Knowledge is Power: Measurable Results Give Human Services a Sharper Edge

Aug 12, 2011Matthew Klein

money-question-150In a week-long series, prominent thinkers will look at ways to harness the private sector or extract more from a recalcitrant public sector in order to combat poverty and inequality.

money-question-150In a week-long series, prominent thinkers will look at ways to harness the private sector or extract more from a recalcitrant public sector in order to combat poverty and inequality. In the fifth post, Matthew Klein, co-chair the Human Service Data Project, describes a new initiative to give nonprofits and human services information that can help them do more with less.

With needs rising and government agency budgets getting reduced, the pressure is on human service providers to do more with less, and on government to ensure that it is deploying its limited resources to the best effect.

This pressure, while increasingly acute, has been building for some time and is reflected in the focus on the need for "measurable results" in the social sector. As any nonprofit can tell you, private funding streams and government contracts have increasingly asked service providers to quantify what they achieve. The rationale behind the trend is straightforward: funding -- especially in a time when dollars are tight -- should flow to more effective organizations. So some objective criteria is needed to assess which agencies are, in fact, the high performers.

The interest in measurable results is not only imposed by funders. Many providers, who are engaged day in and day out with trying to improve the lives of clients in challenging circumstances, are mission-driven and want to assess their progress in order to continually improve. They want to track what's working and what isn't and learn from others who are having success where they are struggling.

Yet most would agree that current performance reporting practices for government funded social services rarely meet the needs of the people who rely on them. In most cases, funding decision makers do not get information that would allow them to make relative comparisons between organizations, and individual service providers are unable to benchmark themselves against others to understand their work in context or learn from best in class organizations.

Why not? Two problems figure heavily. First, the metrics used to define performance are themselves not standardized. So, for example, a group of job training organizations might include those that define "participants" as anyone who signs up to receive services and those that define "participants" as those who pass a screening and trial period. Without clarifying distinctions like these, assessing organizations' placement rates for participants is not meaningful.

Second, information reporting typically only goes one way -- from the service provider to the government funding agency. Even when a given funding contract does strictly define performance terms and all of the funded agencies measure success the same way, they rarely find out how their reported results rate against others. Providers don't know whose practices to emulate.

The experiment in NYC

In New York City, a cross-sector initiative called the Human Service Data Project is underway to try and improve how performance reporting occurs and data is shared. In 2009, Mayor Michael Bloomberg expressed concern about the need to keep the city's nonprofit community strong given the economic downturn, and his Deputy Mayor for Health and Human Services, Linda Gibbs, convened a task force of nonprofit leaders to identify action items. The need for better, more timely information about the performance and financial health of human service agencies emerged as a priority, and the Human Service Data Project, dubbed HSData, was launched in response.

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Along with Louisa Chafee, Director for Management Innovation in the Office of Deputy Mayor Gibbs, I co-chair the HSData Project and we report to Deputy Mayor Gibbs. The effort involves government agencies, private funders, and literally hundreds of human service agencies that have participated in surveys, focus groups, and working sessions to shape the goals and substance of the project. Based on this input, HSData is working to allow human service providers to:

  • Track performance results in relation to common measures to facilitate peer learning and progress within their respective fields. This involves identifying those core results that practitioners believe are important and meaningful, ensuring these metrics have clear definitions so that everyone means the same thing when they use the same words, incorporating these metrics into the city's ongoing funding processes, and reporting back to providers how their results compare to their peers. The process of standardizing metric definitions is happening first in three sub-sectors: workforce development, senior services, and adult alternative to incarceration programs.
  • Analyze financial information to gain insights about their own fiscal practices. This analysis should help nonprofits assess their fiscal health with reference to other, similar organizations and articulate the full, true cost of program activities so they can better understand the implications of operating with public funding.
  • Store institutional documents in an electronic repository to reduce the redundant exchange of paperwork with multiple funding sources. One of the major complaints from providers is the burden of regulatory compliance, and online document sharing is a low hanging fruit solution that everyone agrees is overdue.

In my day job, I direct a small foundation that focuses on social innovation in New York City, and from my perspective there are a few aspects of HSData that I think are particularly exciting.

