to designated departments for informational purposes. All claims of restitution will be monitored by the investigator until satisfied. 6.1 Send investigation summary to case management The investigator will generate a summary of the investigation. The investigator will distribute the investigation summary to case management for informational purposes. 6.2 Transition to accounting where applicable (restitution request) The investigator will notify Accounting if restitution is warranted. Accounting will initiate the collection process. 6.3 Monitor and maintain oversight of fraudulent claims resulting in restitution The investigator will monitor the collection of restitution until the full restitution claim has been satisfied. The investigator will append the investigation file with acknowledgement of restitution received. The investigator will alert internal departments of restitution received as deemed necessary. Page 108 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 ABILITY TO RESOLVE PERFORMANCE ISSUES The last task of the To‐Be Process Integration Team was to assess the probability that the integrated case management process would resolve the Department’s reported performance deficiencies. As it reviewed the performance issues relative to the new process, the Team arrived at the conclusion that the new processes would enable the Department to meet the performance requirements. However, there are several important caveats to that conclusion. First, it assumes continuation of appropriate levels of staffing to perform the work. Second, it depends upon the commitment of the Department to have an aggressive, on‐going program of staff development and training so that the staff would be able to perform the new tasks at a proficient level of competency. Third, it assumes a greater reliance on information technology for data integration and electronic records management. We discuss all of these assumptions later in this report. The following table represents the assessment of the To‐Be Integration Team of the effect of the new processes on the Department’s areas of performance shortfall: ASSESSMENT OF IMPACT OF NEW PROCESSES ON RDSS PERFORMANCE MEASURES USING AUG 2012 REPORT AS ASSESSMENT BASIS (Report data in red are areas of performance deficiency in this report) MEASURE Timely Processing of Medicaid applications LEVEL OF PERFORMANCE CURRENT FY 13 TARGET 87.87% 86.06% 97.0% HOW WILL NEW PROCESSES IMPROVE AREAS OF PERFORMANCE DEFICIENCY Suggest staff specialists on Medicaid Concerns: (1) Delay is in getting case record info will be solved by automated process (2) Training experience shows a huge number of people are not sufficiently familiar with Medicaid. If our staff is skilled (properly trained), we may not have this problem. Processing problem comes from staff not being aggressive in acquiring needed info. There are times when the work is too big or too little, and there is not enough flexibility to move staff to help alleviate the problem during peak times. Even with skilled staff, there may still be a problem because of workload and difficulty in acquiring information. To change this result, we need more staff Page 109 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 ASSESSMENT OF IMPACT OF NEW PROCESSES ON RDSS PERFORMANCE MEASURES USING AUG 2012 REPORT AS ASSESSMENT BASIS (Report data in red are areas of performance deficiency in this report) MEASURE Timeliness of Medicaid Reviews Timely Processing – SNAP Expedited Timely Processing – SNAP Regular Timely Processing of SNAP Combined Applications SNAP Participation Rate LEVEL OF PERFORMANCE CURRENT FY 13 TARGET 89.83% 90.08% 97.0% 98.08% * July 97.64% * July 97.87% * July 98.08% 97.0% 97.64% 97.0% 97.87% 97.0% 86.47% 86.13% 80.0% HOW WILL NEW PROCESSES IMPROVE AREAS OF PERFORMANCE DEFICIENCY members who are adequately trained to do the work. To have more people available, we need to free up staff that can be reassigned to Medicaid. To free up staff, we need to improve our processes to get rid of redundancies. Suggest staff specialists on Medicaid Concerns: (1) Delay is in getting case record info (will be solved by automated process (2) Training experience shows a huge number of people are not sufficiently familiar with Medicaid. If our staff is skilled (properly trained), we may not have this problem. Processing problem comes from staff not being aggressive in acquiring needed info. There are times when the work is too big or too little, and there is not enough flexibility to move staff to help alleviate the problem during peak times. Even with skilled staff, there may still be a problem because of workload and difficulty in acquiring information. To change this result, we need more staff members who are adequately trained to do the work. To have more people available, we need to free up staff that can be reassigned to Medicaid. To free up staff, we need to improve our processes to get rid of redundancies. Page 110 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 ASSESSMENT OF IMPACT OF NEW PROCESSES ON RDSS PERFORMANCE MEASURES USING AUG 2012 REPORT AS ASSESSMENT BASIS (Report data in red are areas of performance deficiency in this report) MEASURE SNAP Quality Assurance Payment Error Rate SNAP Quality Assurance Negative Action Error Rate SNAP Application Denial Rate SNAP Benefits Issued VIEW – Job Retention VIEW – Average Hourly Wage VIEW – Percent Employed VIEW Application Denial Rate Timely Processing of TANF Applications VIEW – Federal Work Participation Rate Timely Processing of Child Care LEVEL OF PERFORMANCE CURRENT FY 13 TARGET .88% NA <= 3.0% *Apr HOW WILL NEW PROCESSES IMPROVE AREAS OF PERFORMANCE DEFICIENCY Could be training issue, time management, and volume Could also be a case management issue; team case management approach will help 27.78% *Apr NA <= 2.0% 21.61% 20.17% NA $7,647,1 47.00 * July 71.97% $7,647,147 .00 NA 71.51% 75.0% $8.16 $8.16 $7.25 42.49% 41.97% 50.0% 30.48% 32.95% NA 93.62% 92.36% 95.0% New process may accelerate timelines. Electronic case records will help. 40.21% * July 40.21% 50.0% The new process will help because we will have people on the team with the skills that are needed to conduct a comprehensive assessment and develop a plan to help the client find and keep a job. 91.83% 90.36% 95.0% New process will help. No reason why we shouldn’t meet the The new process will help because we will have people on the team with the skills that are needed to conduct a comprehensive assessment and develop a plan to help the client find and keep a job. The new process will help because we will have people on the team with the skills that are needed to conduct a comprehensive assessment and develop a plan to help the client find and keep a job. Page 111 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 ASSESSMENT OF IMPACT OF NEW PROCESSES ON RDSS PERFORMANCE MEASURES USING AUG 2012 REPORT AS ASSESSMENT BASIS (Report data in red are areas of performance deficiency in this report) MEASURE LEVEL OF PERFORMANCE CURRENT FY 13 TARGET Applications Absence of Maltreatment 100.00% * 4th Qtr FY 12 100.00% *4th Qtr FY 12 44.44% * 4th Qtr FY 12 100.00% * 4th Qtr FY 12 100.00% *4th Qtr FY 12 44.44% * 4th Qtr FY 12 Foster Care Re‐ Entry Rate 16.30% *4th Qtr FY 12 Adoptions Finalized w/in 24 Months of Entering Care % Discharged to Permanence Absence of Abuse While in Foster Care % Reunified w/in 12 Months HOW WILL NEW PROCESSES IMPROVE AREAS OF PERFORMANCE DEFICIENCY standard now. Combo of work load changes and performance issues 94.6% 99.68% 75.2% Easier access to services More comprehensive assessment Will involve the family a little bit more – resulting in greater buy‐in and forward progress Family will be less frustrated from too much intrusion (multiple meetings) 16.30% *4th Qtr FY 12 9.9% Teams will help make sure services are in place before child goes home Transitional plan will be developed sooner (to include review of needed services) 28.13% * 4th Qtr FY 12 28.13% * 4th Qtr FY 12 36.6% We don’t have much control over this. Source of delay is primarily the courts; we could sit in appeals for 6‐8 months We will be doing concurrent planning The team approach will get rid of the territorial issues (i.e., adoption and foster) The team approach will likely help Data mining will help – workers don’t investigate relatives early on. The data team can ID relatives sooner. 24.73% * 4th Qtr FY 12 24.73% * 4th Qtr FY 12 29.10% We will be doing concurrent planning The team approach will likely help Data mining will help – workers don’t investigate relatives early on. The data team can ID relatives sooner. Page 112 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 ASSESSMENT OF IMPACT OF NEW PROCESSES ON RDSS PERFORMANCE MEASURES USING AUG 2012 REPORT AS ASSESSMENT BASIS (Report data in red are areas of performance deficiency in this report) MEASURE Placement Stability – 1st 12 Months # Adoption Disruptions % of Youth in Congregate Care LEVEL OF PERFORMANCE CURRENT FY 13 TARGET 85.23% 85.23% 86.00% *4th Qtr *4th Qtr FY FY 12 12 HOW WILL NEW PROCESSES IMPROVE AREAS OF PERFORMANCE DEFICIENCY We will be doing concurrent planning The team approach will likely help Data mining will help – workers don’t investigate relatives early on. The data team can ID relatives sooner. 1 1 0 19.70% 19.0% 16.0% 0.51% 0.25% 24.00% 93.38% 89.97% 90.00% 33.33% 34.97% 90.00% Could be an operation issue – not a process issue Source of “low performance” is likely inadequate documentation in OASIS CPS Ongoing Contacts Met 65.94% 74.22% 90.00% Routing of cases at the onset (triage) will help Filling up current vacancies will likely solve the performance problem. Right now, extremely short‐staffed. Supportive team approach will likely decrease burn‐out and increase retention. CPS Prevention Contacts Met 52.42% 47.39% 90.00% Routing of cases at the onset (triage) will help Filling up current vacancies will likely solve the performance problem. Right now, extremely short‐staffed. Supportive team approach will likely decrease burn‐out and increase retention. CPS Response win Priority Time ‐ First Attempted 72.83% 77.17% 90.00% Routing of cases at the onset (triage) will help Filling up current vacancies will likely solve the performance problem. Right Kinship Care Placements Monthly FC Visitation Monthly Client Visits with Family Team approach will likely result in more targeted recruitment of foster homes for older youth Page 113 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 ASSESSMENT OF IMPACT OF NEW PROCESSES ON RDSS PERFORMANCE MEASURES USING AUG 2012 REPORT AS ASSESSMENT BASIS (Report data in red are areas of performance deficiency in this report) MEASURE LEVEL OF PERFORMANCE CURRENT FY 13 TARGET HOW WILL NEW PROCESSES IMPROVE AREAS OF PERFORMANCE DEFICIENCY now, extremely short‐staffed. Supportive team approach will likely decrease burn‐out and increase retention. CPS Response win Priority Time ‐ First Completed 69.57% 72.04% 90.00% Routing of cases at the onset (triage) will help Filling up current vacancies will likely solve the performance problem. Right now, extremely short‐staffed. Supportive team approach will likely decrease burn‐out and increase retention. Timely CPS Assessments 47.95% 65.69% 95.00% Routing of cases at the onset (triage) will help Filling up current vacancies will likely solve the performance problem. Right now, extremely short‐staffed. Supportive team approach will likely decrease burn‐out and increase retention. Timely CPS Investigations 33.43% 40.91% 95.00% Routing of cases at the onset (triage) will help Filling up current vacancies will likely solve the performance problem. Right now, extremely short‐staffed. Supportive team approach will likely decrease burn‐out and increase retention. 100.00% 100.00% 95.00% 99.67% 99.64% 95.00% Timely APS Investigations Absence of APS Recurrence w/in 90 Days This table demonstrates clearly the belief of the RDSS staff that the revised processes, once fully implemented, will result in the alleviation of all deficiencies in the State performance reports. Page 114 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CHAPTER 6: ORGANIZATIONAL PLAN A consistent theme of the business process redesign has been that the Department’s organizational structure needs to be a support to effective business processes. The idea is that organizational structure is a force enabler, that is, it establishes the framework by which employees can be more effective in the performance of their duties. Fundamental elements of organizational design call for a structure that accomplishes several things: It should coherently reflect the business of the unit, with an emphasis on mission; Functional service elements should be the primary focus of the organization, with support units playing secondary roles; To the extent possible, work units should have the capacity to perform their responsibilities and be held accountable for those responsibilities; There should be a minimum of work hand‐offs between organizational units unless necessary for meaningful expertise; and, An outside observer should be able to look at an organization and understand both its purpose and its core business processes. With these standards in mind, the project team assessed the current RDSS organization. Our observations are that: The structure is a highly segregated service delivery model, with a large number of operational siloes; The structure’s siloed systems cause difficulty in cross‐service delivery, because of rigid organizational divisions, segmented data systems, and a lack of knowledge of the full range of service capabilities; The organization mirrors traditional state and local government organizations that deliver social services, largely because of the high level of fragmentation that exists within the social services financial and regulatory systems; The organization is heavily reliant on a large middle management structure which the RDSS SWOT analysis considers to be only marginally effective; Page 115 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 The organization is centered on meeting its own needs rather than focusing on client needs; The organizational culture is predominantly employee focused; The Department is internally focused, specifically on the delivery work, and does not have a meaningful and effective capacity for anticipating future needs or trends; The Department does not have a meaningful capability for self‐assessment and critical work adjustment. The implications of the current organizational structure on meaningful business process redesign are readily apparent: The organization will need to change dramatically if it is to adopt and successfully implement an integrated client service model; The organization needs to realign to a process model rather than a functional model so that work units own a portion of the continuum of service and not individual programs; Organizational culture needs to become one of client focus rather than worker focus, with greater resources placed on meeting client needs; There needs to be the capacity for on‐going, rigorous self‐assessment and in‐ course correction of work areas; The core of the organization should focus on client service, with ancillary support systems; and, Part of a comprehensive program of succession planning includes training, or the employment of trained, staff to be well versed in understanding the theoretical and practical concepts of social service delivery. ORGANIZATIONAL FRAMEWORK Based on these considerations, the project team recommends a substantial organizational realignment for the Department. The realignment converts the process flows into organizationally responsible work units. Conceptually, the Department should have a core service delivery capability based on client intake, Page 116 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 assessment, and service. Using the process flows for the functional model, our organizational plan envisions two principal work functions: client intake and assessment and client service delivery. There are four functions that support the principal work. The supports are Program and Policy, Family Supports, Finance and Administration, and Human Resources. This alignment addresses each of the organizational limitations and structural implications, as described in the preceding paragraphs. The following graphic represents the conceptual design of the organization: ORGANIZATIONAL FRAMEWORK FOR THE DEPARTMENT OF SOCIAL SERVICES Page 117 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 As depicted, the organizational alignment consists of two core functions and four support functions. The table below presents the respective duties of each: Intake and Assessment SERVICE FUNCTIONS Intake & Assessment CommonHelp / Customer Portal Hotline Assessment & eligibility determination ACTIVITIES OF CORE FUNCTIONS SUPPORT FUNCTIONS Case Management Emergency response Case review & routing Client service teams Subject matter experts Organizational Performance Quality assurance Utilization management Performance management Employee training & development Information technology & records Program CSA TDM Resource family unit ECDI Healthy Start Job Development Center Finance & Administration Budget & finance Payroll Recovery (Fraud) Fleet/Mail Disaster management Human Resources Wage & classification Benefits management Performance appraisal The key elements of this organizational plan are: Intake and Assessment This is one of two core functions in the reorganized Department. Its primary duties will be to serve as the common point of intake for all persons seeking assistance from RDSS. This can include both electronic submission for benefits applications to manual processing. The hotline will continue to serve as the intake point for protective services call, particularly those relating to emergency situations. This unit would also be responsible for reviewing requests for assistance to determine levels of eligibility and would assess individuals and families as part of a broader review of client needs, as described earlier. An important element of this unit is the assessment function. Presently, assessment occurs throughout the Department, with one assessment often duplicating another. Another complication is the division of data security which often precludes a full client assessment. This new unit will resolve those problems. There are several purposes to the consolidation of assessment. First, all client assessment on entry will occur in this unit. Case management teams may ultimately conduct reassessments on a small scale, but full reassessments would also return to this unit. Second, the process plans described earlier propose two Page 118 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 types of assessment. One is the routine assessment and eligibility determination based on client interface. The other is the more in‐depth family assessment, based on the concepts of Safe Passages. This is expected to be a more statistically driven assessment using other data sources. Finally, because eligibility determinations and assessments would rest with this unit, it is expected that these personnel will have complete access to all data systems necessary to conduct the assessments and eligibility determinations. This eliminates the problems caused by various staff now having full information access. Case Management This division is the other functional service delivery unit of the Department. This division would be responsible for the delivery of all client services, regardless of the service to be performed. Delivery would be through a series of functionally integrated service teams, each team led by a team leader, with multiple teams having supervisors, and multiple supervisors having an oversight manager. At the outset, each team would include both social workers and benefit workers; it is expected that, over time, these distinctions would begin to blur. As a case comes into the Case Management unit, a case routing team would assign the case to a given case team based on a variety of criteria. The team would assign a lead worker to the client family and a back‐up worker. This lead worker would be responsible for all primary client interfaces, with the team members providing on‐going case management support. This framework relies on the model of the Department’s TDM process, except that it expands to include all social services and benefits. It gives the client a single point of contact and it eliminates the duplicate outreach that currently consumes much of the time of department personnel. An important aspect of this unit will be a team of subject matter experts. Because the case teams would, over time, become more generalists, the Department will still need a battery of subject experts. This unit anticipates a team of experts—as many as three per each program—who would be available to assist the case teams. There are several advantages to this approach: All of the teams would receive the same information from the same source, thus eliminating current problems of inconsistent information and direction coming from the multitude of supervisors. The subject matter expert teams would be expected to be aware of both current rules and regulations and proposed rules and regulations. This would also include maintaining current knowledge on industry trends and best Page 119 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 practices. This enables the Department to maintain both an inward and outward perspective on industry practices. The SME teams would interact with the Department’s training staff to provide on‐going functional training, leaving the training unit to focus on broader career development and remedial training programs. In the anticipated model, the SMEs would identify subject area training needs based on staff inquiries, assist the RDSS training unit in developing the training materials, and assist in course delivery under the direction of the training unit. The other principal duty of the Case Management Unit will be to provide emergency response to both protective cases and economic stabilization needs. Policy and Programs Support This is a new support unit of the Department. Its responsibilities would include: An expanded quality assurance review unit, which would be responsible for risk assessment and review throughout the Department. This unit would also be responsible for working with other departmental units to assess specific work issues relating more to work processes than to subject matter knowledge (which would be addressed by the Subject Matter Expert teams). Utilization management will be the consolidation of private contractor management from various parts of the Department, including VIEW and Child Care. This unit would be responsible for securing and managing service contracts for all providers affiliated with the Department. This would also include review and authorization of all provider invoices prior to payment by the Finance Division. This review assures compliance with applicable state and federal regulations as well as verifying that services paid for are actually received. While the revised business processes anticipate that foster family payments would be managed through the Resource Family Unit, it is possible that the Utilization Management unit could provide this service, as an alternative to the RFU. Employee Development and Training would transfer to this Division from Human Resources, but the Department could consider the alternative of leaving employee development training in Human Resources. This recommendation is based on the desire to link more closely the quality assurance and performance management activities performed by Policy and Programs with employee training. Regardless of the final location of the training unit, it is essential that there be a close, regular communication Page 120 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 between development and training on the one hand and the Department’s internal risk assessment and performance management capabilities on the other. Information Technology and Records Management would transfer to Policy and Programs from the Administration and Finance Division. As part of the transfer, the existing Records Management unit would become a work unit of Information Technology. There are several reasons for this recommended transfer: First, the alignment of information technology and records management prepares the Department for the introduction of electronic documents management, discussed later in this report. Second, the data capabilities of the unit will be a primary point of support for the risk management and performance management activities of this Division. Third, the bulk of the duties of information technology relate to functional work performance. Assignment of this unit to Finance and Administration implies a greater work volume relating to financial functions, which does not exist. Based on the systems supported by Information Technology, more than eighty percent of the unit’s work duties relate to functional data management and systems support. This transfer should not, however, diminish the support for the Finance and Administration Division’s fiscal management obligations. Therefore, we recommend that the existing business analyst position that supports primarily the financial functions be retained as part of the Finance and Administration Division. Family Support This Division is created by combining several different work units of the Department into a single Division. These include the CSA, TDM, Resource Family Unit, ECDI program, and Healthy Start programs. This report also recommends creation of a Job Development Center. The common denominator for all of these functions is that they are integrated services that provide supports without being primary functions in the continuum of client care. CSA is somewhat unique in this regard in that CSA performs direct client services similar to those provided in the current foster care programs of the Department. We include CSA in this grouping both to keep the number of direct reports to the Department Director to a manageable group and to recognize the unique circumstances of CSA. Page 121 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 The other units all provide client services either through a functional delivery agency, such as support for child services provided by TDM and RFU, or primarily through group outreach such as ECDI and Healthy Start. While none of these units is routinely in the direct continuum of care, they provide a broad range of support knowledge to the continuum. A new addition is our recommendation for the creation of a Job Development Center that will participate in job creation for both VIEW clients and other departmental clients. The purpose of this Center would be to have staff that has responsibility for working with area employers to create large bodies of jobs for VIEW and other placements. At present, the VIEW program relies on individual case managers to work with their clients to identify a job opportunity and to get that client placed. This is a relatively ineffective approach to job creation and maintenance in that it causes a lot of repetitive work for the case worker and has limited in‐placement support for the client. A more aggressive approach is to work with employers to create large volumes of job opportunities, even to the point of providing specific job training services and work supervisors. The Department has already recognized this in its plans to create two positions for this very purpose. While two positions is an important start, we do not feel that will be sufficient and foresee a unit of five to ten workers, over time. Because this unit would serve as a resource not just to VIEW but potentially any client of the Department, we recommend that it be placed with the Family Supports Division. Finance and Administration This division would retain its core responsibilities for the financial operations of the Department, enhanced by the transfer of the payroll function from Human Resources. As noted, the Utilization Management unit would augment review of provider payables so that Finance and Administration could more effectively process payment vouchers for the City’s system. As noted earlier, while we recommend transfer of Information Technology and Records Management from the Finance and Administration Division, we recommend that the Division retain the current business analyst, whose primary duty it is to administer the linkage between the Harmony system and the City of Richmond’s financial systems. We also recommend transfer of the Department’s Emergency Management position into this Division so as to link administrative duties more comprehensively. Page 122 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Human Resources Much of the burden of the implementation of this report will fall to the Human Resources Department. This will include working with the City’s Human Resources Department to conduct appropriate wage and classification analyses, develop new job descriptions for the integrated case management personnel, and implement the personnel cross mapping to new work assignments. This will require considerable focus and staff resources. The transfer of the payroll function from Human Resources to Finance, in addition to being consistent with industry best practices, will allow the Human Resources staff to focus on the larger task at hand. In order to perform the larger human resources tasks outlined for implementation, as well as routine duties of human resources management— position classification, employee recruitment and selection, performance appraisal management, discipline, and benefits administration—this Department will need additional professional resources. STAFFING IN THE NEW ORGANIZATIONAL MODEL The Department’s leadership has been consistent throughout this process in its affirmation that the purpose of this project is to improve business processes and enhance client service, not to adjust staffing. The idea is that reductions in work demand from more efficient processes will result in work time that can be made available for more thorough work, more time with clients, and freeing resources for other needed tasks within the Department. Currently, there are 511.5 authorized positions within the Department. This includes 480 general fund positions as well as several special fund positions, temporary positions, and loaned staff. Our analysis of the business processes and organizational alternative leads to the conclusion that the revised system will, in fact, yield work efficiencies that the Department will be able to use for overall service improvement. It is difficult to estimate precisely what the time savings impact will be, but some general rules and perceptions provide some meaningful assessments: As discussed later in this report, we estimate that an electronic document management system will save an estimated 20,000 hours of staff time per year. Assuming that a full time equivalent employee works 75% of a 2,080 hour annual schedule, the actual hours worked per FTE is 1560 hours. This means that an EDMS will provide 12.8 full time equivalent employee slots for other work assignments. Page 123 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Anecdotally, our review of the current work conditions indicates a large volume of repetitive work. The repetition occurs because of the lack of trust in previous work, repetitive errors, lack of access to complete information, and related issues. There is no definitive count of how frequently these redundant reviews occur or how long each take, but the evidence supports a belief that this problem is more the rule than the exception. For analytical purposes, we assume that this repetition occurs at least once per each case intake and that each repetition requires an average of one staff hour. In the twelve months from July 2011 to June 2012, the Department received a total of 29,796 applications for Medicaid, SNAP, TANF, and Child Care. This alone would equate to 29,796 hours of duplicate staff time, given the previously stated assumptions. It represents 19.1 full time equivalent employees. One might argue with this time savings, but there are offsets on both sides of the equation. On one hand, it is possible that the frequency of redundant processing is not once per case. The counterpoint is that we used only new case applications for only four programs. That any reduction in the number of cases by changing the average number of cases with redundant review would be offset by including all of the other case applications not included in the calculation. Additionally, this calculation is based only on new cases and not on continuing cases or renewals. Therefore, we believe that this time estimate is conservatively valid. A third area of potential time savings is in the elimination of redundant client contacts. Virtually every program of the Department has some form of requirement for on‐going client contact. Given the current program structure of the Department, any client who is enrolled in multiple programs will receive contacts from different case workers. The Department staff participating in the As‐Is and To‐Be process sessions have ratified this assumption frequently. It is difficult to obtain a reliably accurate estimate of the Department’s unduplicated case count. Data