First, the effort is working to align the perspectives of multiple sectors. Instead of policymakers developing outcome definitions in a vacuum, Deputy Mayor Gibbs has asked service providers to specify the results that are truly important and meaningful for their clients and then to help create a set of common definitions that accommodate important programmatic nuances. So a concept like "job placement rate" will not be used overly broadly, but will be broken out based on provider input to clarify what is meant by "job" (full time or part time, with retention or not, etc.) or "rate" (of all graduates of the program? Of original enrollees? and so on) and allow for more relevant apple-to-apple comparisons. It's impressive that a city is embracing such a bottom up process to influence its funding approach.

Second, the scale of New York City's human service sector provides an opportunity for standardized outcome definitions to gain traction. The idea of common metrics is not new; in fact, HSData is inspired by the important work of other organizations like P/PV's Benchmarking Project and the Urban Institute's Outcome Indicators Project.  But there is not enough reason for nonprofits to dedicate the time and resources to follow a specific outcome taxonomy unless there are funding implications attached to it. In New York City, over 5,000 health and human service organizations have paid employees, and about 1,300 of the groups are funded at least in part through city contracts. With its purchasing power, the city is in the extraordinary position to generate a widespread use of common definitions that can bring coherence to a fragmented space.

Third, HSData represents an early example of applying open data principles to social services. As technology advances, there are a growing number of solutions that allow databases to talk to each other. But for that to happen, the fields and definitions need to be the same in each database for the information to flow between them.  The common metrics of HSData can hopefully allow more automated ways for providers and government to share information.  Even better would be if the data (with appropriate anonymity) is made available more broadly to be analyzed and presented visually. Open data in action, for example in weather, teacher performance, crime and many other areas, can bring new insights and benefits to the public.  It's possible that standardized data about performance results, if accessible to broader analysis, could lead to new thinking about the underlying services.

HSData is still a work in progress, and it's yet to be seen if all the benefits will come to fruition. There's no doubt, though, that in an age of austerity the motivation behind HSData and efforts like it to make performance data more meaningful, more easily shared, and more important in the allocation of resources is only going to get stronger.

Matthew Klein is the Executive Director of Blue Ridge Foundation New York, a social innovation fund in New York City that incubates start-up organizations with high potential ideas for increasing equal opportunity and economic mobility.

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Providing Low-Income Students the Benefits They Deserve and the Education They Need

Aug 11, 2011Andrew Hammond

lesson-150In a week-long series, prominent thinkers will look at ways to harness the private sector or extract more from a recalcitrant public sector in order to combat poverty and inequality.

lesson-150In a week-long series, prominent thinkers will look at ways to harness the private sector or extract more from a recalcitrant public sector in order to combat poverty and inequality. In the fourth post, Andrew Hammond, Director of Strategy for Single Stop USA, looks at ways to coordinate existing government benefits and financial aid programs to make community college more affordable.

How can we increase economic mobility in America in the midst of this troubling time of fiscal austerity? By repurposing the safety net to help students get through college.

A postsecondary education is the best way to disrupt intergenerational poverty. Yet private and even public universities have become prohibitively expensive to many would-be college students. It is no accident, then, that more Americans are going to community colleges than ever before. Community colleges educate more immigrants and more first-generation college students than their higher education peers. More veterans go to community colleges than any other educational institution in the country. Educating a plurality of American college students, community college is the most viable academic option for low-income students.

Yet, more than two-thirds of students fail to complete community college or transfer to a four-year school. For postsecondary education to lead to economic mobility, students must leave college with a credential that has some purchase in the labor market. While some college coursework can make a marginal difference in a young person’s employment prospects, it’s the degree or certificate, the imprimatur of a college, that can generate significant returns for the student and the student’s family. For that kind of generational transformation to occur, more students need to finish their degrees.

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To increase the frequency of community college graduation, we need to demolish the barriers to completion. Aside from the need for remedial education, the most significant obstacles to community college graduation are the indirect costs associated with enrollment. For community college students, especially those who are working and parents, costs like child care, transportation, and housing conspire to make even part-time education untenable.

Community colleges must reorient their financial aid systems to meet these indirect costs of attendance by improving student access to government programs that can help students meet these expenses. Yet, often these programs, like food stamps, Medicaid, and tax credits, exist in silos, spread out across state agencies and federal departments. Community colleges need to play an active role in helping to connect students to these programs and services, just as they help students fill out their forms for traditional financial aid, like Pell Grants and state aid.

Single Stop USA is making this type of intervention a reality. Here’s what it looks like at over a dozen community college sites across the country:

Counselors use a cutting-edge technology tool called the Benefits Enrollment Network (BEN) to determine which benefits a student is eligible for in as little as 15 minutes. They then guide the students through the application process and connect them to other on-site services. Tax preparers at the college prepare the students’ tax returns for free. Legal and financial counseling help address housing and other needs and enable students to manage their debt. We are already seeing incredible preliminary results at our partner colleges including the largest college in the country, Miami Dade College.

By supporting students with wrap-around social services, we can remove multiple barriers to college completion across the country and, in doing so, community colleges can become a powerful engine for economic mobility in America.

Andrew Hammond is the Director of Strategy at Single Stop USA.

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Social Impact Bonds Can Help Achieve Progressive Goals in an Era of Austerity

Aug 10, 2011Brad Bosserman

handshake-150In a week-long series, prominent thinkers will look at ways to harness the private sector or extract more from a recalcitrant public sector in order to combat poverty and inequality.

handshake-150In a week-long series, prominent thinkers will look at ways to harness the private sector or extract more from a recalcitrant public sector in order to combat poverty and inequality. In the third post, Brad Bosserman explains how the credibility and effectiveness of these programs can help create a more equal society when the government isn't spending.

Despite sky-high unemployment and yawning economic inequality, budget hawks have succeeded in convincing policymakers that they should embrace short- and medium-term austerity in order to close the budget deficit. The debt ceiling compromise will include trillions of dollars in cuts to discretionary budgets, little or no new revenue, and automatically triggered cuts that would indiscriminately remove large slices of operating budgets across the board. These policies will endanger many of the social safety net programs that millions of Americans rely on. It is incumbent upon progressive policy leaders to not only consistently make the case for robust funding, but also advance ideas that can generate the most value for citizens in an increasingly resource-constrained environment.

Social Impact Bonds hold the potential to be one of those ideas. These regimes function by having state, local, or federal governments contract with a private intermediary (Social Bond Issuing Organizations, or SIBIOs) that agrees to design and execute a desired program against predetermined benchmarks. These arrangements have a number of unique benefits for progressives operating in an era of budget austerity. First, by off-loading the financial risk of failed interventions onto private intermediaries, the government can ensure that each dollar spent is effectively achieving a measurably positive outcome. Additionally, this minimization of wasted funding can have important perception benefits, allowing governments to make a strong public case for increased funding by guaranteeing results. If designed properly, this can be a win-win strategy for achieving expanded budgets and a more efficient deployment of scarce resources.

Social Impact Bonds are also appealing due to their broad, though not universal, applicability. The Center for American Progress highlights a few of the possible intervention points:

Imagine the social benefits and reduced taxpayer burden if we could:

  • Increase kindergarten readiness among low-income children
  • Increase college completion rates
  • Reduce criminal offenses and incarceration rates among minority youth
  • Raise the future earnings of laid-off workers
  • Reduce hospital readmissions among patients with chronic illness

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Once one begins thinking along these lines, it's easy to imagine the many areas where SIB regimes could be deployed effectively. Worker retraining programs are perfect candidates because of the vastly different results from various types of interventions. Some programs have been found to be highly effective, while others are functionally useless. But the current models of funding, unfortunately, focus primarily on inputs instead of outputs. SIBs can reorient that focus and incentivize results for real people. The appeal of this model, however, is not only in off-loading risk. We would expect that results-seeking SIBIOs and bond holders would also be incentivized to boost innovation, implement robust comparative effectiveness research, craft new evaluation systems, and scale up the most successful models. Harnessing these benefits of market-based approaches could be a real boon to progressive priorities.

While the Social Impact Bond model represents a possible way for progressives to respond to budget constriction, this regime is nascent and it's important to recognize some of the limitations and potential pitfalls.

First and foremost, any time that the government attempts to deploy the profit motive it can be said to be playing with fire. Regulatory capture will remain a real risk that must be continually guarded against, especially in the contract and negotiation phase. Well written contracts must ensure that the population being serviced is correctly and broadly defined and wind-down procedures are established that don't leave people twisting in the wind if SIBIOs pull the plug on projects that are tracking bellow expectations. Overcoming these two hurdles can mitigate the risks of SIBIOs skimming the candidates with the most potential for success or abandoning people who have come to depend on an under-performing project.