collected from the VDSS using just social security numbers as the sorting criterion indicates a possibility that the duplication may be as much as forty percent. Based on our work with other jurisdictions this is probably a low estimate but is within the range of expectation. In our analysis of electronic data management later in this report, we reported that the Department cited 60,287 active cases for Medicaid, SNAP, Page 124 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 TANF, Child Care, and Foster Care as of July 2012. Assume that each case requires a call an average of once a quarter and that the time consumed for each call is fifteen minutes. This equates to 60,287 hours of staff time for follow‐up calls. Now, let’s assume that we can reduce the number of cases by forty percent with one person contacting the client for all case enrollments. We should also assume that the length of the call will increase from fifteen to twenty minutes in this model. This would result in 48,230 hours of staff time, a savings of 12,057 hours. This equates to 7.8 full time equivalent staff positions. It is likely that the actual call frequency is greater than once quarterly and the length of time on the call is as much as a half hour. If we used the assumption of one call per month at a half hour per call, then reduced the call volume by 40 percent and increased the call length to 45 minutes, the net staff hour savings would equate to 23.2 FTE. Based on these rough estimates, we estimate—conservatively—that the new business process will result in staff time savings of at least between 44.7 and 60.1 full time equivalents. The Department will able to redistribute the staff hours to a variety of high priority initiatives while still improving its overall performance. Among these initiatives are: Intake and Assessment: Additional staff resources can be assigned to the intake and assessment functions, resulting in better timeliness and greater accuracy in processing requests for assistance. Staff would also be available to conduct the family‐based assessments envisioned through Safe Passages. Case Management: Personnel would be made available to support the Emergency Response capabilities, staff the case routing and review function, enhance the integrated case teams, and staff the Subject Matter Expert unit. Policy and Programs: The Department would be able to provide a larger staff for quality assurance review, staff the utilization management function, staff the performance management function, and provide additional personnel for development and training and in support of information technology. Family Resources: The proposed Job Development Center staffing could also come from the pool of available staff time. Human Resources: This division will also need additional personnel to help implement the recommendations of this report and to conduct a strong, on‐ going program of human resources support. Page 125 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Finance and Administration: Staff could be made available to support the business analyst position for the integration of Harmony and the City financial systems. In considering the availability of staff hours and the reassignment of personnel to different duties, there are two considerations which will be important: training and development and succession planning: Training and development of staff will be critical. As personnel assume new work duties, it is the obligation of the Department to provide the training and work resources necessary for the employee to be successful in the new assignment. In our following discussion on Human Resources management, we discuss the need for sound career planning and the use of employee training programs. The absence of these capabilities within the Department will almost certainly result in employees having difficulty executing their new assignments, resulting in degraded performance. The Department is facing a potentially serious problem with seniority. A review of the staff roster indicates that nearly a third of all of the Department’s employees are now eligible for retirement. Even though it is highly unlikely that a large exodus will occur, the Department must be prepared for the loss of institutional memory that any significant retirement would cause. The cross mapping of employees from current to new assignments will need to consider this, and the Department will need to seek out newer employees who can be assigned to duties that will foster their eventual movement into leadership positions. PHASING OF THE ORGANIZATIONAL CHANGES We recommend that the Department implement its reorganization in three phases. This will allow the Department to take its time to align operational duties and staffing and to rewrite its policies and procedures based on experience with the integrated client service model. We envision the following phases: Entry: This is the first three months of implementation. The focus of work is on the creation of the Intake and Assessment Division, and the Program and Policy Support and Family Support Divisions. In this phase, the Department would create a small trial unit for case management. Transition: This is months three through nine of implementation. In this phase, the focus is on broadening the integrated case management approach Page 126 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 so as to assess fully any operational issues and to write the essential policies and procedures. Final: This is the period from nine to eighteen months following the start of implementation. During this phase, the Department would move to the fully integrated case management approach and initiate the subject matter expert teams. We have aligned the implementation planning of this report to be consistent with these three phases of organizational restructuring. As part of the assessment of the organizational transition, there are a number of organizational variations that the Department may consider. Among these are: Retention of Employee Development and Training in the Human Resources Department. We believe that placing employee development and training functions with policy and program staff will provide for better coordination between departmental performance assessment. However, it may be possible to achieve the same benefits with the current structure, just so long as there is a firm, formal relationship between employee development and policy and programs. Similarly, regardless of organizational placement, there will also need to be close coordination between employee training functions and the subject matter experts. Retention of Information Technology and Records Management in Administration and Finance. The placement of information technology within a general finance and administration environment has been historically common. However, an increasing trend in public organizations is the removal of technology from a purely finance perspective and aligning it with performance management or creating a separate technology office. Regardless of whether the information technology function remains within Finance and Administration, there are two key elements that should move forward. One is the merger of information technology and records management in order to effect the move to greater use of electronic document management. The other is that Finance and Administration will need to retain a business analyst to support data integration between Harmony and the City’s financial systems. Retention of CSA as a Stand Alone‐Entity. Our recommendation for inclusion of CSA in the Family Support Division is based on the broad, interdisciplinary approach that CSA uses that could serve as a grounding point for interdepartmental support. However, we recognize that CSA is, by law, a separate entity. Page 127 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Creation of a Job Development Center. This is a programmatic recommendation designed to address the job placement performance issues documented in the review of the Department’s performance reporting. It is entirely an option that is up to the discretion of the Department. We do believe, however, that this unit—or something like it—will be necessary if the Department is to meet and maintain its performance obligations for job placement. Assign the Subject Matter Experts to Policy and Programs. This is not an uncommon arrangement. The benefit of linking SME activity with policy activity is that it integrates subject matter expertise with policy evaluation and development. However, in this instance, we feel that it is more important that the subject matter experts be immediately available to the integrated case management teams. Given the history of work siloes within the Department, this availability is better assured by having the SMEs in the same operational Division as the case management teams. Page 128 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CHAPTER 7: HUMAN RESOURCES MODEL This report contains many recommendations related to business process redesign. The changes in these processes will require that the management and staff of the Richmond Department of Social Services alter their methods of service delivery – both in terms of how the work itself is performed, and the manner in which RDSS employees interact with one another in assuring effective service delivery. Many RDSS staff members have been involved in the redesign of business processes during the course of this study, and during the development of these new processes, employees were asked for their honest input into how to best deliver services to their customers, which they unfailingly did. However, one of the over‐arching themes throughout the process was that employees were being asked to live with a certain degree of ambiguity. This ambiguity extended not only to unknowns surrounding the exact nature of the business processes themselves, but also in how the redesigned processes would affect each of their jobs, their job duties, and, ultimately, their careers. This section of the report provides discussion and recommendations on the human resources support structure related to job descriptions, career development, performance management and compensation structures. During the course of the study, the project team noted many positive initiatives in the development of human resources support systems. These included the development of core competencies for many positions, the development of training courses that are designed to address perceived needs in the organization, refinements to performance appraisal, and others. However, certain improvement opportunities exist as well, and this section of the report is designed to address these by providing enhanced structure to existing initiatives, and to propose fundamental redesign in others in order to provide a greater level of support to the redesigned processes, and to ensure that the staff delivering the services are trained, motivated, fairly compensated, have promotional opportunities, and have a clear sense, and control over the direction of their careers. WAGE AND CLASSIFICATION The Richmond Department of Social Services has an authorized staffing contingent of approximately 480 total general fund positions covering 51 position titles. This equates to about 9.4 employees per position title. In many cases, the distinctions between the actual content of position duties, as outlined Page 129 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 in the applicable job descriptions, is very minimal. This is particularly evident for position titles that are the same, but have numerical designations following them (e.g., Customer Service Representative II, Customer Service Representative III, etc.). In fact, of the 51 job titles, 17 of these (33%), have such numerical designations. The following table provides a side‐by‐side display of the content of Outreach Case Manager I and Outreach Case Manager II. REPRESENTATIVE COMPARISON OF JOB DUTIES OUTREACH CASE MANAGER I OUTREACH CASE MANAGER II Provides follow‐up care on previously diagnosed cases and non‐compliant clients; conducts home visits; makes related phone calls and writes letters Provides follow‐up care on previously diagnosed cases and non‐compliant clients; conducts home visits; makes related phone calls and writes letters. Assists clients in keeping follow‐up appointments, ensuring that clients understand treatment plan and preventative measures. Researches, compiles and assembles information to be used by others; compares data and information as directed; prepares regular reports to management. Prepares information to be used by others; compares data and information as directed; prepares regular reports to management. Assists clients in keeping follow‐up appointments, ensuring that clients understand treatment plan and preventative measures. Conducts pre‐financial screening of clients to determine eligibility for financial assistance. Conducts pre‐financial screening of clients to determine eligibility for financial assistance. Performs health and health environmental assessments on clients and assists with health screenings. Collects client information and maintains accurate records. Assists in preparing/writing grants. Assists clients in overcoming barriers to keep medical appointments (i.e., access to transportation, childcare, housing) and reminds clients of appointments. Conducts health educational workshops to facilitate to facilitate public awareness for Outreach Case Manager I’s, individuals, parents and other groups. Assists physician, nurses, Health Department nurses and other clinic personnel in providing Performs health and health environmental assessments on clients and assists with health screenings. Collects client information and maintains accurate records. Assists clients in overcoming barriers to keep medical appointments (i.e., access to transportation, childcare, housing) and reminds clients of appointments. Assists with health educational workshops for public awareness for individuals, parents and other groups. Assists physician, nurses, Health Department nurses and other clinic personnel in providing follow‐up care for clients. Attends informational programs and staff meetings for current information on case management and healthcare policies and Page 130 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 REPRESENTATIVE COMPARISON OF JOB DUTIES OUTREACH CASE MANAGER I OUTREACH CASE MANAGER II procedures. Networks with City agencies, community organizations and other organizations to ensure access to community resources to meet social and health needs of the client. follow‐up care for clients. Attends informational programs and staff meetings for current information on case management and healthcare policies and procedures. Networks with City agencies, community organizations and other organizations to ensure access to community resources to meet social and health needs of the client. Note that the job duties are substantially similar, with the exceptions that the Outreach Case Manager II assists in preparing and writing grants, assists clients in overcoming barriers to keeping medical appointments, and reminds clients of appointments. Additionally, the latter position “researches” information to be used by others, etc. However, the Outreach Case Manager I is responsible for assisting with health education workshops, whereas this position duty is not detailed in the job description for Outreach Case Manager II. The hourly rate of compensation for the lower position is from $12.15 to $19.70, with that of the higher position being from $13.73 to $22.26. Therefore, the overall range from minimum to maximum for the two positions is $10.11, with an overlap of $5.97, meaning that almost 60% of the compensation ranges overlap between the two. The project team noted other, similar, job titles with a high degree of overlap in their responsibilities as well. These included the following: System Operations Analyst I and II. The two positions have essentially the same duties, with the latter responsible for assisting the supervisor/manager in “overseeing management of system operations functionality.” Supervisory Positions. Generally, the supervisory positions (e.g., Social Services Case Manager Supervisor, Social Worker Supervisor, ICM Case Manager Supervisor, Welfare Fraud Supervisor, etc.), each have very common elements such as supervising cases, assigning cases to subordinate staff, reporting on cases, etc. At most, there are one or two duties that reference a duty unique to the division or function referenced in the job title, suggesting that the evaluative factors associated with the primary duties of Page 131 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 the supervisors are weighted more toward supervision, reporting and control, than with the daily duties of their subordinate staff. We note that, although there are similarities in the job titles specifically noted above, RDSS does not have employees within certain job categories that are, in all likelihood, similar to those that it does possess. For example, there are the job title Executive Assistant III, in which there is at least one RDSS incumbent, and the job titles of Executive Assistant II, in which there are no RDSS incumbents. There are other, similar examples as well. To summarize, then, there is little distinction between the job duties of several of the positions in RDSS, with varying degrees of overlap in compensation. Elsewhere in this report, the project team has recommended alterations in many business processes that have substantive effects on the job duties of existing employees. In many cases, these alterations have the effects of removing “silos” of job responsibilities currently performed by multiple positions, and thereby expanding the scope of authority of the employees within these positions. Therefore, as the job responsibility and authority expand, so should the ranges within which positions may be compensated. Many organizations undergoing organizational transition and business process redesign find that they have become too hierarchical for their new strategic direction, finding that they have become too slow to react, taking too much time to service clients, to get information from the top of the organization down, and even less effective at getting messages from the lower reaches of the organization up to senior management. Broad banding of job titles reduces the number of levels or layers within an organization, “flattening” the organizational structure and reducing the hierarchy. In a broadband pay structure, the numbers of salary grades are consolidated into fewer, but broader, pay ranges, and less overlap with other pay ranges. So, for instance, where there may currently be four, five or even more distinct job titles in one pay grade, these numerous job titles may be collapsed into one, providing more flexibility of assignment by managers, and less administrative oversight on the parts of human resources staff. Drawing from the examples of the similarities of job duties highlighted above, under broad banding, it is possible that all Customer Service Worker positions would be collapsed into a single band, as would all Systems Operations Analysts, Case Managers, Supervisors and even others, such as Accounts Specialists, Clerks, etc. Further, although RDSS cannot alter the City’s pay ranges, these ranges may be broadened to encompass the existing pay ranges of current positions. So to illustrate, again using the example above, if the two current Page 132 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 position of Outreach Case Manager I and II were collapsed (and for illustration purposes only) and were the only two positions to be collapsed into this broadband, the compensation range for the band would be a minimum of $12.15 per hour, with a maximum of $22.26, equating to range of 83% rather than the current range of 62% for both the Case Manger I and II positions, separately. Sometimes the matching of an employee to the optimum job within an organization doesn’t occur because of the way a job has been classified or positioned with an assigned salary band. Broad banding addresses this phenomenon. If the potential new position for an otherwise well‐suited employee is not a lateral or at a higher point on the compensation scale, many, if not most, employees will not seriously consider a transfer that results in a demotion. That is not a positive step for their career development. With broad banding, more internal movement is facilitated, because the probability increases that one’s current job and alternate position are within the same range of pay. This makes compensation less of a limiting factor, and puts forward other attributes of a position, encouraging internal mobility and potentially more developmental assignments. With broad banding, a manager or supervisor can more easily encourage his or her employees to broaden their skills and abilities. This is valuable to organizations because employees with broad skills and abilities are critical for the success. In contrast, some of the jobs currently in existence in RDSS are narrow and specialized, as was illustrated in the table above. In order for employees to advance in pay and responsibility, they have to further develop their specialized skill. Thus a bias exists against the broadening of skills in the current environment. PERFORMANCE APPRAISAL The project team received a great amount of input related to the current method of performance appraisal in the City of Richmond. Much of the input was informally received, and occurred incidentally in discussing other topics being discussed in the As‐Is and To‐Be modeling sessions. However, the project team also conducted a focused discussion of personnel practices, and performance management specifically, in place in both the City and in RDSS. And while the discussion of the focus session centered primarily on deficiencies and improvement opportunities in current practices, there were several strengths identified as well. These included the following: Most employees do, in fact, receive annual performance appraisals, and most are completed in a timely manner. Page 133 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 The Director requires a one‐on‐one review each month. Some supervisors document their employees’ performance very well, and some also set very clear expectations. There are some useful tools in place for improving performance such as the PIP (Performance Improvement Plan) forms, guidelines, performance memo template, reprimand template, etc. Supervisor training materials are generally considered to be good. All new supervisors are required to attend training, and attendance is very high. Some supervisors seek input from others on the performance of their employees. However, in addition to these positive attributes, employees noted several deficiencies as well. These included the following: The City does not offer an electronic submittal option for performance appraisal. The paper forms do not provide a space for performance standards, and there is no agreement as to what the performance standards should be. An employee’s performance appraisal is not linked to compensation increases, with a resulting negative effect on employee morale. Employees tend to view their annual performance appraisals in terms of their effects on compensation levels, but not necessarily in terms of their effects on promotional opportunities. The Department does not do a uniformly good job in documenting performance, and in addressing performance‐related issues. Further, the process required for dealing with performance‐related issues is so lengthy that it discourages many supervisors from dealing with them at all. Supervisors do not evaluate performance in the same manner, with the potential result that a poor performer could receive a higher evaluation than a top performer if evaluated by two different supervisors. Page 134 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Although the list of noted deficiencies, above, was noted in meetings with RDSS employees, it is far from unique, as most organizations struggle with multiple issues related to performance management. One of the more common deficiencies in this regard is that employees tend to view performance management as simply an annual performance appraisal. In fact, however, performance management is more than this. Properly‐constructed appraisals should represent a summary of an ongoing, year‐round dialogue. Focusing only on an annual appraisal form leads to misunderstanding and under‐appreciation of the benefits of performance management. Elements of Effective Performance Appraisal An effective performance management process enables supervisors and managers to evaluate and measure individual performance and to optimize productivity by: Aligning individual employees’ daily actions with strategic business objectives; Providing visibility and clarifying accountability related to performance expectations; Documenting individual performance to support compensation and career planning decisions; Establishing focus for skill development and learning activity choices; and, Creating documentation for legal purposes, to support decisions and reduce disputes. Many of the practices that support performance also affect job satisfaction, and result in greater employee retention. These include: Delivering regular relevant job feedback; Setting and communicating clear performance expectations; Linking performance to compensation clearly; Identifying organizational career paths for employees (addressed in a previous section of this report); Page 135 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Evaluating performance and delivering incentives in a fair and consistent manner; Providing appropriate learning and development opportunities; and, Recognizing and rewarding top performers. The current performance appraisal form in effect in the City of Richmond, and the one used by RDSS, includes the following eleven (11) factors on which employees are evaluated: Knowledge of the Job; Work Product Quality; Problem Solving; Teamwork; Responsibility; Flexibility; Customer Service; Compliance with City Policies and Legal Standards; Safety; Attendance; and, Accomplishments The evaluative factors in the performance appraisal instrument have been defined by the City, and as such, RDSS must comply with their application in administering performance appraisals of its own employees. The evaluative factors listed above capture many critical elements of the jobs performed by RDSS employees. However, the project team notes the following observations of the instrument: Although “Work Product Quality” is evaluated, there is no factor in the current form that allows for the evaluation of the quantity of work accomplished by an employee. The quality of work accomplished is a vital element of all jobs, however it may be argued that unless there are minimum standards of acceptability for the amount of work performed, the quality of the work accomplished may be of relatively minimal value. Teamwork is a vital element of many jobs, however not all employees have opportunities to work as members of teams. All employees are, however, required to communicate with others, and the project team would submit that this is a more comprehensive measure of the job dimensions intended for evaluation under the City’s “Teamwork” criterion. Page 136 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 There are facets of each of the current evaluative factors that should be applied uniformly within each of the 11 factors. For example, it should be expected that all employees, once on the job for a sufficient period of time, should exhibit a strong understanding of the technical aspects of their jobs. However, the project team suggests that the knowledge of one’s job includes more than just technical aspects, but conceptual understanding as well. These sub‐elements should be defined and included as parts of each of the evaluative factors to ensure a common, and comprehensive, application of all of the dimensions of a job. There is no criterion for “Planning” work in the Manager/Supervisor performance appraisal instrument. This is arguably among the most important skills of any supervisory employee. Fiscal Responsibility is one of the current evaluative factors in the City’s performance appraisal instrument, however this is only one dimension of effectively managing the resources placed under the control of a manager or supervisor. In addition to fiscal resources, there are personnel and material resources as well, and the project team believes these should be a part of the evaluation of all supervisors and managers. Tiered Performance Appraisal System The project team recommends that, to the extent permissible by the City, RDSS should enhance the current performance appraisal instrument to incorporate the above elements. Further, the project team recommends that, in place of the current method of employee evaluation in which managers and supervisors meet in one‐on‐one sessions with their subordinates, the Department uses an internal review process that combines a counselor/mentoring system with a management tier review system. The emphasis of this approach is on problem resolution and career development. The following steps incorporate this recommended review system. Designation of a Counselor and Mentor for Each Employee. This is the most critical part of the process. The Department will assign each employee with a Counselor who will be responsible for performing an objective performance appraisal of the employee, for presenting that appraisal to a review group, and then transmitting the results of the group assessment to the employee. Commonly, the Counselor would also be the employee’s supervisor but it does not have to be. Page 137 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 In addition to having a formal counselor each employee has the option of having a mentor. This is strictly a personal relationship between an employee and someone that the employee knows and respects for his personal and professional judgement. The mentor is the individual who helps the employee understand career options, advises on problems and issues that the employee may have, and helps guide the employee. The mentor also serves as the employee’s advocate before both the Counselor and the performance review panel. There is no requirement that the mentor even be a part of the Department, only that there is a personal relationship that both the employee and mentor respect. Employee Self‐appraisal. The employee first completes a self‐appraisal of his/her performance against the standard performance criteria, and in relation to the individual development plan (IDP) established in the previous year. This is submitted to the Counselor. Counselor Assessment. The Counselor then seeks out performance reports from other persons with whom the employee has worked during the review period. This would include other team members, other supervisors or managers with whom the employee has worked, and from participants on Departmental and City committees and other initiatives. The Counselor would then prepare an employee assessment form based on the employee’s personal appraisal and the input received from the external review. If the employee has a mentor, the Counselor would review the assessment with the mentor; the role of the mentor is to serve as the advocate for the employee, identifying personal and work issues that might have influenced the employee’s work performance. Tiered Review. Important to an effective appraisal process is the time and attention that the Department leadership gives to the review performance appraisals and the emphasis they place on using the appraisals to improve performance and prepare employees for new career opportunities. This attention occurs during the tiered review process. This tiered review process is a means by which each employee level is reviewed by the persons holding positions above that level. The review teams work as follows: Page 138 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 PERFORMANCE REVIEW RESPONSIBILITIES IN A TIERED SYSTEM PERSONS AT THIS ORGANIZATIONAL LEVEL: REVIEW PERSONS AT THIS ORGANIZATIONAL LEVEL: Review Panel Position Reviewed Supervisors, Managers, Deputy All personnel not in a supervisory role Directors, and Directors Managers, Deputy Directors, and Supervisors Directors Deputy Directors, and Directors Managers Directors Deputy Directors In this model, each level of an organization’s staffing receives a review from all of the persons placed organizationally in a higher supervisory or managerial role. This review can occur with any grouping of employees up to, and including department‐wide. While the review can occur at the department level, the number of persons in a non‐supervisory role would require a time commitment that would be prohibitive, even for a process that will already require considerable time. Given the size of the Department, we recommend that the review of personnel not in a supervisory role occur at the Division level, i.e., Case Management, Intake and Assessment, Policy and Program, etc. We do recommend, though, that review of supervisors and above occur in department‐ wide review sessions. The review sessions operate as follows: The review panel convenes as a group to review the performance of all persons placed organizationally below the panel. Each counselor presents the appraisal of the employee prepared in the earlier steps; if the respective employee’s mentor is present, the mentor again serves as an advocate for the employee being reviewed. The panel briefly discusses the appraisal, focusing primarily on the strengths of the employee and opportunities for career enhancement and performance remediation. After the panel has received the reviews of all of the persons, it then discusses the overall performance of the group of employees under review and how each individual employee fits within a performance category, usually Well Above Average, Above Average, Average, Below Average, Well Below Average. For employees who are well below average, a performance improvement plan will be required; for those below average, a remediation plan will be required. The difference between the two plans is the level of detail and the consequences of not achieving the plan. The performance Page 139 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 improvement plan is the more detailed and the consequences of failure are usually dismissal. Following the review meeting, the Counselor, Employee, and Employee’s mentor (if there is one) review the group evaluation, which becomes the formal performance appraisal of the individual. Individual Development Plans (IDP) ‐ Upon completion of the Performance Appraisal process employees will prepare IDPs in consultation with their Counselors. This plan takes the same form as the Career Development Plan discussed in the next section of this chapter; the difference is that the Individual Development Plan covers a period of one year, while the Career Development Plan can cover from two to five years. Advantages of the Tiered Review System The most common objection to the tiered review system is that it is very time consuming. It is, in fact, time consuming. It adds several days to the work load of persons in supervisory or managerial positions. Appraising employee performance is one of the most important functions of organizational management. Performed well, it can result in better employee performance, greater employee satisfaction, and enhanced career development. Performed poorly, it results in decreased performance, dissatisfied employees, and a breakdown in future management succession. The benefits gained from such a system far outweigh the added time. This follows an important dictum of employee performance appraisal, it can be done quickly or it can be done well. There are many advantages to this system: It provides an opportunity for employees to evaluate their own performance – both their accomplishments and areas for potential improvement – during the prior year; It gives employees more complete knowledge about their evaluators’ perceptions of their work performance ; It provides an opportunity for employees to discuss and set professional development goals with their evaluators; It gives evaluators more accurate and complete information on which to base decisions regarding salary increases and promotions; It eliminates inequitable scoring that occurs because of different supervisory approaches to, and attitudes regarding, scores; It eliminates perceptions of favoritism; It focuses on improvement rather than punishment; Page 140 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 It educates managers and supervisors across the organization about good performers; and, It provides better cross‐organization knowledge of all of the employees. CAREER DEVELOPMENT As noted, the Department has made several positive initiatives in the areas of core competency development, performance appraisal and training. However, these initiatives have been viewed as separate and distinct from each other, and have not been integrated into a comprehensive model of employee development. Further, these initiatives have not fully involved the employee in the process of designing a career development model over which, in conjunction with supervisors, peers and managers, he or she has a substantial amount of control. Career Development Plan A career development plan is a guideline for setting goals for progression within a career path chosen by a specific employee. Ideally, career development starts on the day an employee begins work. An employee’s skills should be evaluated against core requirements of each job, and should be accomplished during the recruitment process. Not every employee will possess all required skills to the same degree, however a complete baseline evaluation during the recruitment and hiring process will help RDSS to formulate a career development system for each employee in order for that employee to perform well once on the job. The Department has recently developed materials related to core competencies as well as training courses designed to enhance both an employee’s technical service delivery skills as well as professional development skills related to, for example, effective interpersonal skills, conflict management in the workplace, as well as others. These are all vital to an employee’s development, however they are general, and offered as a menu of items from which employees choose, rather than being specified as parts of a defined career path for an individual employee. RDSS should encourage its employees to develop in manners that link to the strategic objectives of the Department, and to the City, generally. The employee’s career development should ideally be viewed as a partnership between the employee, the Supervisor and, in fact, the Department of Social Services. Basic tenets of a career development plan include the following: Page 141 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Employees are responsible for managing their careers, increasing their skills and experience, and maintaining a high level of performance. Supervisors should encourage and support their staff in career planning, and help employees find the best match between their talents and the needs of Department. The Department should create and provide opportunities for growth based on performance excellence, talent, and potential, and should also encourage mobility between jobs and interests. The Department should view an individual’s career development plan as separate from his or her annual performance appraisal. Currently, there are core competencies defined for many job titles, and these relate to ethical decision‐ making, knowledge of job, planning and organization, customer service, communication, relationship management and self‐management. Also, the Department is considering the implementation of a formal 360 performance appraisal form that evaluates employees’ compliance with established competencies on a standard set of measures. However, the Department lacks a formal development process by which employees, working with their direct supervisors, and perhaps others with valued input, develop a course of career progression that benefits both the employee and the organization. It is not, for example, reasonable for all employees to have the same career goals, even as they may start their careers at the same place in the organization. Further, it is not desirable from the organization’s standpoint that this occur. Rather, each employee should be responsible for the design of their individualized career path, with guidance and encouragement from their supervisor. Specifically, employees should ask and answer the following questions: What level of responsibility do I want to have? What projects do I like to lead or work on? What results do I want to achieve in my department or division? What problems or concerns do I care enough about to focus my entire career on solving? What type of environment do I like to work in? What types of people do I like to work with? What compensation (salary, benefits) do I need and desire? What type of work/life balance is best for me? In developing a career plan, employees should be encouraged to envision the end result, and then define the details in achieving this result. So, although the end result may be the attainment of a supervisory position, or even higher level, there will be definable steps in the process that may include objectives related to Page 142 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 proficiency in the current job (e.g., related to increasing workload volume and efficiency), and then to leadership objectives (e.g., functioning as team leader of a work‐related or extra‐curricular project). As employees enter the Department, training should focus on the development of basic skills. As the employee moves through his or her career, however, the training should shift to enhanced skills development and to promotion preparation. As the employee progresses into supervisory levels, then the training focus changes to management skills. The following is a sample career development plan that the Department may wish to use for its personnel. The planning document is fairly simple, by design, but captures the essential planning elements we describe in this report. Page 143 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 SAMPLE CAREER DEVELOPMENT PLAN FORM Page 144 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Career Training Plan A career training plan consists of three elements: skills development, career development, and problem remediation. The skills development includes the training designed to enhance the knowledge, skills, and abilities of employees in their various duties. Career development includes training designed to move personnel from one career position to another. It is predicated on the assumption that an employee’s needs shift throughout their careers, moving from technical skills to management skills. As with skills development, this element can be planned well in advance and be a known entity to personnel as they work with mentors and counselors to identify their training needs. The third element, problem remediation, is situational. As the Department notes patterns of behavior, either in individuals or department or division wide, then they should immediately establish an appropriate training mechanism to address and resolve the problems. Each employee in the Department should have an individual training plan that covers at least a full year and preferably a period of two years. The plan should include all of the career development elements described above. Satisfactory completion of the plan should be an element of the performance appraisal of each employee. A sample annual training program might appear as follows: SAMPLE TRAINING PROGRAM FOR: JANE DOE SKILLS DEVELOPMENT CAREER DEVELOPMENT COURSE HRS STATUS COURSE Case Assessment & Planning 8 Complete Team Decision Making Preparing for Court 16 Scheduled A Guide to Effective Interpersonal Communication HRS SITUATIONAL TRAINING STATUS COURSE HRS STATUS 8 Complete Working with Families with Substance Abuse Issues 8 Complete 8 Scheduled How to Handle Difficult Clients 4 Pending Page 145 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 As this section shows, there are multiple elements in the effective modeling of a career development plan. The key element, however, is the individual employee’s acceptance of responsibility for its development and attainment. So, therefore, although the Department’s initiatives in the areas of training, performance appraisal and development of core competencies are critical, they should be formally assembled and integrated into an overall process that ensures that employees, with support from the organization, attain their goals, and that these employees skillfully contribute to the overall goals of RDSS. HUMAN RESOURCES CONCLUSION In this section, we have recommended an approach for career development within the Department. This approach builds on the previous efforts of the Department’s human resources staff to design an effective job expectations matrix, the starting point for career development. We move from that point to recommendations for career planning and the training support necessary. The Department may choose to use this model as a starting point, modifying the templates as conditions require. The overall purpose should be to capture, in a concise and easily‐referenced format, the career development goals of the individual employee, the dates by which these goals should be met, and the degree to which the employee is successfully attaining them. Page 146 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CHAPTER 8: INFORMATION TECHNOLOGY In this chapter, we consider the information technology supports that the Department will need in order to transition to an integrated case management model. These include: A general overview of the Department’s information technology; Assessment of the Harmony system; and, Assessment of the potential for an Electronic Documents Management System (EDMS) GENERAL OVERVIEW OF INFORMATION TECHNOLOGY As part of our entry assessment of RDSS, we conducted a review of the Department’s current information technology environment. Our overall impression is that the Department has a sufficient technology base by which to conduct its business. However, user restrictions and a heavy reliance on manual processes greatly diminish the utility of the system. Our observations of the system include: The Department uses a highly fragmented technology system Blend of Commonwealth, City, and department software systems Subject to both Commonwealth and City security requirements, which severely limit user access Currently unable to use state of the art technology, including wireless services, smart phones, and tablets for mobile communication, primarily due to Commonwealth restrictions There is a lack of data integration Minimal functional data communication among applications Stronger research capacity through two data mining applications, SPIDeR and the Cognos Data Warehouse The Department has limited reporting capacity Most applications have fixed reporting capacity User data queries usually have to be processed by the State or information technology staff Data entry is only slightly effective Page 147 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Almost exclusively manual data entry by departmental staff Implementation of CommonHelp system will impact data management: User data entry may reduce staff time requirements Staff will have to take additional time for error identification Propensity of staff to print electronic data, thus defeating purpose of data automation System storage is a strength City/Department uses almost exclusively virtual servers for data storage Currently using an estimated 100 gigabytes (100 GB) of capacity This will be important when considering storage demands for an electronic documents management system The Information Technology unit of RDSS supports, directly or indirectly, both primary functional applications as well as secondary applications. The primary functional applications are those which the Department uses for its core data management and includes the most critical databases. The following table lists the primary information systems which the Department uses and which the Information Technology staff directly or indirectly support: PRIMARY FUNCTIONAL APPLICATIONS SUPPORTED BY THE RDSS INFORMATION TECHNOLOGY UNIT NAME FILE OWNER (ESTIMATED) AUTOMATIC LINKS ADAPT State Harmony SPIDeR ADAPT ‐ ESPAS State Harmony ASAPS (Adult Services Adult Protective Services) CommonHelp State SPIDeR (Limited) State ADAPT Energy Harmony SPIDeR VaMMIS EBT (Electronic Benefits Transfer) State Third party contract limits access Page 148 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 PRIMARY FUNCTIONAL APPLICATIONS SUPPORTED BY THE RDSS INFORMATION TECHNOLOGY UNIT NAME Harmony (ESTIMATED) AUTOMATIC LINKS FILE OWNER City Advantage ADAPT OASIS EBT VDSS VaMMIS PARIS SNAP TANF VIEW SPIDeR FDTS (Fraud Database Tracking System) State None OASIS (Online Automated Services Information System) Medical Assistance Application (VDAM) State SPIDeR (Limited) State None VaMMIS (Medicaid Management Information System) State FAMIS SLH DMAS It is important to note that these primary applications have little or no electronic communication between each other. The primary linkage is through SPIDeR, which is a data reporting application. It cannot be used for data entry and distribution. The result of this is a large amount of multiple data entry. It is a common understanding that the probability of error increases geometrically with the number of times the information must be entered into a database. Beyond these ten primary applications, the Department also uses another 42 applications to support the primary ones. The Department uses these supports primarily to verify information, to maintain lookup data, and to generate reports. As with the primary functional reports, there is very little automated relationship. Therefore, most of the work must be performed manually. In addition to the identified, commercial applications, the Information Technology Unit has also identified numerous Access and Excel databases in use by individual personnel and units of the Department. Our review of the current state confirmed the use of such “shadow” software. Page 149 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 The business process recommendations in this report assume the ability of the Department to begin integrating data entry so that a single entry point can be distributed throughout the various systems. This integration is key to significant savings of time in original data entry, data research, and error reduction. Under certain circumstances, the Commonwealth will permit local governments to develop—on their own—this interface capability. In the next section of this chapter, we evaluate the Department’s Harmony application, its primary point of entry for client data that is not captured in one of the State systems. Part of this review is to assess whether Harmony has the capacity to serve as a common data entry point. ASSESSMENT OF THE HARMONY SYSTEM Harmony, a third party application for case management, is the Department’s primary data management system for information that is not captured in the State’s primary client service applications. It is also the point of integration between the Department’s financial operations and the City’s Advantage and RAPIDS financial systems. Harmony currently serves the following programs: Comprehensive Services Act (CSA) Child Day Care Foster Care Adoption Adult Protective Services Family Stabilization (FAS) VST General Relief Independent Living IV‐E PSF Refugee Programs Virginia Initiative for Employment, Not Welfare (VIEW) Earlier this summer, the Department completed an upgrade to the most recent version of Harmony, version 3.7.0.4.9, January 27, 2012. The upgrade includes all of the operational modules available for Harmony, including: Clients Parents Providers Purchase of Service Orders Financial Page 150 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Inquiry Scheduler Application Utilities Assessment of Harmony The project team reviewed the Harmony application to assess its current utility and to develop a recommendation on whether to retain Harmony for future use or to seek a new application. In our review of Harmony, we observed the following strengths: The system effectively coordinates with Advantage, and has the capacity to interface with RAPIDS. The system presently coordinates with ADAPT and CommonHelp. The web‐based structure allows use of the system across many operating platforms and in both on‐site and remote locations. The application has a large number of pre‐programmed reports; however, most are either not relevant or not used. It has tickler system that would enable staff to manage their time better; however, that feature does not appear to be used. The primary report generation capacity is through Crystal Report Writer, a highly effective reporting tool. The application has the ability to assign subtasks for improved work and project management. It is able to connect to SPIDeR data mining application The Department’s annual license fee is relatively inexpensive when compared to larger, more complex systems. It is capable of common data entry through data translation. This last bullet point is the most important when considering the feasibility of developing a common entry system that the Department could use to populate other applications. If this capacity were not present, an automatic recommendation would be either to replace Harmony or to obtain software that would provide linkage between Harmony and the other systems. However, since that capacity is present, it makes Harmony a more advantageous solution. Harmony also has its weaknesses: Harmony was performed largely as a “vanilla” installation. As such, it has many different data sets, screen formats, and reports that are not relevant to the Department. Because those items are visible to the user, it creates confusion and opens the potential for data entry error. According to staff, Page 151 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 the Department has never done an installation assessment to remove the extraneous material. In the entire Department, only three persons in RDSS are trained in Crystal Reports; this is not a weakness of Harmony but is certainly a weakness in the Department’s installation and use of the system. Access, particularly security, is too limited, resulting in users getting only partial information. Most entry screens include data fields that seek unnecessary or inappropriate information or allow incorrect data entry. Validation capacity is limited, probably by decision rules made at the time of installation. For example, zip code validation is limited to Virginia and neighboring states which touch Virginia. Harmony had a broader validation capacity until a City system upgrade approximately two years ago. The link between Harmony and City data supporting this validation has not worked since that update. While Harmony has the capacity to provide information based on locations, it does not have the capacity to present those data in a graphic GIS mode There is no context sensitive help Recommendations Relating to Harmony The driving question for which the Department seeks an answer is whether it should continue to use Harmony or seek an alternative application. We recommend that the Department retain Harmony, with some considerations. We base that recommendation on the following points: Harmony is known to the Department, and most users appear comfortable with its core functionality. The system does have the ability to integrate with other applications if the Department invests in the programming development necessary for that integration. The cost in acquiring a new system could not be justified in terms of added benefit: A new system would require a significant capital investment. Page 152 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 The Department would also need to invest in an implementation partner, another substantial expense. It is a high probability that any newer system would have a greater annual operating license. In addition to generating the interfaces with other State systems, the Department would also need to invest in the redesign of its current State interfaces and the linkage to the City of Richmond’s financial systems. The Department would have to invest in retraining all of its personnel. Given that Harmony is capable of providing the services desired by the City, we think that its retention is the better option, given the following other recommendations: Use Harmony as core for common data entry among multiple applications State information indicates local development is acceptable Use common data entry form with custom sheets for specific applications Implement translation software which will distribute data among different systems Broaden authority for Harmony security assignments Should include at least three persons to create redundancy Assign lead responsibility by application, with back‐up support assignments Greatly widen body of persons trained in Crystal Reports All analysts in Information Technology All persons assigned to Quality Assurance Support staff for each division of the Department Assess and streamline implementation of Harmony Review all data entry screens for necessary information Review all data entry for standardization protocols Remove unnecessary, unused data and reporting screens Greater staff support Should have an additional two to three dedicated staff supporting Harmony One of the support staff—the current business analyst—should be assigned to, and directly support, the Finance and Administration Department. Staffing support should not include the Department’s IT Manager since that person has broader responsibilities Page 153 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 ELECTRONIC DOCUMENT MANAGEMENT SYSTEMS (EDMS) The Department of Social Services is well aware that it is awash in a sea of hard copy files and records. However, it has not yet been able to develop a strategy to resolve the problem. Overview of EDMS Our review of the Department’s records management yielded the following observations: The current records management system is archaic The Records room is not secure or properly protected from fire or water damage There are insufficient controls over location of records While Records Management uses some database systems for tracking files, that system does not appear to be robust enough to deal with the large number of files being held Previous efforts for data scanning were not well planned and not effective All business processes are based on manual processing of hard copy reporting Staff frequently identified loss of records as reason for delay in work processing Requests for files can take from as little as 15 minutes to more than an hour on normal occasions. Requests can take longer if records have been lost or misplaced. There is no systematic plan for scanning documents, although some scanning capacity exists within RDSS The value of an EDMS strategy in a department with a large paper volume is well document in the literature of the industry. Potential cost savings include: Time spent generating hard copy documents; Time spend copying documents multiple times; Physical and staffing requirements for document storage; Productivity lost in finding and retrieving documents; and, Page 154 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Time spent having to perform data search through hard copy documents. There are costs associated with an EDMS. While costs have been declining over the past several years, they can still be substantial. Among these are: Costs for scanning and storage equipment; Costs associated with an electronic document storage software application; Staffing to maintain the records system, including management of the document indexing system; and, User training. In the case of RDSS, many of these costs are easily absorbed: The Department already has some scanning equipment, although its current inventory may not provide sufficient capacity and the inventory itself may be too small; The Department has a dedicated records management staff. Over time, these positions can be shifted to electronic management; The decision by the City of Richmond to move to a virtual server environment removes the largest single hardware cost, that of having sufficient data storage capacity. While there will still be costs associated with data storage, that cost has been greatly diminished. Business Case for an EDMS The potential for operational cost savings for the Department is large. In August 2012, the Department reported 60,287 active cases for Medicaid, SNAP, TANF, Child Care, and Foster Care. This represents 111,500 enrollees in Medicaid, SNAP, and TANF. Regulations require that a case worker review the case on a regular basis, from as frequently as once a week, to once a month, to as infrequently as once a year. Recognizing that these totals do not capture the entire case load of the department, let’s assume 60,000 cases requiring review an average of once a month. Interviews and field observations indicate that a case file request requires at least ten minutes to receive and ten minutes to return, under ideal circumstances. So assuming twenty minutes of processing per case file per month, the consumed time in document handling is 20,000 Page 155 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 hours of staff time. At a conservative leveraged average hourly rate of $15 per hour, this represents an opportunity cost of $300,000 per year in lost productivity. This savings in the first year alone would be sufficient to finance the acquisition and installation of a viable EDMS solution. While it may be argued that this is not a true savings because staff is doing other things while waiting for the record, that argument is only partially true, at best. There is still the time to place the request, and there is going to be at least some wait time. Additionally, the Department manually transfers the documents so there is staff time required for the physical movement of the record. Additionally, this model uses an assumption that everything works the way it is intended. Interviews indicate that is frequently not the case, so additional time is required to research, find, and retrieve a record. There are also cost savings that cannot be quantified in this context. For example, the loss of a hard copy record can require significant time and effort to reconstruct the information. Loss of the information may be instrumental in sensitive cases, leading to complications in case management and even potential litigation. Thus, an EDMS enables the Department to manage its documents and, therefore, its processes in a more effective manner. It assures better client service through more timely access to information and a reduced likelihood for data error and loss. It has demonstrated opportunity cost benefits. For all of these reasons, the Department should move as quickly as possible in acquiring and implementing a robust data management system. Acquiring and Installing an EDMS An electronic data management system can mean many different things. For the purpose of this report, we consider an EDMS to include the use of electronic data entry into either a database or through electronically formatted forms and documents, to the capture of essential hard copy information, the linkage of data through a common indexing system, storage and retrieval of the data, and the ultimate purging of information consistent with Commonwealth data retention requirements. Among the principal elements of such a system are: Use of electronic forms; Integration of on‐line data with imaged documents; Ability to create on‐line data through programmable scanning; Page 156 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Well‐developed document record identifier system; Use of electronic controls (RFID) to manage hard copy records until they can be removed from the system; Design of business processes to rely on electronic systems; Data access enhanced by multi‐level storage systems based on current use activity; Use of digital signatures; Compliance with Commonwealth and federal storage requirements; Electronic retention; and, System security. The following steps are the essential activities in acquiring an EDMS: Needs definition: describing the exact system that is desired, including identification of essential elements and desirable elements, based on an objective, neutral assessment of Department capabilities and interests. Vendor selection: using a request for qualification process to identify and select a vendor who is determined to best fit the objective needs definition. This step should include vendor demonstrations using a common demonstration script which forces the vendors to demonstrate how their respective products meet the needs definition. Implementation plan: a strategy for how to deploy the EDMS, including key steps, timetables, and performance evaluation. System deployment: the physical installation of the equipment and software and user testing. System management: on‐going user management, including user training, document indexing, and data management. The Needs Definition is a critical first step in the acquisition on an EDMS. The definition creates an objective standard by which the Department can identify potential vendors and assess the vendor capabilities. The needs definition creates a neutral playing field so that vendors do not gain preference simply by name recognition or having glossy presentation. Properly done, a needs definition includes the following: Statement of current and future need; Workflow use; Strategies for development and use of electronic forms and documents in lieu of manual forms; Records management use; Data formats; Metadata needs; Page 157 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Legal requirements; What needs to be shared or stored; Organization and indexing system; Retrieval facilitation; When and how to capture data; Responsibility for data management; and, Required data, desirable data, nice‐to‐have‐but‐not‐buy; The preparation of a needs definition and the vendor selection process usually follows these steps: Using the information collected in the BPR project and appropriate industry materials, prepare