Finally, like all performance pay programs, SIB interventions must be able to provide measurable results as determined by credible impact assessments. Robust public-private partnerships should be established to create best practices for measuring, quantifying, and testing program efficacy with an eye toward avoiding "teaching to the test" and mitigating possible manipulation. This is certainly not an easy task, but it is long overdue and would provide significant cross-applicability for other, non-SIB programs as well.

The next generation of progressive leaders realizes that a strong and flexible safety net is essential, but some of the shortcomings of traditional funding and delivery mechanisms must be updated to reflect current realities. These young leaders chose to include Social Impact Bonds in their Budget for a Millennial America because they consistently value innovation and results over inertia-driven policies that are often perceived as anachronistic.

As we face a powerful, if misguided, consensus that governmental discretionary spending should be reduced, progressives must be at the forefront of advancing hyper-efficiency and crafting innovative proposals that can effectively market social interventions to policymakers and the public. Social Impact Bonds are far from a panacea, and there are many programs that are ill suited to this type of regime, but this is the sort of innovation that advances the conversation and re-envisions the mechanics of achieving progressive goals.

Brad Bosserman was a lead author of the Budget for a Millennial America and a Research Fellow with the Campus Network. He is currently pursuing a master's degree in government at Johns Hopkins University.

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Can Social Impact Bonds Solve the Problems Government Won't?

Aug 9, 2011Tracy Palandjian

spending-money-150In a week-long series, prominent thinkers will look at ways to harness the private sector or extract more from a recalcitrant public sector in order to combat poverty and inequality.

spending-money-150In a week-long series, prominent thinkers will look at ways to harness the private sector or extract more from a recalcitrant public sector in order to combat poverty and inequality. In the second post, Tracy Palandjian, CEO of Social Finance Inc., looks at the promise and challenges of using Social Impact Bonds to address deep issues.

Across the United States, community groups, government agencies, and nonprofit organizations are working to tackle the root causes of poverty, crime, and other disabling economic and social conditions. There are successes, to be sure, but these are exceptionally difficult days for disadvantaged individuals and communities, in part because of the current fiscal crisis, but also because multifaceted problems have become too complex for one-dimensional, prescriptive solutions. At the same time, state and local governments too often address problems only after they occur. Poor outcomes are frequently repeated, requiring the public sector to spend ever increasing amounts on crisis interventions.

Fortunately, there are encouraging signs that access to private capital markets can reverse this cycle and drive more capital toward preventive programs that can create better outcomes, lessen the need for remediation, and reduce overall costs. A new impact investment product, the Social Impact Bond (SIB), was recently launched in the UK -- the first one in the world -- to finance effective social programs.  It represents an innovative financing mechanism and a new form of cross-sector collaboration to drive systemic change.

SIBs tap a significant new funding source for evidence-based nonprofit programs. An SIB is a financial instrument in which investors front working capital to nonprofit organizations to implement preventive programs aimed at achieving specified social outcomes. If an independent evaluator determines that predefined metrics have been achieved, the government repays investors their principal and a rate of return; otherwise, investors lose their capital.

Ben Franklin's adage that "an ounce of prevention is worth a pound of cure" provides the motivation for SIBs. The savings that SIBs produce enable activities that generate social progress to be monetized into an investable asset. SIB-funded programs include preventive interventions (such as supportive housing for chronically homeless individuals) that produce better social outcomes (increased residential stability and better health) and deter costlier crisis responses (repeated emergency room visits, hospital admissions, incarceration, and use of shelters).

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Everyone benefits under a successful SIB program. The public sector sees better results for less upfront investment and only pays if social outcomes and cost savings are produced. Investors put capital to work while achieving robust financial returns and meaningful social impact. Nonprofit service providers get stability and predictability in their revenue model, which frees them up to do what they do best -- deliver critical services to populations in need. Disadvantaged individuals and their communities benefit from both increased and improved social goods and services.

Massachusetts recently became the first state in the nation to formally pursue SIBs by issuing a Request for Information (RFI). Social Finance Inc., the nonprofit sister organization of the UK firm that launched the world's first SIB, responded to the RFI, announcing its intention to develop, finance, launch, and manage high-quality SIBs over the life of the instrument. Social Finance identified a number of promising SIB applications, including permanent supportive housing for chronically homeless individuals; housing-based support for homeless families; home- and community-based aging-in-place programs for elders; community-based alternatives to juvenile detention; and alternative community corrections for adult offenders.