a draft needs definition statement for Department consideration that includes the elements listed above. Develop a priority ranking for each item in the needs definition. Ranking should be according to perception of need: Absolute requirement, desired feature, nice to have, not needed; Score the prioritizations and develop a revised needs definition statement for review and approval by an EDMS selection team, to be created by the Department; Distribute the needs definition to each, asking them to check off their respective system capabilities relative to the needs items. Review the vendor responses, based on a scoring system that uses the Department’s relative priorities and group them according to most highly qualified, well qualified, and qualified; Based on the grouping, select one or more vendors for demonstration. Prepare and distribute to each vendor a demonstration script, which requires the vendor to demonstrate in real time how the respective product meets the Department’s needs definition statement; and, Select a vendor and negotiate the contract. There are many different vendors in the EDMS market, too many to list without inadvertently missing some viable alternatives. However, the Gartner Group has recently released an analysis of some of the larger, more visible vendors in the EDMS market and has evaluated them based on the vendor’s vision for EDMS and their ability to execute that vision. We present the chart of that analysis as a starting point for considering alternative vendors. Page 158 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 (Source: The Gartner Group) Page 159 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CHAPTER 9: PERFORMANCE MANAGEMENT There are many levels of performance management. The term can refer to how well an organization is performing, to the effectiveness of the employees of the organization, or to efficiency of processes used within the organization. In the case of the integrated service department defined in the concept plan, data related to all aspects of performance are needed to guide RDSS in developing strategies for service delivery, assessing the effectiveness and efficiency of service delivery, and determining how well workers and case management teams are performing. A common problem within the Department is a lack of understanding of the difference between performance management and performance appraisal. Performance management is the process by which an organization regularly monitors, reports, and adjusts to performance at the organizational level. The intent is to assess how an organization is carrying out its responsibilities. Performance appraisal relates to the assessment of an individual’s execution of that person’s work tasks. This chapter relates to how to assess the performance of the Richmond Department of Social Services as an organization. PERFORMANCE MEASUREMENT This broad‐based approach to measuring and managing performance requires the appropriate human resources practices (as discussed in previous sections) and the technology to collect the data needed to monitor and assess the services being provided. And, there is an overall need to monitor and reassess the Department’s overall strategy, based on the needs of its stakeholders—families and individuals being served, employees, and service partners. Understanding the Concept of Performance Measurement In order to understand the performance measurement environment in which the Department operates, it is first desirable to establish an understanding of what performance measurement is all about. At its most fundamental level, performance measurement is simply the collection of objective data that indicates what an organization is doing and, often, how well it is doing the tasks at hand. A performance measurement system is: Page 160 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Tool of management Basis for a results‐oriented government A means of defining success Basis for identifying and solving problems early Means of looking at customer satisfaction Equally important is what performance measurement is not: A quick fix A meaningless exercise in data collection The basis for punishment Individual performance appraisal Benchmarking What another government does There are many benefits to effective performance measurement, the three most important of which are: It is human nature that we do what we are expected to do and the clearest statement of expectation is the use of performance measurement. If we measure it, it gets done. If we have a focused measure, then the work is done precisely. If measurement is unfocused, then little gets done because staff does not know what the priorities are. Without objective results, an organization is unable to determine whether it is being successful in its performance and act accordingly. Public support occurs only if an organization is able to demonstrate results. There are many different types of performance measures that an organization can use. There are four principal types of measures: Inputs: This is the volume of work coming into an organization. Examples of inputs would be the number of applications for TANF. Output or Workload: This is the simple tracking of work volume being performed, such as the number of Medicaid applications being processed in a given time period. An example would be 30 Medicaid applications processed in the past five days. Tracking certain input and workload indicators may be helpful in assessing staffing requirements. Page 161 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Efficiency: If a goal for Medicaid reviews is that all Medicaid reviews must be completed within 30 days prior to renewal, then the percentage of such reviews completed within the target time frame is being measured as an indicator of efficiency. Effectiveness: If the goal for foster care is that less than 10% re‐enter foster care, then that measurement of how well a service is working to meet a specific goal, is being measured. Of these different categories of measures, effectiveness measures are the most important since they consider work activity relative to an expected performance result. For example, the percentage of VIEW applications processed within 30 days is an efficiency measure, but it does not tell a manager how accurately the applications were processed or what the result of the processing was. This is the realm of the effectiveness measures. To continue this example, the percentage of applications processed within 30 days for which a job placement was made says how effectively the applications were processed. There are several different types of effectiveness measures: Program: Serves as an indicator of the impact that a program is having relative to goals or objectives, usually performance against plan. An example would be in case review interviews. Assuming a program plan of conducting 100 case review interviews in a month, the percentage of the planned interviews that are actually conducted would be a valid program measure. Cycle Time: Serves as a measure of the speed at which work activities are performed. An example would be the number of accounts payables processed by the Finance Division within 10 days of authorization. Satisfaction: This reflects the perceptions of intended service recipients as to program effectiveness. An example of this would be the percentage of clients who rated the SNAP application process as satisfactory. An even more effective measure is the improvement of the customer satisfaction over time. A subset of the Satisfaction Measure is Courtesy Measures, that is, how the customer perceives that they received friendly or courteous treatment. Timeliness: This relates to how quickly the Department is able to respond. For example, the length of time a client has to wait in the intake room is a timeliness, or queuing measure. Again, measuring the reduction in waiting time over a given period is an even more effective measure. Page 162 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Convenience: A measure related to timeliness is convenience. This assesses satisfaction with service hours or percentages of service clerks available to assist clients. Accuracy: This measure shows how well the work was done. An example of this would be the percentage of applications that were processed accurately and not requiring second processing. Flexibility: This is an important queuing measure. It shows the ability of the Department to respond to multiple work demands simultaneously. A good example of this measure is the amount of time that a service worker has available to perform other duties. For a performance measurement system to be effective, the Department needs to identify key performance characteristics. The most important are: What is intended to be accomplished? How will management, policy officials, and the public know the program is working? What evidence of success will different observers require? Considering these characteristics, there are certain criteria which need to be followed in order to select performance measures: Relevance of the measure to the mission/objectives of the program. Understanding the intent of the measure and the importance of what it measures. Eliminating duplicate or conflicting measures. Having enough measures to have an accurate picture of performance but not so many that it overwhelms the system or causes a lack of focus. Making sure that the program or work unit being measured has sufficient responsibility for performance and the authorization to perform the work. Page 163 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Mandated Performance Reporting Currently, the performance measures against which RDSS is evaluated is generally set by State or Federal requirements. In a table earlier in this report, we list those measures in our assessment of how well the Department is performing. The measurements are generally process‐related measurements using averages. Each has a performance goal. Our assessment of the reporting requirements is as follows: The use of performance goals is the strength of this reporting system. At question is whether the goals are reasonable, but this is not something over which the Department has control. The current performance measures do not evaluate all aspects of a case and cannot adequately assess the outcomes for families receiving integrated services. Thus, in order to improve the process of performance management, more complete performance measures will be required. The use of percentage rates for most of the measures limits the utility of the measures for management purposes. Percentages do not provide any insight into the reasons for performance success or failure, only that there is success or failure. Almost all of the performance measures are efficiency measures. The only measures that appear to have an effectiveness component are the two measures relating to SNAP payments and action error rates, VIEW average hourly wages, adoptions finalized within 24 months, and placement stability. There are no measures of cycle times, customer satisfaction, convenience, flexibility. There is no connection between these performance measures and the measurement of departmental performance relating to its Balanced Scorecard system. The assessment of the performance reporting system is not surprising. After all, the measurement system was designed to achieve state and federal reporting requirements, not to assist the Department’s management in understanding what contributes to the measure and to act to resolve apparent problems. Even though the mandated system has several key flaws if it were to be used as a management reporting system, the Department also does not use effectively the measures that it does generate. The performance data earlier in this report Page 164 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 shows a continuing pattern of deficiency. Without regard for the work being performed, there are several organizational reasons why this pattern exists: There seems to be little sense of organizational consequence. The pattern has gone for so long that it is considered more the operational norm than unsuccessful performance. While some individuals may be aware of remedial actions that the State and federal government may take for persistent failure, that does not appear to be an institutional concern. The insufficient performance is justified with an “everyone else is doing it” mentality. This is demonstrated in the Department’s most recent financial report which presented its performance along with a count of other local government agencies that are also not meeting the standards. A quick reaction to the performance data is to translate it into personal failure by individual employees. While individual performance is an important component to achieving performance standards, assignment of cause to a small group of individuals is counterproductive. Department management has an understanding of the performance measures that is not informed by the measures themselves. One cannot look at the measures and have any intuitive feel as to what might be causing the problem. This contributes to the fallback of personal employee responsibility. There is no vehicle for assessing why the performance numbers are what they are. During the to‐be integration session, one of the tasks of the group was to assess how the revised process would improve performance relative to the measures. The exercise used only one month of measures as a guide. The group saw one measure that was well below the target and automatically assumed there was either a reporting error or that something had occurred uniquely during the month to cause the deficiency. However, when project staff looked at the fourteen month history, that problem occurred consistently. There is no action planning to assess the reasons for non‐performance and to design a strategy to resolve the problem. The Department will need to continue to report its performance against the Commonwealth mandated targets. It will also need to develop a reporting system that meets the City’s Balanced Scorecard Strategic Planning. Beyond the Commonwealth requirements, the new business processes recommended in this report, and the resulting organizational recommendation, will depend on a Page 165 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 carefully crafted set of performance measures in order to assess the impact of the changes. For this reason and to address the limitations of the current mandated performance targets, we recommend that the Department develop its own performance measurement system that uses the guidance provided earlier in this chapter. The purpose of the new system is not simply to measure performance but to put in place a performance management system that understands what caused the performance numbers and acts to correct potential problems before they become significant issues. Since most measures are specific to programs, there is a need to consider case‐ related measures. For example, program‐specific workload measures may still need to be considered, but there might be a need to focus on case‐related workload measures, such as the number of advanced case assessments completed in the previous month. In addition, case‐related efficiency measures such as the time required to complete all of the data collection, assessment, and analysis. Case‐related effectiveness measures might include such things as how well a particular program worked at addressing the needs of the family. Finally, the greatest emphasis will need to be placed on outcomes for the families. Such outcome related measures might include customer input and customer assessments of the efficiency and effectiveness of the approaches utilized. FROM PERFORMANCE MEASUREMENT TO PERFORMANCE MANAGEMENT The Department needs to move beyond performance measurement and develop a system of performance management. The distinction is more than words. Performance measurement is the collection and reporting of data that reflects what an organization is doing and, hopefully, how well it is performing. Performance management is the use of that information to identify and resolve problems. Measurement is the starting point; management is the desired result. There are several key concepts to an effective performance management system. These are: Meaningful goals: The Department needs to establish performance goals that relate directly to what it is doing, and what it needs to do to be successful. The goals, like the performance measures, need to be objective and quantifiable to eliminate room for debate as to whether or not the goal was accomplished. Page 166 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Valid performance measures: The Department needs to establish performance measures that address the performance goals. They need to meet the standards described earlier, specifically that they relate to the work within the scope of authority and responsibility and that they be targeted. There should be a minimum of measures, but each measure needs to reflect a priority goal. Regular collection and assessment: The Department needs to collect performance measures regularly, generally at least once a month, without gap. Each unit responsible for goal performance should receive the monthly report. If the report shows a performance deficiency, then the responsible unit needs to prepare an assessment of why the deficiency occurred and an action plan for resolution. Regular management review: A performance management system is beneficial only if the Department actually uses it for management decision making. For this reason, departmental management should review the performance report and associated assessments with the responsible units and commit to action. Public dissemination: An important aspect of a performance management system is the ability of the Department to use the system to generate public knowledge and support. The reporting system should inform City management and policy leadership as well as the general public on the work the Department is performing. An effective tool for reporting is a dashboard, which presents the key information in tabular and graphic format. A good dashboard provides the following information: The performance measure, often accompanied by an explanation as to why the measure is important; The performance goal to be achieved; Performance during the previous month (or reporting period) and quarter. This is often done with a red, yellow, or green indicator in which green means the organization is meeting the goal, yellow indicates that the organization is slightly below goal, and red meaning that the organization is well below goal and is in danger of not achieving the desired goal during the fiscal year; An explanation of performance that is below goal; and, A summary action plan to correct deficient performance. Page 167 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 This dashboard approach enables a manager to see quickly how well the organization is performing. The manager can also know if the unit has a likelihood of meeting its annual performance goal. If the reporting period is getting close to the end of the performance year and is green, then there is a strong probability that the unit will meet its performance goal. If it is getting close to the end of the year with yellow in the three month trend, the department may not make its goal, but there is still time to recover. Red in the three‐month trend near the end of the reporting year indicates that the unit will not meet its goal. Performance management is the key by which organizations can continually improve their delivery of public services. The key to an effective system begins with identifying what is important to the organization, development of meaningful goals and measures, reporting the information, and acting on the data. Page 168 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CHAPTER 10: SUMMARY OF RECOMMENDATIONS Throughout this report, the project team makes many different recommendations. The following is a list of the most important ones and the ones which serve as the basis for implementation planning: Commit to being the best Social Services Department in the Commonwealth of Virginia and recognized as a leader throughout the United States by: Adopting a philosophy and goal of providing a seamless, full range of social services supports to the families in need in the City of Richmond; Fully adopting the philosophy and methodology inherent in the City’s Safe Passages Initiative; Being an active participant with the Commonwealth in initiatives that will further foster integrated case management; Promoting the active involvement of community partners in identifying the need for, and providing services to, families in need; Recruiting, developing, and retaining quality employees who share the vision of the Department; Using state‐of‐the‐art information technology to assist families as efficiently, effectively, and equitably as is possible; and, Actively engaging in dialogue with peer agencies in the Commonwealth and throughout the United States for disseminating the Department’s learned lessons and experiences and enhancing the Department by learning from other agencies Adopt and implement the functional business processes for integrated case management as developed by the project team and Department staff, monitoring the implementation to identify continued process improvements. Adopt and implement the support business processes for integrated case management as developed by the project team and Department staff, monitoring the implementation to identify continued process improvements. Adopt and implement the organizational framework designed to align with, and support, the new business processes. When transition is completed, this organization will have two service functions (Intake and Assessment and Case Management) and four support functions (Policy and Programs, Family Supports, Finance and Administration, and Human Resources). Create an Intake and Assessment unit which will have responsibility for intake through the CommonHelp, Emergency Hotline, and other venues by Page 169 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 which clients can seek assistance. This unit will also be responsible for assessing both the immediate need and the more comprehensive family circumstances/environment review and for making eligibility determination. Assign the Assessment unit responsibility for all client data inquiry needs of the Department, to assure their full access to all Commonwealth data systems necessary for effective client assessment and case evaluation as well as access to other data systems which will be included in the Safe Passages initiative. Create a Case Management unit which will be responsible for emergency response for protective services and emergency economic stability, routing and reviewing cases, and managing cases. Use an integrated case management team approach in which the Department creates case management teams consisting of both social workers and benefit workers. Teams will serve clients through a lead worker system and will serve as an integrated service provider for clients with multiple needs. The teams would have self‐directed team leadership, with supervisors having responsibility for groups of teams and managers having responsibility for groups of supervisors. Some of the teams will be specialized to meet particular needs or circumstances and others will be generalist. The teams will be distributed throughout the three offices of the Department. Within the Case Management unit create a body of subject matter experts who will advise the case management teams, maintain knowledge expertise of individual programs, develop functional policies and procedures, and monitor industry regulatory conditions and industry trends and best practices. Create an Organizational Performance Support unit which will serve to monitor the internal performance of the department through quality assurance, utilization management, performance management, employee development and training, and information technology. Expand current quality assurance capacities and assign duties of the CQI unit to include risk and performance assessment throughout the Department. Place the current records management function under the supervision of Information Technology. Page 170 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Create a Utilization Management unit which will be responsible for managing provider contracts throughout the Department. Create a Program Support unit by combining under single leadership the CSA, TDM, Resource Family Unit, ECDI, Healthy Families and Healthy Start programs. Create within the Program Support unit a Job Development Center which will work with employers to create large blocks of employment opportunities for VIEW participants and other clients of the Department and City. Restructure the Finance and Administration Unit by transferring Information Technology and Records Management to the Policy and Program unit, by assigning Payroll services and Disaster Management and retaining a business process analyst to maintain data integration between the Department’s Harmony case management system and the City’s financial systems. Restructure the Human Resources Unit by transferring payroll functions to Finance and Administration, transferring Employee Development and Training to Policy and Programs, and adding additional human resource specialists both to assist with the multi‐year implementation of the project recommendations and for on‐going support for a broader human resources support need. Realign staff positions consistent with the process and organizational recommendations of the report. It is expected that the new business processes will result in freeing a substantial number of work positions. The Department should reassign those positions to the recommended work units, making certain that personnel receive the proper training and skills development to be successful in their new assignments. The organizational change should occur in three phases: an entry phase to align the support systems and conduct a small pilot of the case management approach, a transition phase in which the case management approach is expanded and fully field tested, and a final phase in which the Department converts fully to the integrated case management team approach. The Department will need to develop new job descriptions, and possibly classifications, for persons who will be assigned to new work teams. The City and Commonwealth personnel systems have sufficient position titles to assure some consistency with those systems. Page 171 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 With the change in work assignments, the Department should work with the City’s Human Resources unit to conduct a comprehensive wage and classification survey and upgrade. The focus should be on using job comparability indices that capture the large volume and sensitivity of the work being performed. The Department should adopt and implement a compensation banding approach that will reduce the number of individual job classifications and expand wage ranges. The Department should, to the extent possible, develop a new internal performance appraisal system, using a tiered evaluation approach, with assigned counselors responsible for individual reviews and employees having optional, self‐selected monitors to serve as advisors and advocates. The Department should institute a program of annual individual performance plans for each employee. The plans will identify the work expected of the employee in the coming year, identify work opportunities, and describe training and development opportunities. The Department should complete its efforts at developing a job expectation matrix for all position bands. The matrix should include an overview of work to be performed, general standards of performance, expected work experience and skills, and training requirements. Using a comprehensive job expectation matrix, employees should prepare multi‐year career development plans, identifying short and long‐term career goals and identifying work and training opportunities that will enable completion of the goals. The employee and Department should recognize mutual responsibility for completion of the career development plans. Each year, every employee should complete a training program for the coming year. The employee and Department share mutual responsibility for completion of the training plan. It is the commitment of the employee to undertake the training. Where the training depends on Department resources and available time, it is the commitment of the Department to make training—and the time for training—available. The Department should continue using the Harmony application for its own case management and financial integration purposes. This includes using Harmony to create data interfaces with the various Commonwealth case management systems. To do this, the City will need to assess and streamline Page 172 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Harmony’s data entry and reporting capacities, broaden authority for Harmony data security, expand the number of persons trained in Crystal Reports, and provide greater staff support. The Department should acquire and implement a robust Electronic Document management system, including the capacity for electronic forms generation. While continuing to report performance through the State’s mandated performance reporting system, the Department should develop its own performance management system that will be consistent with the City’s Balanced Scorecard requirements and provide timely performance data that the Department can use to assess overall performance, identify and resolve problem areas early, and provide an accurate report of Departmental performance to all interested stakeholders. Page 173 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CHAPTER 11: IMPLEMENTING CHANGE The critical next step of this project is to begin implementation planning. There are two elements to this. The first is continuing the change management initiative that the Department has crafted and which is fostering support for the changes. The second is the implementation planning itself. CHANGE MANAGEMENT The Department will need to keep in place a vigorous approach to change management. The Department has already begun this process, elements of which include: Using a Steering Committee to direct the Business Process Redesign Project; Involving large numbers of staff in the various work teams of this project; Relying on a staff‐based Concept Committee to develop the overall integrated services plan; Using an expanded staff committee to integrate the To‐Be processes into a single continuum; Frequent emails from the Executive Director supporting the process and encouraging participation; and, Dissemination of project information on the Department’s electronic display boards, the Department’s StarNet intranet, and conducting numerous staff presentations at each step of the project. All of these techniques have fostered a positive attitude among employees, supervisors, managers, and executives alike. Reflective of this is the change in the nature of questions our project team received as the project has moved along. First, the staff expressed open concern over the Department management’s support for the project. After staff began to see that commitment, the questions began to ask about the City’s commitment. The ability of the Department’s management to tell the staff that there is a continuing dialogue about Page 174 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 how to implement the recommendations has largely resolved that question. Then, the question was about the State’s willingness to support the change. That question remains unanswered, but the Department management has been able to share with staff information about initiatives within the VDSS that are consistent with the direction of this project. Now the question has become, “How soon?” That is what the implementation plan begins to answer. The Department will need to continue its focus on a staff‐based change management strategy that emphasizes the value of change, the role of the employees in effecting the change, and what can be expected to be the result. Expanded elements of a change strategy should include: Continuation of the Business Process Steering Committee as the overall manager of this initiative; Dissemination of the results of this process redesign project, including the implementation plan; Regular reporting on the completion of the implementation plan, including emails, StarNet, and staff briefings in unit and supervisory meetings as well as periodic all‐staff meetings; and, Use of staff committees for key implementation initiatives, including, but not limited to: Formal revision of policies and procedures; Alignment of clients to case management teams; improvements in the technology structure: Participating in planning for risk assessments; Meetings with the partner community, provider representatives, and other stakeholders to present the changes as they occur; and, Conducting assessments of the implementation and suggesting course adjustments Stakeholder outreach will be an essential part of the change management plan. There are three groupings of stakeholders who will need to be involved, with strategies related to each: Clients and client representatives: Since this process redesign is about placing clients first, it is appropriate that the Department should involve them in the implementation process. This can include: Page 175 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Regular information in Department reception areas; Inclusion of information in mailings to clients and client representatives; Inclusion of clients and client representatives on planning committees and implementation evaluation committees; Regular use of client advisory groups on policy development, working in conjunction with the Social Services Advisory Board; and, Presentation of information about the changes in client meetings sponsored either by the Department or community partner agencies. Community partners: The same outreach strategies as discussed for clients and client representatives are applicable to outreach to community partners. Other areas of outreach for implementation include: Establishment of formal working relationships for service referrals; Inclusion of community partner data in the advanced assessment processes; Regular presentations at meetings of community partner boards and general membership; and, Assignment of formal liaisons with specific community partners so that a given RDSS staff person is the regular point of contact with a given partner. Governmental decision makers: This includes the Mayor, Chief Administrative Officer, City Council, and other departments with whom the RDSS has regular contact. The primary point of change communication here is to provide regular, objective briefings on implementation changes, including monitoring and reporting on changes in achieving performance targets as well as reporting on the Department’s own internal performance management system as discussed in this report. IMPLEMENTATION PLAN Consistent with the approach the Department has taken with the development of the new business model and processes, departmental staff participated in a two day work session to review the recommendations of the report and to develop implementation plans for each of the principal recommendations. The participants included the original concept planning team and representatives of the To‐Be Integration group. As before, TATC project staff facilitated the sessions. Using small groups, the departmental staff identified precedent Page 176 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 actions for the recommendation and principal implementation steps. They also presented potential impediments to the successful implementation of the recommendation and gave suggestions on strategies to resolve impediments. We then added a suggested priority level for each recommendation and suggested potential Departmental lead for carrying out the recommendation. Recommendations which hold a high priority are those which are the most essential for the effective transition of the Department from its current state to the desired future state. They are either principal activities on their own, or they are required precursors for later actions. Medium priority recommendations are those which are not immediately essential for implementation, but need to occur in order to achieve maximum benefit, or which are dependent on earlier actions to set the groundwork. For the most part, the timing of these recommendations comes during mid‐implementation. Finally, there are a few recommendations which have a low priority. While beneficial, their implementation is not critical to the long term success of the project. For the most part, the recommendations are ones which the Department can undertake on its own, with support from an implementation assistant. These include the writing of new policy statements, development of new forms and checklists, carrying out change management tasks, working with the City to develop revised wage and classification plans, cross‐mapping of personnel and clients, developing the performance management system, and similar actions. We do recommend that the Department secure the services of a professional consulting firm to assist with implementation of these recommendations. There are several reasons for this: Given the current workloads and assignments, the Department does not have the staff resources necessary to perform the required work. As with any significant change in an organization, the change must be orderly but it must also occur quickly. For change to be successful, it has to be noticeable. This means that the Department cannot drag implementation out. At best, to be the most effective, the recommendations of this report should be in place within the next eighteen to twenty‐four months. The history of the Department has been not to act quickly, so the organizational culture for timeliness needs to be augmented with a third party that can serve as a principal change engine. Because of the rigid program structure that is in place within the Department, there is the need for a neutral third party to serve as the mediator to resolve operational difficulties that will arise during the transition. Page 177 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 Some actions will have direct cost implications. For example, there will be a direct cost associated with acquiring and implementing the recommended electronic document management system. There will also be a cost associated with having a Harmony Implementation professional conduct a review of the Harmony implementation and the crafting of the data interfaces among Harmony, the various Commonwealth applications, and the EDMS. The following pages present the implementation plan for each principal recommendation of this approach, as developed by the Department staff. In some instances, the recommendations are either associated with, or are part of, other recommendations. We have grouped them for the purposes of coordination and integration. The implementation plan for each recommendation includes the following: Restatement of the recommendation; Listing of actions that need to occur before the recommendation; Suggested priority for implementation; Suggested assignment of responsibility for implementation lead; Estimated cost, as appropriate; Principal implementation steps; Potential impediments; and, Actions that can resolve or ameliorate potential impediments. This plan is a roadmap by which the Department can implement the various recommendations of this report in a consistent manner, while validating each of the recommendations in practice. However, it should not be expected that the Department will be able, or even want to, implement every recommendation of this report. There are several reasons: In implementing various phases of the recommendations, the Department may find that it needs to adjust recommendations to fit changing circumstances or that concepts in theory may not work so well in practice and need to be adjusted. Page 178 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 The Department may find that some recommendations are no longer needed because the issues the recommendations were designed to address have changed, or gone away, because of other implementation strategies or changing in operational circumstances. There may be some recommendations that the Department is unable to implement due to internal and /or external political opposition or the lack of sufficient resources. Page 179 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RICHMOND DEPARTMENT OF SOCIAL SERVICES INTEGRATED CASE MANAGEMENT SYSTEM RECOMMENDED IMPLEMENTATION PLAN RECOMMENDATION 1.0 Commit to being the best Social Services Department in the Commonwealth of Virginia and recognized as a leader throughout the United States. Priority: Leader: High Director and all staff Time Frame: Estimated Cost: Continual None IMPLEMENTATION PLANNING Precedent Actions Principal Steps Formally accept integrated case Determine what constitutes “being the management and related organizational best” and process changes Approval from VDSS, City, other Consider use of stakeholder committee to stakeholders to work toward “being the assist in design of goals and objectives and best” related performance measures to support Adopt philosophy in support of being the “being the best” best, including goal of providing seamless Identify committee members full range of social services to families in need Devise basic work approach and timeframes Fully adopt philosophy and methodology of Safe Passages Determine leaders for various recommendations and ensure reporting on challenges for each implementation plan and step Serve as partner with Commonwealth in integrated case management initiatives Recruit, develop and retain quality employees Engage in identifications of peer agencies to continue support ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS So many changes going on during this time Carefully monitor implementation plan to that stakeholders feel overwhelmed ensure no individuals are involved in too many aspects of the implementation Lack of resources to support changes Carefully plan implementation and Difficulty in making changes needed to monitor successful results before moving free financial resources for innovations to each subsequent step in Lack of sustained support from internal implementation and external stakeholders Ensure a fully developed IT strategy and plan Page 180 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 1.0 Commit to being the best Social Services Department in the Commonwealth of Virginia and recognized as a leader throughout the United States. Ensure communications regarding implementation plans and successes go to all stakeholders Page 181 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 2.0 Adopt and implement the functional business processes for integrated case management as developed by the project team and Department staff, monitoring the implementation to identify continued process improvements Priority: High Time Frame: Leader: BPR Committee Estimated Cost: 1‐12 months Cost assigned to implementation contract IMPLEMENTATION PLANNING Precedent Actions Obtain all necessary approvals Assign implementation responsibility to BPR Committee Secure any necessary funding for complete implementation Appoint stakeholders’ advisory committee Principal Steps Designate staff implementation teams for each process Rewrite policy documents for each process and function Fully explicate process changes and relate to revised policies and procedures Develop or amend forms necessary for each process Devise staffing plan Devise training plan Ensure strategic placement of resources, including staff Establish performance measures Communicate plans to stakeholders Integrate data systems ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Ensure consistent communications to all Lack of buy‐in internal and external parties stakeholders Assure funding in place Lack of funding support Secure outside support (VDSS, particularly Incompatible IT systems for potential systems revisions, consultants, private sector) Secure internal support (Project Management) Ensure use of strategic plan for IT and other support systems Page 182 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 2.1 Create an Intake and Assessment unit which will have responsibility for intake through the CommonHelp, Emergency Hotline, and other venues by which clients can seek assistance. This unit will also be responsible for assessing both the immediate need and the more comprehensive family circumstances/ environment review and for making eligibility determination. Also see recommendations 4 and 6 Priority: High Time Frame: Leader: Director of RDSS; Director of Intake and Assessment Unit Estimated Cost: 1‐6 months Acquisition and installation of 12‐14 use kiosks: $3,000 per kiosk Costs of soft activity to be assigned to implementation contract IMPLEMENTATION PLANNING Precedent Actions Designate leadership for unit Conduct assessment of intake centers, staffing, and technology needs Principal Steps Identify location and space needs Identify relevant, existing models Identify skill sets needed by staff Identify lead managers Identify staffing needs per location Identify training needs for current staff Schedule transfers Determine revised budget structure Edit departmental paperwork to reflect new organizations Modify public communication documents to explain new processes and how they work Develop staffing cross matrix Expand electronic registration system Modify screens n current system Determine performance measures Obtain additional public access computers Create uniform/global assessment instrument ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Resistance to change; lack of buy‐in Develop change management plan to be communicated at all levels Political climate Maintain and update change management Financial resources plan, as required Search for grants Page 183 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 2.1 Create an Intake and Assessment unit which will have responsibility for intake through the CommonHelp, Emergency Hotline, and other venues by which clients can seek assistance. This unit will also be responsible for assessing both the immediate need and the more comprehensive family circumstances/ environment review and for making eligibility determination. Also see recommendations 4 and 6 Look for internal savings in all areas to help support revised structure/processes Page 184 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 2.2 Assign the Assessment unit responsibility for all client data inquiry needs of the Department, to assure their full access to all Commonwealth data systems necessary for effective client assessment and case evaluation as well as access to other data systems which will be included in the Safe Passages initiative. Priority: Leader: High Director, Intake and Assessment Director, Assessment Unit Time Frame: Estimated Cost: 4‐9 months Included in implementation contract IMPLEMENTATION PLANNING Precedent Actions Assign unit leadership Principal Steps Finalize interagency agreements for data sharing Determine staffing needs and skills Develop staff training module Identify and assign staff Assign security levels to staff sufficient to allow access to all necessary data instruments for integrated assessment tasks Train staff Establish communications protocols Develop/revise policy statements as appropriate Communicate changes to stakeholders ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Resistance to change; buy‐in from staff Develop change management plan to be and other stakeholders communicated at all levels Political climate Search for grants Lack of needed financial resources Look for internal savings in all areas to help support revised structure/processes Page 185 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 2.3 Use an integrated case management team approach in which the Department creates case management teams consisting of both social workers and benefit workers. Teams will serve clients through a lead worker system and will serve as an integrated service provider for clients with multiple needs. The teams would have self‐directed team leadership, with supervisors having responsibility for groups of teams and managers having responsibility for groups of supervisors. Some of the teams will be specialized to meet particular needs or circumstances and others will be generalist. The teams will be distributed throughout the three offices of the Department. Priority: Leader: High Director, RDSS Director, Case Management Unit Time Frame: Estimated Cost: 1‐16 months Included in implementation contract IMPLEMENTATION PLANNING Precedent Actions Designate unit director Ensure HR/VDSS understand our goals— Advisory Board Assign implementation team Appoint stakeholder advisory committee for this task Establish implementation phasing Principal Steps Communicate changes to stakeholders and customers Determine number of teams supervisors will supervise Identify leadership structure Determine how staff will be selected and transitioned to new process Identify how cases will be selected and how many cases need to be selected Implement training in different computer skills Determine how many teams Determine how many people assigned to each team and how assigned Need to develop team supervision skills/approach Determine where teams will be located Revise policies and procedures, forms Develop monitoring system that advises or notifies of the status of cases at any given point Educate customers How to determine point at which customer is better served by a different team Who makes any change decisions for cases once they are assigned Page 186 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 2.3 Use an integrated case management team approach in which the Department creates case management teams consisting of both social workers and benefit workers. Teams will serve clients through a lead worker system and will serve as an integrated service provider for clients with multiple needs. The teams would have self‐directed team leadership, with supervisors having responsibility for groups of teams and managers having responsibility for groups of supervisors. Some of the teams will be specialized to meet particular needs or circumstances and others will be generalist. The teams will be distributed throughout the three offices of the Department. Criteria for soliciting technical assistance from outside the team Determine right case loads ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Develop detailed communication Staff buy‐in, failure to change or work as plan/consistent communication part of a team Accept input from everyone/include input Lack of leadership support; negative in plan, if warranted outside influence (media, others) Develop appropriate cross‐training Stakeholders Fear of the unknown Identify subject matter experts as soon as possible Lack of knowledge about integrated case Develop an easily understood “vision” that management identifies why we are doing this Morale (staff have already been moved/reassigned several times); staff may be upset at not having any input Cultural history of projects not seen to fruition Systems/management skills Paper Records Need to improve supervisory skills Paper records Page 187 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 2.4 Create a Case Management unit which will be responsible for emergency response for protective services and emergency economic stability, routing and reviewing cases, and managing cases. Priority: Leader: Medium Director, Case Management Unit Director, Emergency Response Unit Time Frame: Estimated Cost: 6‐10 months Included in implementation contract IMPLEMENTATION PLANNING Precedent Actions Designation of unit leadership Continuation of current CPS, APS, and Second Responder units until the integrated unit is created Principal Steps Identify location and space needs Identify relevant, existing models Identify skill sets needed by staff Identify lead managers for the functions Identify staffing needs per location Identify training needs for current staff Schedule transfers Determine revised budget structure Edit departmental paperwork to reflect new processes Modify public communication documents to explain new processes and how they work Develop staffing cross matrix Develop/revised operating policies Create electronic case management documents Modify screens n current system Determine performance measures Create MOA with community partners Determine case assignment process ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Resistance to change; buy‐in from staff Develop change management plan to be and other stakeholders communicated at all levels Political climate Search for grants Lack of needed financial resources Look for internal savings in all areas to help support revised structure and processes Page 188 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 2.5 Within the Case Management unit create a body of subject matter experts who will advise the case management teams, maintain knowledge expertise of individual programs, develop functional policies and procedures, and monitor industry regulatory conditions and industry trends and best practices. Priority: Medium Time Frame: Leader: Case Management Unit Director Estimated Cost: 8‐12 months Some potential compensation increase based on salary bands for specialists and number of personnel assigned Opportunity cost relating to transfer of existing position authorizations IMPLEMENTATION PLANNING Precedent Actions Principal Steps Ensure approval of integrated case Define the role of the “subject matter management experts” (i.e., will they carry caseloads, or solely act as internal consultants?) Pending final implementation of case management model Determine SME responsibilities for case advisory services, policy analysis and representation, training of staff. Develop job descriptions and compensation bands Identify each staff member’s area of expertise Determine staffing needs Identify existing staff for transfer or hire new personnel Develop performance measurements Monitor implementation ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Develop communications plan, supported Cannot assume that current supervisors by a change management plan are subject matter experts Identify required training to further Lack of training regarding industry develop subject matter experts regulatory conditions, best practices, and trends Identify organizational mentors (e.g., VDSS program consultants) Page 189 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 3.0 Adopt and implement the support business processes for integrated case management as developed by the project team and Department staff, monitoring the implementation to identify continued process improvements. Priority: Leader: Medium Director of RDSS; Directors of various units Time Frame: Estimated Cost: 4‐8 months Costs to be included in implementation contract IMPLEMENTATION PLANNING Precedent Actions Approval of changes to support business processes Designation of unit leadership Completion of operational assessment of RDSS financial functions Principal Steps Carefully identify all changes required to implement business processes Carefully define the missions, goals, and objectives of the organizational changes Refine implementation plan for the changes Determine potential staffing changes to meet that mission Develop performance measures Revise policies, as necessary and/or appropriate Revise forms Communicate changes to staff Develop staff training, as required Determine how to communicate changes to external stakeholders (e.g., vendors) Determine who will lead the changes Monitor implementation and make changes in implementation, as required Determine revised budget structure Edit departmental paperwork to reflect new processes Modify public communication documents to explain new processes and how they work Develop staffing cross matrix ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Lack of buy‐in internal and external Ensure consistent communications to all stakeholders parties Lack of funding support Assure funding in place Incompatible IT systems Secure external stakeholder support Secure internal support (Project Page 190 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 3.0 Adopt and implement the support business processes for integrated case management as developed by the project team and Department staff, monitoring the implementation to identify continued process improvements. Management) Ensure use of strategic plan for IT and other support systems Page 191 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 4.0 Adopt and implement the organizational framework designed to align with, and support, the new business processes. When transition is completed, this organization will have two service functions (Intake and Assessment and Case Management) and four support functions (Organizational Performance, Program Support, Finance and Administration, and Human Resources). The organizational change should occur in three phases: an entry phase to align the support systems and conduct a small pilot of the case management approach, a transition phase in which the case management approach is expanded and fully field tested, and a final phase in which the Department converts fully to the integrated case management team approach. Priority: Medium Time Frame: Leader: Director of RDSS; Unit leaders Estimated Cost: 1‐5 months Opportunity cost of reassignment of existing staff authorization Other costs are included in implementation contract IMPLEMENTATION PLANNING Precedent Actions Approval for new processes and organizational framework Designation of leadership Identification of staff position availability Operations analysis of finance functions Development of detailed change management plan Review of needed changes in budget structure and cost allocation approaches Review of impact on RMS approach Principal Steps Identify steps needed to implement each phase Assign leadership responsibility for each phase, step/task Ensure means for monitoring implementation by phase Develop method for updating internal and external stakeholders on progress Schedule and monitor against schedule for each phase, step/task Identify space and location needs Identify skill sets needed by staff Identify staffing needs per location Identify training needs for current staff Schedule transfers Revise cost allocation system based on new structure and new Commonwealth policies on cost alignment and RMS Determine revised budget structure Edit departmental paperwork to reflect new organization, policies, and processes Modify public communication documents Page 192 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 4.0 Adopt and implement the organizational framework designed to align with, and support, the new business processes. When transition is completed, this organization will have two service functions (Intake and Assessment and Case Management) and four support functions (Organizational Performance, Program Support, Finance and Administration, and Human Resources). The organizational change should occur in three phases: an entry phase to align the support systems and conduct a small pilot of the case management approach, a transition phase in which the case management approach is expanded and fully field tested, and a final phase in which the Department converts fully to the integrated case management team approach. to explain new processes and how they work Develop staffing cross matrix ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Delay in designating unit leadership Emphasize need for staff leadership Delay in identify vacant position Monitor and reserve vacancies as authorizations for reassignment available Lack of buy‐in from internal and external Implement change management plan stakeholders described in report Difficulty of fitting new organization into Maintain and revise change management current budget structure, RMS system, plan as required cost allocation plan Develop communications plan as part of change management and keep the Political changes that impact support for the organizational concepts communications flowing all during the organizational changes Page 193 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 4.1 Create an Organizational Performance Support unit which will serve to monitor the internal performance of the department through quality assurance, utilization management, performance management, employee development and training, and information technology. Priority: Medium Time Frame: Leader: Director of RDSS; Organizational Performance Director Estimated Cost: 1‐6 months Opportunity cost of assigning existing staff authorizations Other costs included in implementation contract IMPLEMENTATION PLANNING Precedent Actions Ensure formal approval of related organizational changes Appointment of Director of Organizational Performance Principal Steps Identify space and location needs Identify relevant, existing models Identify skill sets needed by staff Identify staffing needs per location Select or recruit and assign staff Identify training needs for staff Schedule transfers Determine revised budget structure Edit departmental paperwork to reflect new processes Modify public communication documents to explain new processes and how they work Develop performance monitoring tool Create monitoring plan ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Develop change management plan to be Resistance to change; lack of buy‐in communicated at all levels Political climate Search for grants Lack of needed financial resources Look for internal savings in all areas to Lack of effective communications help support revised structure/processes regarding new processes Page 194 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 4.2 Expand current quality assurance capacities and assign duties of the Quality Assurance unit to include risk and performance assessment throughout the Department. Priority: Medium Time Frame: Leader: Director of Organizational Performance; Director of Quality Assurance Estimated Cost: 4‐8 months Opportunity cost of reassigning existing vacancies or personnel Potential for compensation increases for expanded skill set Other costs included in implementation contract IMPLEMENTATION PLANNING Precedent Actions Designation of Organizational Performance leader Designation of Quality Assurance leader Identification of authorized staffing Principal Steps Identify desired mission and goals and objectives for Quality Assurance Identify gaps in current work assignments and staffing requirements to support new mission of Quality Assurance Develop risk and assessment tools Identify scope of Quality Assurance unit and assign proper staff to unit Determine specific training needed to support Quality Assurance unit in meeting its mission ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Lack of knowledge about risk and Develop a communications plan to keep performance assessments within RDSS internal and external stakeholders informed on changes in roles and missions Staff resistance to remedying issues Join professional QA organization and identified during performance and risk ensure that staff keep up with current assessments trends and approaches Need to transfer current CQI roles to others within RDSS Ensure training and cross training occur as required Page 195 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 4.3 Create a Utilization Management unit which will be responsible for managing provider contracts throughout the Department. Priority: Medium Time Frame: Leader: Director of Organizational Performance; Director of Utilization Management Estimated Cost: 4‐8 Opportunity cost of reassigning existing vacancies or personnel Potential for compensation increases for expanded skill set Other costs included in implementation contract IMPLEMENTATION PLANNING Precedent Actions Designation of Organizational Performance leader Designation of Utilization Management leader Principal Steps Define mission, goals and objectives, as well as organization of UM unit Identify how this unit will interface with CSA Identify staffing needs and skill sets required to meet mission Transfer, or hire, staff Provide staff training on contract management Identify the scope of contracts to be managed Define performance measures and desired outcomes Review contracts to assess performance requirements as currently written Revise contracts to ensure performance requirements, including service quality, are carefully defined Develop tool to evaluate service quality Establish budget structure ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Staff deployment Team with CQI unit to ensure appropriate evaluation of services Required skill sets Ensure use of proper technology and Current lack of accountability with other tools for evaluation providers (e.g., timeliness of invoice submission, service quality, etc.) Ensure communication of provider performance to staff Lack of technology support Page 196 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 4.4 Create a Program Support unit by combining under single leadership the CSA, TDM, Resource Family Unit, ECDI, Healthy Families and Healthy Start programs. Priority: Leader: Medium Director of RDSS; Unit Director Time Frame: 6‐10 months Estimated Cost: None IMPLEMENTATION PLANNING Precedent Actions Principal Steps Designation of Program Support Director Define mission, goals, and objectives Assess skills required and identify staff meeting skill requirements Revise operational policies, as necessary Establish schedule for transfers of staff and establishment of the units Determine space requirements Establish budget structure Develop performance measures and desired outcomes ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Establish interface with case management Staff deployment teams, including communications about Required skill sets how these units can support their clients Lack of understanding about how these Ensure communications that explain how programs can assist clients these units function and how they can Lack of technology support assist case management teams Page 197 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 4.5 Create within the Program Support unit a Job Development Center which will work with employers to create large blocks