Developing detailed business cases for specific SIBs will be challenging, however, given the inherent uncertainties involved in producing and measuring social outcomes. Social Finance has been conducting extensive research around various evidence-based interventions, growth-ready nonprofits with strong track records of successful delivery, and the costs and outcomes of existing and proposed services, all of which must be presented in credible financial models. We know that investors will also conduct demanding due diligence in a number of areas, including nonprofit capacity, the ability of chosen interventions to increase social impact, decision-making and control, outcomes, metrics and evaluation.

Some of our current social challenges are too widespread, deep-rooted and costly to be addressed by traditional sources of private philanthropy and government funding. SIBs draw from a new pool of capital that can enable proven models of intervention to expand. In addition, SIBs advance Stephen Goldsmith's "governing by network" model, a form of shared collaboration among the public, private, and nonprofit sectors, facilitating cooperation across governmental silos, to address pervasive economic and social problems.

Tracy Palandjian is the CEO of Social Finance, Inc., a nonprofit organization dedicated to connecting the social sector to the capital markets. It is the sister organization to Social Finance, Ltd. which launched the world's first Social Impact Bond in September 2010.

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How Can We Fight Poverty in This Age of Austerity?

Aug 8, 2011Georgia Levenson Keohane

 

In a week-long series, prominent thinkers will look at ways to harness the private sector or extract more from a recalcitrant public sector in order to combat poverty and inequality. In the first post, Roosevelt Institute Fellow Georgia Levenson Keohane reminds us that while the government should be tackling these problems, there are practical and potentially exciting ways to get things done without it.

 

In a week-long series, prominent thinkers will look at ways to harness the private sector or extract more from a recalcitrant public sector in order to combat poverty and inequality. In the first post, Roosevelt Institute Fellow Georgia Levenson Keohane reminds us that while the government should be tackling these problems, there are practical and potentially exciting ways to get things done without it.

If there is any silver lining to the debt ceiling fiasco, it is that it has reshaped the contours of our national debate. No longer are we simply concerned with fiscal, economic or credit rating calamity; the crisis has gone existential.

Facts, it turns out, are stubborn and occasionally inconvenient. A budget deal that shreds the fabric of our social contract cannot ignore the following: that the recession has severely exacerbated poverty in the U.S.; child poverty remains shamefully high; inequality soldiers on; record and persistent unemployment -- either by official or more sobering measures -- has made life for millions of Americans scrambling to stay out of poverty cruelly hard and stressful. And all this before an unprecedented round of cuts to basic programs and services that comprise our safety net that will worsen, rather than improve, matters. The best route out of this mess, to say nothing of long-term prosperity, is jobs. Full stop.

On the question of employment, one does not need to be a student of history, Keynes, or a host of recent examples to face up to reality. Just take a look at the current British experiment in slash and burn austerity, the successes of the U.S. stimulus package (and in particular the tax credits, food stamps, unemployment insurance, and other social welfare provisions) that kept poverty from getting a whole lot worse, the basics of cost benefit (investments in things like early childhood education or healthcare for everyone, and for poor people especially, yield positive returns) or the basic levers of public policy (budgets have two sides, expenses and revenues). Job creation will require government spending. Full stop number two.

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When it comes to fighting poverty, it is critical that we continue to wage these ideological and political battles. Yet at the same time, we must also embrace a pragmatic approach to policy formulation that recognizes the harsh realities of austerity: government sorely lacks the resources -- cash and political will -- to meet the surge in human needs. In the coming days, a series of posts will address issues of poverty and equality of opportunity in exactly these terms, illustrating important 'social innovations' that allow us to do more with less. Broadly speaking, we will hear about two kinds of approaches: initiatives that enable us to do a better job with the government funds we already have, and those that help attract new sources of capital to bear on social problems. Topics will include recent efforts to improve measurement and evaluation of critical social services, new programs designed to help poor people access benefits for which they are already eligible, experiments in designing 'social finance' instruments that aim to monetize the value of raising people out of poverty, and others. These are collaborations between non-profit organizations and their allies in local, state and the federal government to harness new sources of philanthropic or other private investment in improving social welfare.

The progressive project would be wise to remember that these social innovations are in no way a capitulation to our current and fractured tail-wagging-the-dog politics. Rather, they represent a forward looking recognition that economic recovery and sustained, shared prosperity will require practical, cross-sector and creative solutions to our most pressing problems.

Georgia Levenson Keohane is a Fellow at the Roosevelt Institute.

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