of employment opportunities for VIEW participants and other clients of the Department and City. Priority: Low Time Frame: Leader: Director of Program Support Estimated Cost: 12‐16 months Opportunity cost of staff reassignment Other implementation costs included in implementation contract Increased administrative costs for operation of new unit Potential costs when adding client worker supervisors IMPLEMENTATION PLANNING Precedent Actions Principal Steps Identify staff and organizational unit Determine City’s already existing capacity to provide these services responsible for services Determine how RDSS should augment Develop budget structure to support current services services Obtain approval for RDSS role in job Develop detailed mission/purpose development Identify all potential job partners Research State and Federal programs, as Define target participants and referral well as programs used by community process partners Identify appropriate performance Review SOP’s from existing job developers measures Identify appropriate policies and procedures Identify technology needs Ensure compliance with federal/state funding and regulations ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Getting employer participation Seek organizational peers Achieving buy‐in of City/RDSS leadership Test market capacity and programs and employees Secure grants Location for services/training Ensure proper communications with Staff deployment/additional positions stakeholders Worker skillsets Page 198 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 4.6 Restructure the Finance and Administration Unit by placing the current records management function under the supervision of Information Technology; transferring Information Technology and Records Management to the Policy and Program unit; by assigning Payroll services and Disaster Management and retaining a business process analyst to maintain data integration between the Department’s Harmony case management system and the City’s financial systems. Priority: Leader: Medium Director of RDSS; Directors of Finance and Administration, Human Resources, Organizational Support Time Frame: 1‐6 months Estimated Cost: None IMPLEMENTATION PLANNING Precedent Actions Principal Steps Determine feasibility of transferring payroll Determine missions and roles to be performed functions to Finance and Administration Identify staff to fulfill missions and roles Conduct operations analysis of RDSS fiscal functions Train staff Put into place a restructuring plan Establish plan transfers, reassigned Obtain executive buy‐in responsibilities Put communications plan into place Plan space Build teams, as required Change organization chart Monitor implementation Identify performance measures Train staff on EDMS ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Executive resistance—lack of buy‐in Develop and put into place communications plan Staff resistance Build teams Picking the wrong EDMS Ensure leadership support HR issues Collaborate with VDSS, Library of Virginia, DIT Cross training Page 199 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 4.7 Restructure the Human Resources Unit by transferring payroll functions to Finance and Administration, transferring Employee Development and Training to Policy and Programs, and adding additional human resource specialists both to assist with the multi‐year implementation of the project recommendations and for on‐going support for a broader human resources support need. Priority: Leader: Low Director of Human Resources; Director of Organizational Performance; Director of Employee Training and Development Time Frame: 4‐8 Estimated Cost: IMPLEMENTATION PLANNING Precedent Actions Principal Steps Determine feasibility of transferring payroll Distinguish training function for HR Unit function to Finance and Administration versus training for Employee Development and Training Determine mission and reporting structure for Policy and Programs and how Employee Identify reporting structure and mission Development and Training will fit into and goals Policy and Programs Identify roles of HR specialists and funding for new positions Conduct HR needs analysis to determine roles and proper staffing for HR team Articulate rationale for move to the rest of the organization Determine performance measures ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Develop rationale for transfer, based upon rest of organizational structure, Buy‐in from stakeholders goals and missions, etc. Funding Communicate change management plan to rest of organization Page 200 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 5.0 Realign staff positions consistent with the process and organizational recommendations of the report. It is expected that the new business processes will result in freeing a substantial number of work positions. The Department should reassign those positions to the recommended work units, making certain that personnel receive the proper training and skills development to be successful in their new assignments. Priority: High Time Frame: Leader: RDSS Executive Leadership Team Estimated Cost: 1‐16 Cost of assistance with personnel reassignment included in implementation contract IMPLEMENTATION PLANNING Precedent Actions Need to clarify functions that make up the case management teams and all supporting and leadership functions Ensure approval of City HR, VDSS for the realignments and changes Principal Steps Create personnel cross map of new position assignments and existing authorizations Develop and implement employee‐based self‐application process to enable employees to see alternative work assignments Assign personnel to new work positions Identify training needs Develop and implement transition training program for employees assigned to new positions ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Create a competitive process initially May not have existing staff to closed to RDSS employees to determine appropriately match to the how to assign existing staff to new competencies/KSA’s needed to make the positions model work Organizational culture Page 201 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 6.0 The Department will need to develop new job descriptions, and possibly classifications, for persons who will be assigned to new work teams. With the change in work assignments, the Department should work with the City’s Human Resources unit to conduct a comprehensive wage and classification survey and upgrade. The focus should be on using job comparability indices that capture the large volume and sensitivity of the work being performed. The Department should adopt and implement a compensation banding approach that will reduce the number of individual job classifications and expand wage ranges. Priority: High Time Frame: Leader: Director of Human Resources Estimated Cost: 1‐6 months $40,000 to $60,000 for comprehensive wage and classification study, including revisions to existing job descriptions, creation of new job descriptions, and creation of compensation bands. This cost may be included in the implementation contract IMPLEMENTATION PLANNING Precedent Actions Principal Steps Ensure that new organizational structure Preliminary identification of possible new has requisite approvals job titles and responsibilities Review existing state and local job descriptions to determine what information is already available and how it matches to new job requirements Determine whether any additional classifications required If not included in implementation contract, secure contract for wage and classification analysis, including compensation banding Complete wage and classification analysis and secure requisite approvals Implement plan as personnel are given new work assignments or reaffirmed in current assignments Develop plan for monitoring and communicating results Page 202 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 6.0 The Department will need to develop new job descriptions, and possibly classifications, for persons who will be assigned to new work teams. With the change in work assignments, the Department should work with the City’s Human Resources unit to conduct a comprehensive wage and classification survey and upgrade. The focus should be on using job comparability indices that capture the large volume and sensitivity of the work being performed. The Department should adopt and implement a compensation banding approach that will reduce the number of individual job classifications and expand wage ranges. ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Lack of buy‐in from internal and external Communicate approaches being taken to stakeholders all stakeholders and monitor employee concerns Staff fear about changes and their new Provide cost‐benefit analysis of new wage responsibilities and classification typology Lack of funding for the study Results of the study difficult to implement Buy‐in by all impacted stakeholders Funding for revised compensation structure Page 203 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 7.0 The Department should, to the extent possible, develop a new internal performance appraisal system, using a tiered evaluation approach, with assigned counselors responsible for individual reviews and employees having optional, self‐selected monitors to serve as advisors and advocates. Priority: Leader: Medium Director of Human Resources Time Frame: Estimated Cost: 6‐12 months Support for system included in implementation contract IMPLEMENTATION PLANNING Precedent Actions Obtain executive buy‐in and Human Resources Approval Development of expectations matrix Development of new wage and classification system Principal Steps Determine performance criteria and adjust existing performance appraisal forms as necessary Train on selected instrument Present new methodology to staff Identify and assign counselors for each staff member Encourage staff members to identify on their own persons to serve as mentors and gain mentor approval Train counselors on the review procedure Establish independent monitoring to determine effectiveness Conduct trial review system to validate Implement methodology in phases, beginning with managerial group, then supervisory group, then staff ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Lack of HR/executive/VDSS approval Communications to staff No desire for change from staff Backing of executives by ensuring incentives are in place Obtain approval in advance Show too to staff in advance Page 204 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 8.0 The Department should institute a program of annual individual performance plans for each employee. The plans will identify the work expected of the employee in the coming year, identify work opportunities, and describe training and development opportunities. Priority: Leader: Medium Director of Human Resources; Director of Employee Development and Training Time Frame: 8‐16 Estimated Cost: Support costs included in implementation contract IMPLEMENTATION PLANNING Precedent Actions Principal Steps Identify evaluation tool that will work for Approval from City executive and human RDSS resources management to make changes Train employees and supervisors on use of Completion of trial round of employee the tool appraisal process, emphasizing performance planning Test tool with a set of employees and revise as indicted Update performance standards and ensure consistency of performance plans with standards Carefully illustrate how individual employee roles contribute to/related to organizational mission, goals, and objectives ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Difficulty in changing organizational Ensure that individual performance plans culture of not holding individuals support RDSS performance plans and accountable measures Lack of investment from employees, Communicate to employees as required to supervisors, RDSS managers maintain support Lack of incentives, ability to advance Verify approaches with other peer Lack of clarity as to relating to PIP’s and agencies performance development plans Page 205 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 9.0 The Department should complete its efforts at developing a job expectation matrix for all position bands. The matrix should include an overview of work to be performed, general standards of performance, expected work experience and skills, and training requirements. Priority: Leader: High Director of Human Resources; Director of Employee Development and Training Time Frame: 1‐12 months Estimated Cost: Support costs included in implementation contract IMPLEMENTATION PLANNING Precedent Actions Job descriptions written Bands determined Principal Steps Convene employee work groups for each job band/category Review existing work Finalize job expectation matrix and relate to all other recommendations ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Lack of investment from employees, Communicate to employees as required to supervisors, RDSS managers maintain support Page 206 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 10.0 Using a comprehensive job expectation matrix, employees should prepare multi‐year career development plans, identifying short and long‐term career goals and identifying work and training opportunities that will enable completion of the goals. The employee and Department should recognize mutual responsibility for completion of the career development plans. Priority: Leader: Medium Director of Human Resources Time Frame: Estimated Cost: 10‐16 months Support costs included in implementation contract IMPLEMENTATION PLANNING Precedent Actions Principal Steps Establish banding criteria Finalize career development plan format and document Complete core competency analysis Provide training on career development Develop performance standards planning Ensure approval from City Employees meet with counselors to draft Complete job expectation matrix plans Assignment of employees to counselors Human Resources and Employee Development and Training review draft plans for consistency Employees and counselors revise plans as necessary Repeat this process annually ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Funding Develop communications plan for all stakeholders Buy‐in from employees, supervisors, and managers Include staff work teams in development of final plan instrument Page 207 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 11.0 Each year, every employee should complete a training program for the coming year. The employee and Department share mutual responsibility for completion of the training plan. It is the commitment of the employee to undertake the training. Where the training depends on Department resources and available time, it is the commitment of the Department to make training—and the time for training—available. Priority: Leader: Medium Director of Employee Development and Training Time Frame: Estimated Cost: 10‐16 months Support cost included in implementation contract IMPLEMENTATION PLANNING Precedent Actions Principal Steps Completion of job expectation matrices Adopt training plan format Utilizing job expectation matrix and other career‐related documents, employees and supervisors should agree on training for coming year Identify core training curriculum to match core competency levels of established positions Identify methods for monitoring progress Identify funding needs ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Develop communications plan for all Lack of buy‐in from staff and supervisors stakeholders Lack of funding Search for alternative funding sources Page 208 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 12.0 The Department should continue using the Harmony application for its own case management and financial integration purposes. This includes using Harmony to create data interfaces with the various Commonwealth case management systems. To do this, the City will need to assess and streamline Harmony’s data entry and reporting capacities, broaden authority for Harmony data security, expand the number of persons trained in Crystal Reports, and provide greater staff support. Priority: High Time Frame: Leader: Director of Information Technology Estimated Cost: 1‐10 months $100,000 to $125,000 for Harmony assessment, development of interface screens (costs may be reduced to extent existing IT staff can develop interface screens), staff training $10,000 to $15,000 for expanded training in Crystal reports Opportunity costs in reassigning vacant positions to expand IT staff IMPLEMENTATION PLANNING Precedent Actions Obtain approval from VDSS to build interfaces to their systems Principal Steps Secure contract for interface screens Work with VDSS to build interface to their systems Conduct training on Crystal Reports/Sys Admin Review reports in Harmony, remove excess reporting, and insert commonly used reporting Obtain approval from City Internal Auditor to expand security roles Design common forms overlay ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Lack of approval from VDSS Obtain VDSS approval for interfaces Cost to build interfaces/state systems Seek out funding for building interfaces Difficulty in streamlining data Expand number of trained Crystal report entry/reports in Harmony (agreement on users what should be shared?) Expand number of system administrators Page 209 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 13.0 The Department should acquire and implement a robust Electronic Document management system, including the capacity for electronic forms generation. Priority: High Time Frame: Leader: Director of Information Technology Estimated Cost: 1‐8 $75,000 ‐ $100,000 for one‐time application cost, including training for train‐ the‐trainers $10,000 ‐ $20,000 annual license fee $20,000 ‐ $30,000 for scanning equipment $10,000 ‐ $12,500 storage costs Support costs included in implementation contract Opportunity cost in assigning existing vacancies to electronic document indexing and management staff IMPLEMENTATION PLANNING Precedent Actions Principal Steps Familiarization with policy and law for storage of records Develop needs definition for EDMS, including both document management, electronic forms development, and archival management Determine storage needs/capacity for records storage Obtain funding and approval for EDMS Conduct vendor selection for hardware and software Define indexing strategy Develop staff training Forms audit to ensure compliance with federal policy development ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Lack of funding Training Unknown forms that exist in agency EDMS should be user‐friendly None Page 210 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOMMENDATION 13.0 The Department should acquire and implement a robust Electronic Document management system, including the capacity for electronic forms generation. Lack of space for storage Look for grants Antiquated systems Move forward with Mayors EPB Project Knowledge gap—staff unable to learn Strategy RECOMMENDATION 14.0 While continuing to report performance through the State’s mandated performance reporting system, the Department should develop its own performance management system that will be consistent with the City’s Balanced Scorecard requirements and provide timely performance data that the Department can use to assess overall performance, identify and resolve problem areas early, and provide an accurate report of Departmental performance to all interested stakeholders. Priority: Leader: Medium Director of Organizational Performance Time Frame: Estimated Cost: 4‐8 months Support included in implementation contract IMPLEMENTATION PLANNING Precedent Actions None Principal Steps Identify performance measures and desired outcomes Establish performance goals Identify data sources for measures Develop a performance dashboard Communicate to staff balance scorecard requirements ANALYSIS OF IMPEDIMENTS POTENTIAL IMPEDIMENTS SUGGESTED RESOLUTION STEPS Buy‐in of executive leadership Communication plan for all stakeholders Understanding of use of dashboard to identify performance issues and resolve, not to use for discipline Page 211 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE Recommendation 1.0 Commit to being the best Social Services Department in the Commonwealth of Virginia and recognized as a leader throughout the United States. Priority Project Months High Continual 2.0 Adopt and implement the functional business processes for integrated case management as developed by the project team and Department staff, monitoring the implementation to identify continued process improvements. High 1‐12 2.1 Create an Intake and Assessment unit which will have responsibility for intake through the CommonHelp, Emergency Hotline, and other venues by which clients can seek assistance. This unit will also be responsible for assessing the immediate need and the more comprehensive family circumstances/ environment review and for making eligibility determination. High 1‐6 2.2 Assign the Assessment unit responsibility for all client data inquiry needs of the Department, to assure their full access to all Commonwealth data systems necessary for effective client assessment and case evaluation as well as access to other data systems which will be included in the Safe Passages initiative. High 4‐9 Page 212 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE Recommendation Priority Project Months 2.3 Use an integrated case management team approach in which the Department creates case management teams consisting of both social workers and benefit workers. Teams will serve clients through a lead worker system and will serve as an integrated service provider for clients with multiple needs. The teams would have self‐ directed team leadership, with supervisors having responsibility for groups of teams and managers having responsibility for groups of supervisors. Some of the teams will be specialized to meet particular needs or circumstances and others will be generalist. The teams will be distributed throughout the three offices of the Department. High 1‐16 2.4 Create a Case Management unit which will be responsible for emergency response for protective services and emergency economic stability, routing and reviewing cases, and managing cases. Medium 6‐10 2.5 Within the Case Management unit create a body of subject matter experts who will advise the case management teams, maintain knowledge expertise of individual programs, develop functional policies and procedures, and monitor industry regulatory conditions and industry trends and best practices. Medium 8‐12 3.0 Adopt and implement the support business processes for integrated case management as developed by the project team and Department staff, monitoring the implementation to identify continued process improvements. Medium 4‐8 Page 213 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE 4.0 4.1 Recommendation Priority Project Months Adopt and implement the organizational framework designed to align with, and support, the new business processes. When transition is completed, this organization will have two service functions (Intake and Assessment and Case Management) and four support functions (Organizational Performance, Program Support, Finance and Administration, and Human Resources). Medium 1‐16 Medium 1‐6 The organizational change should occur in three phases: an entry phase to align the support systems and conduct a small pilot of the case management approach, a transition phase in which the case management approach is expanded and fully field tested, and a final phase in which the Department converts fully to the integrated case management team approach. Create an Organizational Performance Support unit which will serve to monitor the internal performance of the department through quality assurance, utilization management, performance management, employee development and training, and information technology. 4.2 Expand current quality assurance capacities and assign duties of the Quality Assurance unit to include risk and performance assessment throughout the Department. Medium 4‐8 4.3 Create a Utilization Management unit which will be responsible for managing provider contracts throughout the Department. Medium 4‐8 4.4 Create a Program Support unit by combining under single leadership the CSA, TDM, Resource Family Unit, ECDI, Healthy Families and Healthy Start programs. Low 6‐10 Page 214 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE Recommendation Priority Project Months 4.5 Create within the Program Support unit a Job Development Center which will work with employers to create large blocks of employment opportunities for VIEW participants and other clients of the Department and City. Low 12‐16 4.6 Restructure the Finance and Administration Unit by placing the current records management function under the supervision of Information Technology; transferring Information Technology and Records Management to the Policy and Program unit; by assigning Payroll services and Disaster Management and retaining a business process analyst to maintain data integration between the Department’s Harmony case management system and the City’s financial systems. Medium 1‐6 4.7 Restructure the Human Resources Unit by transferring payroll functions to Finance and Administration, transferring Employee Development and Training to Policy and Programs, and adding additional human resource specialists both to assist with the multi‐year implementation of the project recommendations and for on‐going support for a broader human resources support need. Low 4‐8 5.0 Realign staff positions consistent with the process and organizational recommendations of the report. It is expected that the new business processes will result in freeing a substantial number of work positions. The Department should reassign those positions to the recommended work units, making certain that personnel receive the proper training and skills development to be successful in their new assignments. High 1‐16 Page 215 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE Recommendation 6.0 The Department will need to develop new job descriptions, and possibly classifications, for persons who will be assigned to new work teams. Priority Project Months High 1‐6 Medium 6‐12 Medium 8‐16 High 1‐12 With the change in work assignments, the Department should work with the City’s Human Resources unit to conduct a comprehensive wage and classification survey and upgrade. The focus should be on using job comparability indices that capture the large volume and sensitivity of the work being performed. 7.0 8.0 9.0 The Department should adopt and implement a compensation banding approach that will reduce the number of individual job classifications and expand wage ranges. The Department should, to the extent possible, develop a new internal performance appraisal system, using a tiered evaluation approach, with assigned counselors responsible for individual reviews and employees having optional, self‐ selected monitors to serve as advisors and advocates. The Department should institute a program of annual individual performance plans for each employee. The plans will identify the work expected of the employee in the coming year, identify work opportunities, and describe training and development opportunities. The Department should complete its efforts at developing a job expectation matrix for all position bands. The matrix should include an overview of work to be performed, general standards of performance, expected work experience and skills, and training requirements. Page 216 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE 10.0 11.0 12.0 13.0 Recommendation Priority Project Months Using a comprehensive job expectation matrix, employees should prepare multi‐year career development plans, identifying short and long‐ term career goals and identifying work and training opportunities that will enable completion of the goals. The employee and Department should recognize mutual responsibility for completion of the career development plans. Each year, every employee should complete a training program for the coming year. The employee and Department share mutual responsibility for completion of the training plan. It is the commitment of the employee to undertake the training. Where the training depends on Department resources and available time, it is the commitment of the Department to make training—and the time for training— available. The Department should continue using the Harmony application for its own case management and financial integration purposes. This includes using Harmony to create data interfaces with the various Commonwealth case management systems. To do this, the City will need to assess and streamline Harmony’s data entry and reporting capacities, broaden authority for Harmony data security, expand the number of persons trained in Crystal Reports, and provide greater staff support. The Department should acquire and implement a robust Electronic Document management system, including the capacity for electronic forms generation. Medium 10‐16 Medium 10‐16 High 1‐6 High 1‐8 Page 217 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE 14.0 Recommendation Priority Project Months While continuing to report performance through the State’s mandated performance reporting system, the Department should develop its own performance management system that will be consistent with the City’s Balanced Scorecard requirements and provide timely performance data that the Department can use to assess overall performance, identify and resolve problem areas early, and provide an accurate report of Departmental performance to all interested stakeholders. Medium 4‐8 Page 218 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION SCHEDULE The following tables present the implementation plan in Gantt chart format. There are two tables. Each table lists the recommendation by number, text, priority, and the implementation months in which it is recommended that the implementation occur. The first table presents this information in the order of the recommendation number, consistent with the implementation plan above. The second table reorganizes the recommendations by priority. IMPLEMENTATION MASTER SCHEDULE (BY RECOMMENDATION ORDER) RECOMMENDATION IMPLEMENTATION MONTH PRIORITY 11 12 13 14 15 16 1.0 Commit to being the best Social Services Department in the Commonwealth of Virginia and recognized as a leader throughout the United States. High » » » » » » » » » » 1 2 3 4 5 6 7 8 9 10 » » » » » » 2.0 Adopt and implement the functional business processes for integrated case management as developed by the project team and Department staff, monitoring the implementation to identify continued process improvements. High » » » » » » » » » » » » 2.1 Create an Intake and Assessment unit which will have responsibility for intake through the CommonHelp, Emergency Hotline, and other venues by which clients can seek assistance. This unit will also be responsible for assessing the immediate need and the more comprehensive family circumstances/ environment review and for making eligibility determination. High » » » » » » Page 219 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE (BY RECOMMENDATION ORDER) RECOMMENDATION IMPLEMENTATION MONTH PRIORITY 1 2 3 4 5 6 7 8 9 10 2.2 Assign the Assessment unit responsibility for all client data inquiry needs of the Department, to assure their full access to all Commonwealth data systems necessary for effective client assessment and case evaluation as well as access to other data systems which will be included in the Safe Passages initiative. High 2.3 Use an integrated case management team approach in which the Department creates case management teams consisting of both social workers and benefit workers. Teams will serve clients through a lead worker system and will serve as an integrated service provider for clients with multiple needs. The teams would have self‐directed team leadership, with supervisors having responsibility for groups of teams and managers having responsibility for groups of supervisors. Some of the teams will be specialized to meet particular needs or circumstances and others will be generalist. The teams will be distributed throughout the three offices of the Department. High » » » » » » » » » » 2.4 Create a Case Management unit which will be responsible for emergency response for protective services and emergency economic stability, routing and reviewing cases, and managing cases. M, 6‐10 » » » » » 2.5 Within the Case Management unit create a body of subject matter experts who will advise the case management teams, maintain knowledge expertise of individual programs, develop functional policies and procedures, and monitor industry regulatory conditions and industry trends and best practices. M 12‐16 » » » 11 12 13 14 15 16 » » » » » » » » » » » » » » Page 220 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE (BY RECOMMENDATION ORDER) RECOMMENDATION IMPLEMENTATION MONTH PRIORITY 1 2 3 4 5 6 7 8 9 10 3.0 Adopt and implement the support business processes for integrated case management as developed by the project team and Department staff, monitoring the implementation to identify continued process improvements. M 4‐7 4.0 Adopt and implement the organizational framework designed to align with, and support, the new business processes. When transition is completed, this organization will have two service functions (Intake and Assessment and Case Management) and four support functions (Organizational Performance, Program Support, Finance and Administration, and Human Resources). M 1‐16 » » » » » » » » » » » » » » » » 11 12 13 14 15 16 » » » » » » » » » » » The organizational change should occur in three phases: an entry phase to align the support systems and conduct a small pilot of the case management approach, a transition phase in which the case management approach is expanded and fully field tested, and a final phase in which the Department converts fully to the integrated case management team approach. 4.1 Create an Organizational Performance Support unit which will serve to monitor the internal performance of the department through quality assurance, utilization management, performance management, employee development and training, and information technology. M 1‐6 4.2 Expand current quality assurance capacities and assign duties of the Quality Assurance unit to include risk and performance assessment throughout the Department. M 4‐8 » » » » » Page 221 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE (BY RECOMMENDATION ORDER) RECOMMENDATION IMPLEMENTATION MONTH PRIORITY 1 4.3 Create a Utilization Management unit which will be responsible for managing provider contracts throughout the Department. M 4‐8 4.4 Create a Program Support unit by combining under single leadership the CSA, TDM, Resource Family Unit, ECDI, Healthy Families and Healthy Start programs. m 6‐10 4.5 Create within the Program Support unit a Job Development Center which will work with employers to create large blocks of employment opportunities for VIEW participants and other clients of the Department and City. L 12‐16 4.6 Restructure the Finance and Administration Unit by placing the current records management function under the supervision of Information Technology; transferring Information Technology and Records Management to the Policy and Program unit; by assigning Payroll services and Disaster Management and retaining a business process analyst to maintain data integration between the Department’s Harmony case management system and the City’s financial systems. M 1‐6 4.7 Restructure the Human Resources Unit by transferring payroll functions to Finance and Administration, transferring Employee Development and Training to Policy and Programs, and adding additional human resource specialists both to assist with the multi‐year implementation of the project recommendations and for on‐going support for a broader human resources support need. L 4‐8 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 » » » » » » » » » » » » » » » » » » » » » » » » » » Page 222 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE (BY RECOMMENDATION ORDER) RECOMMENDATION IMPLEMENTATION MONTH PRIORITY 11 12 13 14 15 16 5.0 Realign staff positions consistent with the process and organizational recommendations of the report. It is expected that the new business processes will result in freeing a substantial number of work positions. The Department should reassign those positions to the recommended work units, making certain that personnel receive the proper training and skills development to be successful in their new assignments. High » » » » » » » » » » 1 2 3 4 5 6 7 8 9 10 » » » » » » 6.0 The Department will need to develop new job descriptions, and possibly classifications, for persons who will be assigned to new work teams. High » » » » » » » » » » » » » » » » » » » With the change in work assignments, the Department should work with the City’s Human Resources unit to conduct a comprehensive wage and classification survey and upgrade. The focus should be on using job comparability indices that capture the large volume and sensitivity of the work being performed. The Department should adopt and implement a compensation banding approach that will reduce the number of individual job classifications and expand wage ranges. 7.0 The Department should, to the extent possible, develop a new internal performance appraisal system, using a tiered evaluation approach, with assigned counselors responsible for individual reviews and employees having optional, self‐selected monitors to serve as advisors and advocates. M 6‐12 Page 223 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE (BY RECOMMENDATION ORDER) RECOMMENDATION IMPLEMENTATION MONTH PRIORITY 1 11 12 13 14 15 16 » » » » » » » » » High » » » » » » » » » » » » Using a comprehensive job expectation matrix, employees should prepare multi‐year career development plans, identifying short and long‐term career goals and identifying work and training opportunities that will enable completion of the goals. The employee and Department should recognize mutual responsibility for completion of the career development plans. M 10‐16 » » » » » » » Each year, every employee should complete a training program for the coming year. The employee and Department share mutual responsibility for completion of the training plan. It is the commitment of the employee to undertake the training. Where the training depends on Department resources and available time, it is the commitment of the Department to make training— and the time for training—available. M 10‐16 » » » » » » » 8.0 The Department should institute a program of annual individual performance plans for each employee. The plans will identify the work expected of the employee in the coming year, identify work opportunities, and describe training and development opportunities. 9.0 The Department should complete its efforts at developing a job expectation matrix for all position bands. The matrix should include an overview of work to be performed, general standards of performance, expected work experience and skills, and training requirements. 10.0 11.0 M 8‐16 2 3 4 5 6 7 8 9 10 Page 224 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE (BY RECOMMENDATION ORDER) RECOMMENDATION IMPLEMENTATION MONTH PRIORITY 1 2 3 4 5 6 7 8 9 10 12.0 The Department should continue using the Harmony application for its own case management and financial integration purposes. This includes using Harmony to create data interfaces with the various Commonwealth case management systems. To do this, the City will need to assess and streamline Harmony’s data entry and reporting capacities, broaden authority for Harmony data security, expand the number of persons trained in Crystal Reports, and provide greater staff support. High » » » » » » » » » » 13.0 The Department should acquire and implement a robust Electronic Document management system, including the capacity for electronic forms generation. High » » » » » » » » 14.0 While continuing to report performance through the State’s mandated performance reporting system, the Department should develop its own performance management system that will be consistent with the City’s Balanced Scorecard requirements and provide timely performance data that the Department can use to assess overall performance, identify and resolve problem areas early, and provide an accurate report of Departmental performance to all interested stakeholders. M 4‐8 11 12 13 14 15 16 » » » » » Page 225 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE (BY PRIORITY) RECOMMENDATION IMPLEMENTATION MONTH PRIORITY 11 12 13 14 15 16 1.0 Commit to being the best Social Services Department in the Commonwealth of Virginia and recognized as a leader throughout the United States. High » » » » » » » » » » 1 2 3 4 5 6 7 8 9 10 » » » » » » 2.0 Adopt and implement the functional business processes for integrated case management as developed by the project team and Department staff, monitoring the implementation to identify continued process improvements. High » » » » » » » » » » » » 2.1 Create an Intake and Assessment unit which will have responsibility for intake through the CommonHelp, Emergency Hotline, and other venues by which clients can seek assistance. This unit will also be responsible for assessing the immediate need and the more comprehensive family circumstances/ environment review and for making eligibility determination. High » » » » » » 2.2 Assign the Assessment unit responsibility for all client data inquiry needs of the Department, to assure their full access to all Commonwealth data systems necessary for effective client assessment and case evaluation as well as access to other data systems which will be included in the Safe Passages initiative. High » » » » » » Page 226 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE (BY PRIORITY) RECOMMENDATION IMPLEMENTATION MONTH PRIORITY 1 2.3 Use an integrated case management team approach in which the Department creates case management teams consisting of both social workers and benefit workers. Teams will serve clients through a lead worker system and will serve as an integrated service provider for clients with multiple needs. The teams would have self‐directed team leadership, with supervisors having responsibility for groups of teams and managers having responsibility for groups of supervisors. Some of the teams will be specialized to meet particular needs or circumstances and others will be generalist. The teams will be distributed throughout the three offices of the Department. High 5.0 Realign staff positions consistent with the process and organizational recommendations of the report. It is expected that the new business processes will result in freeing a substantial number of work positions. The Department should reassign those positions to the recommended work units, making certain that personnel receive the proper training and skills development to be successful in their new assignments. High 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » » Page 227 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE (BY PRIORITY) RECOMMENDATION IMPLEMENTATION MONTH PRIORITY 1 6.0 The Department will need to develop new job descriptions, and possibly classifications, for persons who will be assigned to new work teams. High 2 3 4 5 6 7 8 9 10 11 12 » » » » » » » » » » » » » » 13 14 15 16 With the change in work assignments, the Department should work with the City’s Human Resources unit to conduct a comprehensive wage and classification survey and upgrade. The focus should be on using job comparability indices that capture the large volume and sensitivity of the work being performed. The Department should adopt and implement a compensation banding approach that will reduce the number of individual job classifications and expand wage ranges. 9.0 The Department should complete its efforts at developing a job expectation matrix for all position bands. The matrix should include an overview of work to be performed, general standards of performance, expected work experience and skills, and training requirements. High » » » » » » » » » » 12.0 The Department should continue using the Harmony application for its own case management and financial integration purposes. This includes using Harmony to create data interfaces with the various Commonwealth case management systems. To do this, the City will need to assess and streamline Harmony’s data entry and reporting capacities, broaden authority for Harmony data security, expand the number of persons trained in Crystal Reports, and provide greater staff support. High » » » » » » » » » » Page 228 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE (BY PRIORITY) RECOMMENDATION IMPLEMENTATION MONTH PRIORITY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 13.0 The Department should acquire and implement a robust Electronic Document management system, including the capacity for electronic forms generation. High 10.0 Using a comprehensive job expectation matrix, employees should prepare multi‐year career development plans, identifying short and long‐term career goals and identifying work and training opportunities that will enable completion of the goals. The employee and Department should recognize mutual responsibility for completion of the career development plans. Medium » » » » » » » 11.0 Each year, every employee should complete a training program for the coming year. The employee and Department share mutual responsibility for completion of the training plan. It is the commitment of the employee to undertake the training. Where the training depends on Department resources and available time, it is the commitment of the Department to make training— and the time for training—available. Medium » » » » » » » » » » » » » » » Page 229 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE (BY PRIORITY) RECOMMENDATION IMPLEMENTATION MONTH PRIORITY 1 4.0 Adopt and implement the organizational framework designed to align with, and support, the new business processes. When transition is completed, this organization will have two service functions (Intake and Assessment and Case Management) and four support functions (Organizational Performance, Program Support, Finance and Administration, and Human Resources). Medium 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 » » » » » » » » » » » » » » » » » » » » » The organizational change should occur in three phases: an entry phase to align the support systems and conduct a small pilot of the case management approach, a transition phase in which the case management approach is expanded and fully field tested, and a final phase in which the Department converts fully to the integrated case management team approach. 2.5 Within the Case Management unit create a body of subject matter experts who will advise the case management teams, maintain knowledge expertise of individual programs, develop functional policies and procedures, and monitor industry regulatory conditions and industry trends and best practices. Medium 4.1 Create an Organizational Performance Support unit which will serve to monitor the internal performance of the department through quality assurance, utilization management, performance management, employee development and training, and information technology. Medium » » » » » » Page 230 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE (BY PRIORITY) RECOMMENDATION IMPLEMENTATION MONTH PRIORITY 1 2 3 4 5 6 7 8 4.6 Restructure the Finance and Administration Unit by placing the current records management function under the supervision of Information Technology; transferring Information Technology and Records Management to the Policy and Program unit; by assigning Payroll services and Disaster Management and retaining a business process analyst to maintain data integration between the Department’s Harmony case management system and the City’s financial systems. Medium 3.0 Adopt and implement the support business processes for integrated case management as developed by the project team and Department staff, monitoring the implementation to identify continued process improvements. Medium » » » » » 4.2 Expand current quality assurance capacities and assign duties of the Quality Assurance unit to include risk and performance assessment throughout the Department. Medium » » » » » 4.3 Create a Utilization Management unit which will be responsible for managing provider contracts throughout the Department. Medium » » » » » Medium » » » » » 14.0 While continuing to report performance through the State’s mandated performance reporting system, the Department should develop its own performance management system that will be consistent with the City’s Balanced Scorecard requirements and provide timely performance data that the Department can use to assess overall performance, identify and resolve problem areas early, and provide an accurate report of Departmental performance to all interested stakeholders. 9 10 11 12 13 14 15 16 » » » » » » Page 231 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE (BY PRIORITY) RECOMMENDATION IMPLEMENTATION MONTH PRIORITY 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 4.4 Create a Program Support unit by combining under single leadership the CSA, TDM, Resource Family Unit, ECDI, Healthy Families and Healthy Start programs. Medium 7.0 The Department should, to the extent possible, develop a new internal performance appraisal system, using a tiered evaluation approach, with assigned counselors responsible for individual reviews and employees having optional, self‐selected monitors to serve as advisors and advocates. Medium » » » » » » » 8.0 The Department should institute a program of annual individual performance plans for each employee. The plans will identify the work expected of the employee in the coming year, identify work opportunities, and describe training and development opportunities. Medium » » » » » » » » » 2.4 Create a Case Management unit which will be responsible for emergency response for protective services and emergency economic stability, routing and reviewing cases, and managing cases. Medium » » » » » 4.5 Create within the Program Support unit a Job Development Center which will work with employers to create large blocks of employment opportunities for VIEW participants and other clients of the Department and City. Low » » » » » » » » » » Page 232 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 IMPLEMENTATION MASTER SCHEDULE (BY PRIORITY) RECOMMENDATION IMPLEMENTATION MONTH PRIORITY 1 4.7 Restructure the Human Resources Unit by transferring payroll functions to Finance and Administration, transferring Employee Development and Training to Policy and Programs, and adding additional human resource specialists both to assist with the multi‐year implementation of the project recommendations and for on‐going support for a broader human resources support need. Low 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 » » » » » Page 233 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 APPENDIX: PROCESS FLOW MAPS The following pages present the to‐be process flow maps as developed by the Department process teams and modified by the To‐Be Process Integration team, facilitated by the TATC project staff. The process maps follow the basic conventions of the Integrated Definition Modeling (IDEF) technique, in which each key step is identified and then deconstructed for individual process steps. Chapter 5 of this report includes step‐by‐step narratives for each flow. Following the maps are a series of tables which identify the relevant inputs, outputs, controls, and mechanisms (or, resources) for each map. The inputs relate to activities or items which initiate the process, and the outputs are the results of the process. Controls represent those items and actions which control the nature of the process work. For example, relevant state and federal law are applicable controls. Mechanisms, or resources, represent what is needed to carry out the process. This can include personnel, technology, budgets, and the like. Page 234 Intake 1.0 Receive Request for RDSS Assistance 2.0 Determine Appropriate Routing 3.0 Refer to Appropriate Unit 1.1 Confirm RDSS Jurisdiction 2.1 Make Determination of Emergency Based on Established Criteria 3.1 If Emergency, Route to Appropriate Emergency Triage Unit 2.2 Create Base Data Record 3.2 If Non-Emergency and Known to RDSS, Refer to Case Mgmt. 2.3 Enter Into Systems (OASIS/ASAPS, HARMONY, ADAPT) 3.3 If Non-Emergency and NOT Known to RDSS, Refer to Processing & Routing Process 1.1.1 If No Jurisdiction, Refer to Proper Locality or Community Services 1.1.2 If No Jurisdiction, Enter Into Screened-Out Database 1.2 Date/Time Stamp Request (Automated) 1.3 Obtain Minimum Information Needed for Request 1.4 Determine if Known to Agency Systems Page 235 Emergency Protective Services 1.0 Receive from Intake Process and Assign Case 2.0 Determine Action Needed 1.1 Notify Public Safety Officials if Appropriate 2.1 Receive Briefing or Review Case in OASIS/ASAPS 1.2 Assign Case to RDSS Worker 2.2 Arrange for Police Escort to Site if Needed 2.3 Initiate Contact to Assess Client Situation 2.4 Determine Case Relief Response 2.5 Obtain Action Approval or Consensus 4.0 Complete File/Records Management 3.0 Initiate Relief 3.1 Remove Client If Appropriate 3.2 Keep Client in Place If Appropriate 3.3 Provide OneTime Services If Appropriate 3.1.1 Secure Placement 3.2.1 Develop Safety Plan 3.3.1 Receive Request 3.1.2 Refer to RFU 3.2.2 Obtain Signatures 3.1.3 Take to Destination 3.2.3 Develop Service Referral If Needed 3.1.4 Complete Placement Paperwork 3.1.5 Contact Follow-Up Resources 3.1.6 Conduct TDM IF Required or Client Requests 3.1.7 Appear in Court If Needed 3.2.4 Complete Service Application 3.2.5 Follow Up With Resources If Needed 3.2.6 Appear in Court If Needed 3.3.2 Refer to Case Assessment Process 4.1 Compile All Forms 4.2 Complete Narratives 4.3 Secure Missing Data as Necessary 4.4 Update Electronic Databases 4.5 Coordinate with Finance for Payment, if Appropriate 4.6 Transfer to Case Assessment Process Page 236 Emergency Economic Stabilization 1.0 Assess Emergency 2.0 Develop Action Plan 1.1 Review Request for Assistance 2.1 Determine Action Type & Eligibility 3.0 Initiate Relief 4.1 Compile All Forms 1.2 Complete Applications Needed 1.3 Enter Into System(s) As Needed 4.0 Complete File/Records Management 4.2 Complete Narratives 3.1 If Eligible, Discuss Eligibility and Benefit Options with Client 3.1.1 Secure Placement 3.2 If Not Eligible, Refer to Community Partners 3.2.1 Contact Community Partners 3.2.2 Connect Client with Relief Resources 3.1.2 Issue Benefit 4.3 Secure Missing Data as Necessary 4.4 Update Electronic Databases 4.5 Coordinate with Finance for Payment, if Appropriate 4.6 Transfer to Case Assessment Process Page 237 Request Processing and Routing (Base) 1.0 Receive Request For Service 2.0 Determine Eligibility for Base Request 3.0 Approve or Deny Request 1.1 Review Request 2.1 Interview Client to Determine Eligibility 3.1 Notify Client of Decision 2.1.1 Assess Needs Per Client Input 1.2 Conduct RDSS Systems Inquiry 1.3 Determine if Client has active case with RDSS 1.4 If Active Case, Route to Case Management Process 2.1.2 Verify Income and Household Composition 2.1.2 Verify Other Program Requirements 2.2 Notify Client of Additional Information Needs Discrepancies 2.3 Receive Additional or Corrected Information 2.5 Receive Eligibility Determination from System 3.2 Verify Client Interest in Other Possible Services or Benefits 3.2.1 If Not Interested & Is Qualified for Base Request, Send to Case Management Process 3.2.2 If Not Interested & Is NOT Qualified for Base Request, Close Case 3.3 If Interested & Is Qualified for Base Service, Refer to Advanced Assessment Process 3.4 If Interested & Is NOT Qualified for Base Request, Refer to Advanced Assessment Process Page 238 Request Processing and Routing (Advanced) 2.0 Conduct Interpersonal Assessment 3.0 Develop Case/Transition Plan 1.1 Case Familiarization 2.1 Initiate Contact (InPerson, Phone, or Email) 3.1 Generate Initial Case/Transition Plan (in Information System) 1.2 Assign Case to Specific Case Management Team 2.2 Identify Strengths of the Family 1.3 Case Management Team Assigns Lead Worker 1.4 If Request is for Benefit Only, Skip to 4.0 (Implementation) 2.3 Identify Additional Needs (Other Services) 2.4 Obtain Information on Community Partners 2.5 Develop Preliminary Needs Priority 3.1.1 Include Family Strengths 3.1.2 Develop Goals and Objectives 3.1.3 Develop Timelines To Next Page 3.2 Coordinate with Providers 3.3 Request Foster Home Referral if Appropriate 3.4 Review and Validate Plan with Family 3.5 Finalize Plan 3.1.4 Identify Available Resources Based on Funding (e.g., CSA, FFM) Page 239 Case Management (Page 1) 1.0 Receive Case from Request Processing 2.0 Conduct Interpersonal Assessment 3.0 Develop Case/Transition Plan 1.1 Case Familiarization 2.1 Initiate Contact (InPerson, Phone, or Email) 3.1 Generate Initial Case/Transition Plan (in Information System) 1.2 Assign Case to Specific Case Management Team 2.2 Identify Strengths of the Family 1.3 Case Management Team Assigns Lead Worker 1.4 If Request is for Benefit Only, Skip to 4.0 (Implementation) 2.3 Identify Additional Needs (Other Services) 2.4 Obtain Information on Community Partners 2.5 Develop Preliminary Needs Priority 3.1.1 Include Family Strengths 3.1.2 Develop Goals and Objectives 3.1.3 Develop Timelines To Next Page 3.2 Coordinate with Providers 3.3 Request Foster Home Referral if Appropriate 3.4 Review and Validate Plan with Family 3.5 Finalize Plan 3.1.4 Identify Available Resources Based on Funding (e.g., CSA, FFM) Page 240 Case Management (Page 2) From Page 1 4.0 Implement Case Plan 4.1 Link Family with Service Providers 4.2 Meet with Family and Providers re Defined Timeline 4.3 Monitor Family Progress 4.4 Evaluate and Determine Family Readiness to Transition 4.5 If Family Not Ready, Loop Back to 2.0 (Interpersonal Assessment.) or 4.0 (Implement Plan) as Appropriate 5.0 Implement Transition Plan if Appropriate 6.0 Close Case 5.1 Validate Transition Plan with Family 6.1 Archive and Purge Case 5.2 Begin Implementation of Transition Plan 5.3 Monitor Based on Schedule Established in Transition Plan 4.3.1 Assess Services Provided 4.3.2 Obtain Family & Provider Feedback Page 241 Foster Family Management (Page 1) 1.0 Receive Request for Foster Home Referral 2.0 Complete Initial Assessment, As Necessary 3.0 Screen Foster Family Options 4.0 Select Foster Family 1.1 Enter Request in Information System if Needed 2.1 Conduct data search for child’s background or history if not done during Advanced Assessment Process 3.1 Review Information System for Family Criteria 4.1 If Not Emergency Placement, Review Potential Foster Family with Family Reunification Permanency Unit 3.2 Contact External Partner Agencies for Options as Needed 4.2 Conduct PrePlacement Visit and Interview 3.3 Review Home Study from External Partners as Needed 4.3 Select Family 1.2 Refer to Data Gathering if Needed 1.3 Conduct Best Match Conference (SW, FFM, & Youth) to Establish Family Criteria 2.2 Conduct Relative Search in ACCURINT (on-going) 2.3 Conduct Best Match Conference to Establish Family Criteria To Next Page 4.4 Notify Selected Foster Family 4.5 Receive Request for RDSS Assistance Page 242 Foster Family Management (Page 2) From Page 1 5.0 Notify Referring Worker 6.0 Manage Payments 5.1 Enter Family Data into Electronic Data System 6.1 Initiate POSO/OTO for child care, respite care, maintenance, VaMat, Clothing 5.2 Provide Placement Transition Support 6.2 Verify Authorizations for Service & Funding Eligibility 5.3 Complete Placement Change Form if Needed 6.3 Send Payment Authorizations to Finance 5.4 Conduct “Icebreaker” Session Page 243 Document Management 1.0 Receive Request for Service 2.0 Worker Processing 3.0 Case Closure 4.0 Record Retention 1.1 Look up record identification 2.1 Receive original documents 3.1 Verification of file content 4.1 System generates purge schedule 1.2 Assign case number 2.2 Code document 3.2 Reconcile hard and electronic files 4.2 System produces disposal alert report 1.3 Locate existing record 2.3 Scan documents 3.3 Note case closure in system 4.3 Staff pulls hard copy file 1.4 If necessary, digitize existing files 2.4 Send hard copy to Records for storage 3.4 System determines and assigns disposal date 4.4 Staff destroys hard copy file and notes disposal in system 1.5If necessary, assign record identifier 1.6 Notify worker that case is ready 4.6 Staff purges electronic record from active file server 4.5 System transfers file to archive Page 244 Quality Assurance (Page 1) 1.0 Perform Risk Assessment 2.0 Develop Overall QA Plan 3.0 Communicate QA Plan 4.0 Execute QA Plan 1.1 Review external audits and performance reports 2.1 Establish/update 3-year risk review cycle 3.1 Communicate Objectives 4.1 Perform investigation of each risk area 1.2 Review customer complaints 2.2 Review cycle with RDSS leadership 3.2 Communicate expectations and support needs 4.2 Identify areas of concern for each Risk area 1.3 Review data with Program Managers 2.3 Prepare annual plan in advance of budget year 1.4 Review data with Deputy Directors 2.3.1 Include all annual review risk areas 1.5 Determine risk areas 2.3.2 Include 2year and 3-year risks on cycle 1.6 Prioritize risk areas 2.3.3 Draft preliminary schedule 3.3 Communicate schedule To Page 2 4.2.1 Assess processes 4.2.2 Assess staffing 4.2.3 Assess technology 4.3 Analyze findings and review with program 4.3 Finalize risk assessment report Page 245 Quality Assurance (Page 2) From Page 1 5.0 Develop Corrective Action Plan 6.0 Monitor Corrective Action Plan 5.1 Review findings with program management 6.1 Monthly or quarterly progress review 5.2 Program area develops corrective plan 6.2 Update corrective plan status 5.3 Approve corrective plan 6.3 Repeat monitoring until plan complete 5.4 Implement corrective action plan 6.4 Prepare and issue final report Page 246 Utilization Management (Page 1) 1.0 Establish Pool of Providers 2.0 Assess Service Providers 3.0 Execute Service Contracts 2.1 Prepare solicitation document 3.1 Identify contract type 2.2 Evaluate provider proposals/ qualifications 3.2 Select appropriate contract template 2.3 Conduct on-site assessment, as applicable 3.3 Compose contract 2.4 Evaluation teams makes recommendation 3.4 Collect required documents 2.5 Utilization Manager makes final decision 3.5 Conduct price negotiations as applicable 2.6 Notify awarded providers 3.6 Fully execute Contract 2.7 Provider accepts award 3.7 Notify nonselected providers, as appropriate 1.1 Determine Needs 1.2 Recruit/ Identify Providers 1.3 Establish Criteria for Solicitation 1.4 Determine if should be considered for Fast Track (emergency) 1.4.1 if yes, Target known providers 1.4.2 if no, Solicit providers via RFP 4.0 Update Approved Providers Database To Page 2 4.1 Record pertinent data (i.e. Provider’s Profile) 4.2 Complete provider application requirements 3.7 If not done previously, digitize contract Page 247 Utilization Management (Page 2) From Page 1 5.0 Monitor Service Providers 5.1 Establish criteria for monitoring 6.0 Pay Providers 5.7 Identify corrective action 5.2 Identify providers to be monitored 5.8 Issue report 5.3 Select monitoring Tool(s) 5.8.1 Include provider’s strengths 5.4 Determine monitoring type (unannounced vs announced) 5.8.2 Include provider’s weaknesses 5.5 Develop monitoring plan 5.8.3 Include recommendation for follow-up 5.6 Execute monitoring plan 5.6.1 Program Review 5.6.2 Financial Review 5.11 Follow-up visit 6.1 Receive provider invoice 5.12 On-going technical assistance 6.2 Verify service delivery from Case Management To Page 3 6.3 Verify contract limits 6.4 Verify funding source 6.5 Approve for payment 5.9 Conduct exit Conference 5.10 Notify Case Management of critical findings 6.6 Transmit approval to Finance for payment in accordance with City procedures Page 248 Utilization Management (Page 3) From Page 2 7.0 Evaluate Performance Outcome from Providers 8.0 Determine Continued Service 7.1 Determine reporting type, where applicable 8.1 if yes, continue monitoring per plan 7.2 Issue report template 8.2 If no, remove from approved provider database 7.3 Review reporting results Page 249 Finance (Supplies and Materials) 1.0 Receive Request for Service 2.0 Select Vendor 1.1 Review request 2.1 Conduct RFP/ RFQ process if required by City 1.2 Verify funding Source 2.2 Secure price quotes if RFP not required 1.3 Verify program eligibility, as applicable 2.3 Review quotes with requestor 2.4 Select vendor and input vendor data into Advantage 3.0 Generate Purchase Order in Advantage 4.0 Vendor submits invoice via Advantage portal 5.0 Issue Payment via Advantage 3.1 Approve Purchase Order in Advantage 4.1 Finance receives invoice 5.1 Advantage releases encumbrance 3.2 Advantage encumbers funds 4.2 Send invoice to receiver of goods for verification 5.2 Advantage transfers to expenditure 3.3 Advantage notifies vendor of order 4.3 identify discrepancies, if any 5.3 Generate ledger report 3.4 Vendor accepts order via Advantage portal 4.3.1 Review with vendor 4.3.2 Settle discrepancy 2.5 Finance approval 3.5 Vendor delivers materials 5.4 Match to budget 5.5 Resolve budget discrepancies 4.3 Approve Invoice Page 250 Recovery and Fraud (Page 1) 1.0 Receive Investigation Request 2.0 Screen/Validate Request 1.1 Acknowledge receipt in Harmony database 2.1 Review information for completeness 1.2 Assign to Screening 2.2 Determine if enough information to investigate 2.3 Determine if established criteria warrant investigation 3.0 Assign Investigator(s) 4.0 Conduct Investigation 3.1 Evaluate case load 4.1 Input Referral into Fraud Data Tracking System 3.2 Evaluate experience of investigator(s) 3.3 Assign investigator(s) 4.2 Verify the subject is known to RDSS 4.3 Establish Investigation Plan To Page 2 4.5 Engage Case Management Team as necessary 4.6 Scan all supporting data and Attach electronic file to Harmony and Fraud Data Tracking System 4.4 Conduct Investigation 2.4 Route to Investigator 4.7 Create final report 4.4.1 Conduct Interview(s) 4.4.2 Collect Data Page 251 Recovery and Fraud (Page 2) From Page 1 5.0 Issue Final Report 6.0 Close Investigation Request 5.1 Access investigation documents 6.1 Send investigation summary to Case Management Team 5.2 Document findings and recommendations 6.2 Transition to Accounting where applicable (restitution request) 5.3 Determine fraud/ non-fraud & finalize report 6.3 Monitor and maintain oversight of fraudulent claims resulting in restitution 5.4 Submit for supervisory review and comments 5.5 Take additional steps as necessaryAdministrative Disqualification hearing (ADH); Court, etc. Page 252 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 INTAKE PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity 1 Receive Request for RDSS Assistance Input Computer Portal Referrals Client Walk‐in Fax Email Request for Assistance Outputs Controls Referral for RDSS service assessment Language Confidentiality requirements Civil Rights requirements Applicable State and Federal laws Application processing deadline Resources Community resource list Additional self service tools Automation Development of standard forms to capture data SPIDER SOP Harmony Oasis VACMS ASAPS Telephone automation to accurately route calls CPS Hotline Central Intake Telephone Number for homeless services Food stamp phone line Capability to receive information electronically (images for intake files) Customer Portal Marketing Record Room Language Line for contract interpreter Page 253 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 INTAKE PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity 2 Determine Appropriate Routing Input Client data Outputs Client referred for service Controls 3 Refer to Appropriate Unit Completed application Case Routed/Assigned to Emergency or Non‐Emergency Process Resources Common entry form Emergency criteria Ability to track acceptance of assigned case Common application Electronic data systems Ability to track acceptance of assigned case Ability to track acceptance of assigned case Electronic data systems Emergency criteria Ability to track acceptance of assigned case Policy/Regulation determining completeness Page 254 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 EMERGENCY PROTECTIVE SERVICES PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input 1 Receive from Intake Process and Data from Intake Assign Case 2 Determine Action Needed Validated Case Outputs Controls Resources Validated Case State criteria for validated case Requirements for response timelines Case ready for response Availability of outside resources Applicable state and federal laws relating to protective services Client present Accurate data, including incident location Supervisory review Staff availability Contact information for outside resources (police, health dept.) Telecommunications Electronic forms via tablet or laptop (safety plan, service application, referral forms, etc) Reliable transportation Supervisory review Training on appropriate field assessment TDM Staff Remote digital signature system Staff Access to Intake data OASIS ASAPs Certification to validate a CPS and APS case Policy for notification of public safety officials Page 255 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 EMERGENCY PROTECTIVE SERVICES PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources Remote printer 3 4 Initiate Relief or Close Case Complete File / Records Management Relief response Relief/Safety Relief/Safety Client cooperation Language barrier Placement readily available Applicable state and federal law Available resources for placement, if necessary Complete packet Records Management for Transition Team policies Requirements for continued case monitoring Staff Translator Electronic forms Electronic signature pad. E‐mail (or method to feed info back to RFU). Reliable transportation Food and/or toy Placement Family, Facility TDM FAPT ERO CAN Staff OASIS ASAPS EDMS Page 256 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 EMERGENCY ECONOMIC STABILIZATION SERVICES PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources 1 Assess Emergency Data from Intake which Complete and should include: workable case o Household income o Household composition o Situational elements o Social security number o Photo ID State and Federal Laws and Regulations relating to each program Lack of systems integration to quickly pull all relevant information from applicable systems Response deadline requirements 2 Develop Action Plan Complete and workable Action Plan case Lack of city funding for Complete and current list of various resource options all available and viable options and programs that can provide immediate relief within 24‐48 hours EA (Emergency Assistance – rent and utilities) Medication assistance SNAP TANF ‐ Diversion Assistance Personal Resources (family, friend, etc) Homeless Shelters Refugee Program ADAPT System HARMONY SPIDER MMIS VACMS FTDS Staff Integrated system with compiled information from applicable systems Page 257 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 EMERGENCY ECONOMIC STABILIZATION SERVICES PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources Community Partners 3 Initiate Relief Action Plan Relief Disbursement Unavailability of resources at referral locations Inefficient bus fare (does not include transfers) Lack of universal application for all services Lack of new initiatives for quick relief Shelters Food Bank SNAP (same day receipt) EA Pledge for utility or rent payment Hotel voucher Medicine voucher TANF – Diversion Assistance Bus fare including enough for a transfer New Initiatives – o Universal application for all services o Forgiveness loads through banking institutions o City loans at low interest o Payee Service o Use of vacant building for homeless o Vouchers for temporary housing o Vouchers to grocery stores o Paperless process Page 258 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 EMERGENCY ECONOMIC STABILIZATION SERVICES PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources o Gas cards/cab vouchers 4 Complete File/Records Management Relief Disbursement Complete case record Copy of client history/ Staff previous record on file Adequate time to complete file State/federal regulations on document format Electronic data management State regulations on system document retention Page 259 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 APPLICATION PROCESSING AND ROUTING (BASE LEVEL SERVICE) PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources 1 Receive Request for Service Complete and electronically entered application from Intake Preliminarily Staff cannot modify client verified application application Security requirements Access to computer systems Regulations regarding timeliness of processing Sufficient personnel for timely review Staff trained on all systems ADAPT HARMONY OASIS VUWRS ASAPS Standardized processing review form 2 Determine Eligibility for Base Request Preliminarily verified application Supplemental data Confidentiality policy Complete and Eligibility rules for each accurate request program or service for service applied for TANF requires face‐to‐ face review VDSS QA error assignment Lack of record coordination among city and state systems City policy regarding access to Work Number system Staff Telecommunications Interpreter/TTY access Transportation Release of information form Look‐up tables for program eligibility Time management training for staff Program cross‐training for staff Page 260 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 APPLICATION PROCESSING AND ROUTING (BASE LEVEL SERVICE) PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES 3 Activity Input Outputs Approve or Deny Request Complete and accurate request for service Approval or denial of service request Controls Resources State/federal regulations Electronic approval system on service eligibility Notification system Look‐up tables for program eligibility Time management training for staff Program cross‐training for staff Page 261 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 APPLICATION PROCESSING AND ROUTING (ADVANCED SERVICE) PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources 1 Determine Eligibility for Expanded Services Complete and electronically entered application from Intake Referral from base application processing Client concurrence Preliminarily Security requirements verified application Access to computer systems Regulations regarding timeliness of processing Sufficient personnel for timely review Staff trained on all systems ADAPT HARMONY OASIS VUWRS ASAPS Standardized processing review form 2 Conduct Data Research Preliminarily verified application Client concurrence Supplemental data Confidentiality policy Complete and Eligibility rules for each accurate request program or service for service applied for TANF requires face‐to‐ face review VDSS QA error assignment Lack of record coordination among city and state systems City policy regarding access to Work Number system Residence of Staff Telecommunications Interpreter/TTY access Transportation Release of information form Look‐up tables for program eligibility Time management training for staff Program cross‐training for staff Family assessment staff ADAPT HARMONY Page 262 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 APPLICATION PROCESSING AND ROUTING (ADVANCED SERVICE) PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls client/family Resources 3 Develop Client/Family Profile Results of data search Client/family interview Eligibility State/federal regulations determinations on service eligibility Identification of Family concurrence potential community partner services OASIS VUWRS ASAPS Richmond Schools data Richmond Behavioral Health data Criminal justice information systems data Juvenile justice information systems data Client data from community partners Data on other family members Research guidelines Standardized processing review form Electronic approval system Notification system Look‐up tables for program eligibility Time management training for staff Program cross‐training for staff Ecomap Genogram Page 263 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 APPLICATION PROCESSING AND ROUTING (ADVANCED SERVICE) PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity 4 Transfer to Case Management Input Outputs Eligibility screening data Eligibility determination Client/family profile Referral to case management Controls Eligibility requirements Client/family concurrence Processing timeliness requirements Resources Electronic document management system Ecomap Genogram Page 264 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CASE MANAGEMENT PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources 1 Receive Case from Request Processing Comprehensive Case Assignment Assessment (includes FAPT & TDM input) “Acceptance” of services Federal/state/agency timelines F/S/A credential requirements for staff Federal/State information systems Scheduling constraints Staff availability Budget Staff KSAs 2 Conduct Interpersonal Assessment Comprehensive Assessment Feedback/input from assessment team Federal/state/agency timelines Family availability Scheduling constraints Staff availability Budget Staff KSAs Public perception of the agency (including case manager’s roles) Safety issues Technology (e.g., laptops, mobile data entry systems, etc.) Transportation Family relationship Level of engagement Prioritization of needs Identification of strengths Identification of additional needs Identification of existing supports Routing information Assessment Team Assessment Data System Staff KSAs Family relationship Level of engagement Prioritization of needs Identification of strengths Identification of additional needs Identification of existing supports Page 265 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CASE MANAGEMENT PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity 3 Develop Case/Transition Plan Input Outputs Comprehensive Service plan (goals Assessment (including & objectives, input from existing timelines, providers, court orders, resources, releases of info, etc.) providers, etc.) Feedback/input from Family assessment team commitment/engag ement Input from the family Data entry into Prioritization of needs information system Identification of strengths Identification of additional needs Identification of existing supports Controls Resources Federal/state/agency timelines & requirements re visits, face‐to‐face interviews, benefits, etc.) Family availability Scheduling constraints Staff availability Budget Community resources/funding Staff KSAs Public perception of the agency (including case manager’s roles) Safety issues Technology (e.g., laptops, mobile data entry systems, etc.) Transportation Providers & services (e.g., schools) Family barriers (language, culture, resistance ‐ family may not want to address substance abuse, disabilities, level of development, etc.) Case Manager Staff KSAs FAPT (Family Assessment and Planning Team) TDM (Team Decision Making) Technology (e.g., laptops, mobile data entry systems, etc.) Transportation Providers & services (e.g., schools) Funding Prior documentation Translators/interpreters Language line Template for a comprehensive service plan Education/training for city administrators & community partners Page 266 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CASE MANAGEMENT PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources Lack of consensus (among staff, providers, family, etc.) re what should be on the plan, goals, & priorities No standardized service plan City Administration (lack of understanding of how we work) 4 Implement Case Plan Comprehensive service plan Family commitment Information management system & data Transition Federal/state/agency timelines Federal/State information systems Scheduling constraints Staff availability Budget Staff KSAs Family barriers (language, culture, resistance ‐ family may not want to address substance abuse, disabilities, level of development, preferences for specific providers, etc.) Providers & services (including community resources, court‐ appointed guardians, etc.) Family Assessment Data System Staff KSAs Case Manager/Team FAPT/TDM/ADM Court Family supports Technology Page 267 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CASE MANAGEMENT PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources Lack of consensus (among staff, providers, family, etc.) re what should be on the plan, goals, & priorities Community resources/funding Public perception of the agency (including case manager’s roles) Safety issues Technology (e.g., laptops, mobile data entry systems, etc.) Transportation Providers & services (e.g., schools, culturally competent providers, etc.) City Administration (lack of understanding of how we work) 5 Implement Transition Plan Successful completion of Self Sufficiency Federal/state/agency service plan timelines Stable family o Recommendation Transfer of Federal/State based on information systems information or files readiness Providers & services (including community resources, court‐ appointed guardians, etc.) Family & natural supports Page 268 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 CASE MANAGEMENT PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity 6 Close Case Input Outputs Controls Resources evaluation Recommendation to close case based on: o Non‐compliance o Request from family to terminate services o Death Transfer to another locality or another agency to another locality or another agency Update of MIS Tracking outcome surveys Lack of agency tracking tools/systems Staff KSAs Family availability Budget Public perception of the agency (including case manager’s roles) Community resources/funding Providers & services (e.g., schools, culturally competent providers, etc.) City Administration (lack of understanding of how we work) Court system Final Case Report Closed File Case assessment determination Records management requirements EDMS Records Management Assessment Data System Staff KSAs Case Manager/Team Court (may need to notify the court) Transition Plan Template, to be developed Access to all systems OASIS HARMONY ADAPT ESPAS ASAPS Family Works Plan Community partners Page 269 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 FOSTER FAMILY MANAGEMENT PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources 1 Receive Request for Foster Home Referral Referral Form or Request Received Request for foster care for foster care Timeliness requirements E‐mail or Electronic Notification of Referral Applicable state and federal regulations Standardized Referral Form in electronic format Referring worker training for providing comprehensive information on referral form 2 Complete Initial Assessment Received Request for foster care Assessed client and Confidentiality situation Applicable regulations surrounding placement Harmony Access to Safe Passages (Ed., Judicial, and Social Services) Established criteria for adequate assessment SMART Database of approved foster families with super sorting capabilities (to be developed0 Fully Staffed Hand held technology 3 Access Database of Approved Foster Families Assessed client and situation surrounding placement Selection of foster family choices Comprehensive Database Training to access database with user restrictions Picture of family attached to electronic file Internal control to ensure Confidentiality Foster family availability Page 270 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 FOSTER FAMILY MANAGEMENT PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources accuracy of data in database 4 Select Foster Family Selection of foster family Selected foster choices family Daycare Pool Selection Certified Family (license) Notification of ‘Do Not Use’ Providers Ineffective Community Partner Referrals 5 Notify Referring Worker Selected foster family Need to research liability Play room area on 3rd Floor for of having kids in the holding kids until transported office or picked up by foster family Access to funds for food/ Harmony snack Consolidated work area for the foster family division Existing case aids to man the play room Food Care Packages (hygiene products) Internal Storage Notified Referring Worker of the selected foster family Harmony On‐going training development Standardized Home Studies Current Home Studies Weekly bed list w/addendums, if applicable Expanded Day Care Pool Selection Targeted Recruitment for older kids Page 271 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 FOSTER FAMILY MANAGEMENT PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity 6 Manage Payments Input Request for payment Receipts, as applicable Outputs Payment made Controls Service price controls City of Richmond financial procedures Resources Harmony system Advantage system RAPIDS system Department finance staff Quality Assurance review Pay advice forms Page 272 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECORDS MANAGEMENT PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources 1 Receive Request for Service Case application Existing case files Digital record Case number assignment or verification Confidentiality rules Timeliness rules for application processing Court requirements for original documents Existing hard copy files Record management staff Electronic data management system (EDMS) Customer Portal Contract with Enttrust State policy on electronic communications User assistance for customer portal 2 Worker Processing Existing case files Digital record Digital record Cross reference to hard copy file Confidentiality rules Timeliness rules for application processing Electronic interface with State systems Granting temporary access to case file State system security policies o No 3rd party processing o Rules on wireless transactions Segregation of storage Requirements for form of documentation (i.e., TIFF Records management staff EDMS High speed scanning capacity Remote desktop scanning capacity Need common client record index o VACIS Number o OASIS o ADAPT o Harmony o VaMMIS o VUWRS o ASAPS o VaCMS o Other systems Page 273 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECORDS MANAGEMENT PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls v. PDF) Resources Tracking system for hard copy records Staff training RFID for hard copy records 3 Case Closure Final case files Closed files Confidentiality rules State system security policies o No 3rd party processing o Rules on wireless transactions Segregation of storage Requirements for form of documentation (i.e., TIFF v. PDF) Records management staff EDMS Tracking system for hard copy records Staff training RFID for hard copy records 4 Record Retention Purge schedule Purged files and documents State and federal regulations regarding purge dates by case and/or file type Shredding equipment or contract Archival storage system Page 274 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 QUALITY ASSURANCE PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources 1 Perform Risk Assessment External audits Performance reports Customer complaints Risk Assessment Access to information with identified and systems ranked risk areas Lack of cooperation from program managers and Deputy Directors Sufficient resources for full QA review process State performance audit standards Federal performance regulations Previous Audits Customer Complaints Performance measures and results Risk Assessment Training Staff (QA, Program managers and Deputy Directors) Template for Risk Assessment Industry best practices Risk assessment guidelines of the Committee of Sponsoring Organizations (COSO) 2 Develop Overall QA Plan Risk Assessment with identified and ranked risk areas Overall QA Plan RDSS leadership QA staff Risk assessment guidelines of the Committee of Sponsoring Organizations (COSO) Agency calendar 3 Communicate QA Plan Overall QA Plan Communicated Plan Agency schedule Understanding of Availability of Staff Plan Staff By‐in and Cooperation RDSS leadership By‐in and cooperation RDSS leadership availability City Policies RDSS leadership QA General Staff Community Partners Page 275 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 QUALITY ASSURANCE PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity 4 Execute QA Plan Input Communicated Plan Understanding of Plan Staff By‐in and Cooperation Outputs Report with findings Controls Non‐standardization of files Restriction to files Missing files Lost Data State performance audit guidelines Lack of QA staff to investigate the risk areas Lack of training on performing investigations RDSS policies State/Federal Laws Lack of budget for technology ((laptops or ipads for recording investigation results) Resources 5 Develop Corrective Action Plan Report with findings Corrective Action Plan Implemented State/ Federal Laws Lack of training on developing corrective Staff By‐in and Cooperation Files Performance Measures Access to Data Systems QA staff training on performing investigation QA staff Documentation control system RDSS policies State/Federal Laws Technology (laptops or ipads for recording investigation results) General Accountability Office “Yellow Book” guidelines for performance audits Institute of Internal Auditors guidelines American Society for Quality guidelines Council on Accreditation (COA) guidelines Staff By‐in and Cooperation Files Performance Measures Page 276 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 QUALITY ASSURANCE PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Corrective Action Plan 6 Monitor Corrective Action Plan Corrective Action Plan Determination if Corrective Actions Implemented Corrective are effective Action Plan Final Report Controls Resources action plan Lack of staff By‐in and Cooperation Access to Data Systems Training on developing corrective action plan QA Staff Corrective action plan template Documentation control system RDSS policies State/Federal Laws Technology Benchmarks or best practices amongst other agencies Lack of staff By‐in and Cooperation State/ Federal Laws Lack of budget for technology (laptops or ipads) Surveys Measurement goals and results QA Training Staff Technology (laptops or ipads) Page 277 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 UTILIZATION MANAGEMENT PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Resources Budget (Recruitment staff, added web portal for recruitment, exhibit equipment) Procurement Regulations CPT – Community Policy Team Recruitment Staff Recruitment Staff Marketing Information regarding RDSS Needs Exhibit Equipment Providers Recruitment tab on RDSS portal 1 Establish Pool of Providers 2 Assess Service Providers Pool of Providers Selected Providers UR Staff Recruitment Staff Efforts Supporting Pressure from Providers Documentation for to be selected selection or non‐ State Requirements (back selection ground check, licensures, etc.) Budget (laptop, training) 3 Execute Service Contracts Selected Providers Community Agencies State CSA website State Providers List Referrals Virginia Associates of Private Providers External Training Pool of Providers for Fast Track and Normal Track Controls Executed Contacts Lack of Electronic Storage Space Contract Specialist Procurement Regulations Scan Equipment Budget (attorney Case Mgmt Rep Financial Rep Utilization Review (UR) Staff Utilization Manager (UM) CQI Rep Tablet (laptop) with electronic review tool Evaluation/ Coaching Training Attorneys Contract Templates Contract Specialists Scan Equipment Page 278 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 UTILIZATION MANAGEMENT PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources services) 4 Update Approved Providers Database Executed Contracts Database of Limited Existing database Consolidated Providers List Approved Providers Budget (New Smart Database technology database, Smart Technology for training) database (tracks changes, sorting, etc.) Training of Technology Contract Specialists Harmony Updated Providers Profile 5 Monitor Service Providers Database of Providers Complaints Referral from Case Management Request by Service providers Required Reviews Utilization Review Report CSA Review Policy Annual Background Check Monitoring Staff Access to City Vehicle Budget (Monitoring staff, technology – laptop, cell phones) 6 Approve Provider Invoices Provider invoice Contract for service Payment authorization Original service contract, Provider service data with amendments Harmony system City payment policies and procedures 7 Evaluate Performance Outcome Providers Report Evaluated Providers Providers Outcome Monitoring Staff Monitoring Review Tool Training to provide on‐going assistance Cell Phone Access to state UM/UR Network Tablets (laptop) Transportation Report Template Page 279 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 UTILIZATION MANAGEMENT PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input from Providers 8 Determine Continued Service Outputs Report UR Report Evaluated Providers Report Decision of continued service Controls Report Resources Providers Report UR Staff Established Evaluation criteria or ranking/scoring UR Staff UM Established criteria for keeping or terminating services Page 280 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 FINANCE (SUPPLIES AND MATERIALS) PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Requisition Specifications Requirements Need by date Suggested vendors Any additional supporting documents Approved Requisition Who’s assigned to fulfill the request City and State Procurement Policies and regulations Lack of staff to handle the request volume Lack of budget for training and/or for additional staff if needed RAPIDS (Advantage) Harmony City/State Supply Schedule Timeliness of receiving quotes Lack of vendors who can provide services required Lack of Staff to handle the demand for reviewing and selecting vendors Lack of cross training Lack of budget for training and/or for A buyer Vendors who can provide goods required Quotes from Vendors Budget for training and/or additional staff if needed Standard Operating Procedures for Vendor selection 1 Receive Request for Service 2 Select Vendor Approved Requisition Selected Vendor Who’s assigned to fulfill Quoted Price the request Availability of the good Resources Requestor A buyer Advantage Harmony Standard Operating Procedure (SOP) for Approving Requests Training of Advantage and Harmony system Budget for training and/or additional staff if needed Page 281 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 FINANCE (SUPPLIES AND MATERIALS) PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources additional staff if needed Lack of SOP for consistent selection process 3 Generate Purchase Order in System Selected Vendor Quoted Price Availability of the good Notified selected Vendor Approved PO If state requires physical signature on PO approval RAPIDS (Advantage) Harmony Lack of technology for electronic signature Lack of Staff to handle the volume of POs Lack of cross training Lack of SOP for data entry Worker’s accountability for accurate data input Lack of budget for added technology for automatic electronic notification to vendors Lack of budget for technology for electronic signature A buyer Selected Vendor If physical signature is required, a consolidated stamp for signatures Technology for vendor notification when PO is ready for approval Vendors access to Advantage via RDSS portal to download and approve PO Technology for electronic signature Standard Operating Procedures for Generating POs Workers accountable for accurate data input Budget for added technology for automatic electronic notification to vendors Budget for technology for Page 282 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 FINANCE (SUPPLIES AND MATERIALS) PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources electronic signature 4 Vendor submits invoice via Advantage Portal Notified selected Vendor Approved Invoice Approved PO Received goods Invoice from Vendor 5 Issue Payment via Advantage Approved Invoice Payment RAPIDS (Advantage) Harmony If State requires physical signature on Invoice approval Internal and External Auditor lack of DSS programs knowledge Lack of budget for added technology for automatic notification an invoice has been received If physical signature is required, a consolidated stamp for signatures Vendors access to Advantage via RDSS Portal for Vendors to upload or submit invoice Technology for Finance notification that an Invoice has been uploaded or received Budget added technology for automatic notification an invoice has been received Harmony Lack of Education of Harmony Vendors who aren’t setup to receive electronic payment Lack of budget for technology that can bridge or link OASIS and Harmony for stop Technology that can bridge or link OASIS and Harmony for stop payment situations Vendors setup to receive electronic payment Harmony training Budget for technology that can bridge or link OASIS and Harmony for stop payment situations Page 283 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 FINANCE (SUPPLIES AND MATERIALS) PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources payment situations Page 284 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOVERY AND FRAUD PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources 1 Receive Investigation Report Hotline Online Portal Internal Referrals Record of complaint for screening Online Investigation Requests Harmony Lack of Training in Harmony Harmony Training in Harmony Fraud Staff 2 Screen/Validate Request Investigation Request Identification of a valid referral Criteria to determine if there is enough information to proceed Criteria to warrant an investigation Training on validating a request Fraud Staff Harmony Criteria to determine if there is enough information to proceed Criteria to warrant an investigation 3 Assign Investigator(s) Valid Request Assignment Reconciliation between Harmony Harmony and Fraud Data Reconciliation between Tracking (FDT) system Harmony and Fraud Data Limited access to FDT Tracking (FDT) system Limited functionality of Available/Experienced FDT (Investigation Can’t Investigators be tracked in FDT system until case is flagged as “begun”) Page 285 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOVERY AND FRAUD PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity Input Outputs Controls Resources 4 Conduct Investigation Investigation Assignment Final Report Annual Fee for professional designations Access to Training Unsecure location for records prior to closure Electronically attach data in Harmony and FDT Investigation Checklist Budget (training, technology‐laptops, cellphones) Access to city vehicle Lack of cooperation of person or provider being investigated Access to all applicable systems (OASIS, SPIDER, ADAPT) Safe Passages Consolidated Case Management file Technology (tablets, laptops, cellphones) Access to Training Secure location for ongoing case data Investigator Person or Provider being investigated Case Management Transportation (if investigation have to be offsite) Reporting template 5 Issue Final Report Final Report Distributed Final Report VA DSS Fraud Reduction & Elimination Manual Fraud Staff Supervisor VA DSS Fraud Reduction & Elimination Manual Case Management Access to Training on Industry Standards Page 286 RICHMOND DEPARTMENT OF SOCIAL SERVICES BUSINESS PROCESS REENGINEERING PLAN PROJECT REPORT – DECEMBER 2012 RECOVERY AND FRAUD PROCESS TABLE OF INPUTS, CONTROLS, OUTPUTS, AND RESOURCES Activity 6 Close Investigation Request Input Outputs Controls Distributed Final Report Closed Investigation VA DSS Fraud Reduction & Elimination Manual Lack of Electronic Storage capabilities Restitution management tracking system Accounting Department Budget (increase electronic storage space, restitution tracking system) Resources Fraud Staff VA DSS Fraud Reduction & Elimination Manual Electronic Storage capabilities Restitution management tracking system Accounting Department Page 287