Provider Risk Score by Project Report

The Provider Risk Score report was initially designed by the Wisconsin Balance of State Continuum of Care for use in measuring the impact of each of their funded projects. The history of the Provider Risk Score and details regarding how it was developed and how it is calculated are available in this article (pdf). This guide is designed to provide only a very brief summary of how the guide is utilized within the Wyoming HMIS implementation, and we encourage those who are interested in learning more to read the article (pdf).

Running the Report

Report Path

Folders

> Public Folder

> casperwy_live_folder

> Outcome Reports

> Provider Risk Score by Project

Recommended Export Format

Schedule to Microsoft Excel - Reports

Setting the Prompts

Prompt	Instructions
Select Federal Partner(s):	This prompt is for use by ICA System Administrators only. Leave the prompt blank unless otherwise instructed by an ICA team member.
Select Project(s):	Select the project(s) for which you wish to run the report. Note: If this prompt is completed, the "Select Reporting Group" prompt must be left to "none selected."
Select Reporting Group:	Select the reporting group for which you wish to run the report. Note: If this prompt is completed, the "Select Project(s):" prompt must be left incomplete (blank).
Select CoC Code:	This prompt is for use by ICA System Administrators only. Leave set to "none selected."
Select Program Type(s):	This prompt is for use by ICA System Administrators only. Leave the prompt blank unless otherwise instructed by an ICA team member.
Show client names?	This prompt is available to allow users to determine whether the report needs to show client names on the Detail tab. In general, this should be left "no" unless generating the report for the purpose of checking individual client information and names are necessary, in which case the prompt should be changed to "yes."
Enter Start Date:	Enter the start date for the reporting period in M/d/yyyy format. For example, if you're running a report for 7/1/2020-6/30/2021, the date entered in this box would be 7/1/2020.
Enter End Date PLUS 1 Day:	Enter the date after the last date of the reporting period in M/d/yyyy format. For example, if you're running a report for 7/1/2020-6/30/2021, the date entered in this box would be 7/1/2021.
EDA Provider	If only one project is selected in "Select Project(s):" above, select the same project here. If more than one project is selected in "Select Project(s):" or a reporting group has been selected in "Select Reporting Group:", then select one of the projects within the selected projects or reporting group.

Using the Report

This report has four tabs, each serving a specific purpose.

Important! Because the report contains identifying information (names), the report cannot be emailed (even within agencies) unless encrypted, nor can it be shared outside of the agency.

Summary

This tab shows the names of all the projects included in the report, along with the project type and calculated provider risk score for each project included in the report for the selected reporting period.

Provider Detail

This tab shows, in detail, the sum of total scores which was utilized to calculate the final provider risk score for each project. It shows the number of clients who met 0, 1, 2, 3, 4, or 5 of the criteria, the raw score, the client count, and the calculated risk score. More information about how the score is calculated is available below.

Client Detail

This tab has a row for each individual age 18 or over and shows whether they met each of the five specific criteria as of their project entry.

Column	Notes
Chronic at Project Start	This column indicates whether the client met the HUD definition of Chronically Homeless according to the information entered into the HMIS for their prior living situation. Note: This column may show that a client, for whom the agency has documentation showing they were chronic at one time, was not chronic at the time of project start. The provider risk score report looks at whether the client met the chronic definition as of the day they entered the project, rather than whether the client has met the chronic definition at any time. For this reason, it may vary compared to the documentation the project has on hand.
Street Before Entry	This column will indicate "Yes" if the client's prior living situation at project start was Place Not Meant for Habitation. Otherwise, it will indicate "No."
Mental Health Disorder	This column will indicate "Yes" if the client's special needs assessment indicates the client has a mental health disorder. Otherwise, it will indicate "No."
Substance Use Disorder	This column will indicate "Yes" if the client's special needs assessment indicates that the client has a substance use disorder. Otherwise, it will indicate "No."
No Income at Start	This column will indicate "Yes" if the information in the system at project entry shows the client did not have income. If the client did have income, it will indicate "No."
Client Risk Score	This column will provide a total risk score for each individual client, ranging from 0 to 5.

Additional Information

This tab contains information about the report that can be utilized by ICA staff to determine whether the report was run properly by the user. If you seek assistance with this report from the ICA Wyoming Helpdesk, please be prepared to read/send information off of this tab to the individual who assists you.

Frequently Asked Questions

What impacts the Provider Risk Score?

The Provider Risk Score is calculated using five different risk factors which have been shown to be barriers for clients in obtaining and maintaining housing. All five of these factors are collected within the HMIS for all CoC-funded projects, which allows for the score to be generated using HMIS data:

Chronic homelessness at project start
Prior residence of a "place not meant for habitation"
A history of alcohol or drug abuse
A mental health problem
A lack of income at project start

For more details on how these five criteria were selected, you can refer to the original article (pdf).

What is the intent of the Provider Risk Score?

The Provider Risk Score can be utilized in order to help "level the playing field" between different projects when evaluating performance. It provides a score which demonstrates what barriers the program's clients were facing at project entry. This allows a project that served clients with substantial and numerous barriers at project start to demonstrate that the outcomes they achieved took more work on the project's part compared to another project where the clients entered with very few, if any, barriers.

How is the Provider Risk Score calculated?

The risk score is calculated by looking at each individual client in the program and their status for each of the five criteria above. For each of the criteria above that a client meets, they receive two points. If a client meets only one of the criteria above, they receive two points. If a client does not meet any of the criteria, they receive 0 points, and if a client meets all five criteria, they receive 10 points. The total points of all clients within the project are then added together and divided by the number of clients in the program. The outcome is the risk score, which may be scaled upon request.

The full calculation, and the steps utilized to develop it, are available within the article. A simplified version of the calculation is provided here for reference:

What is a "good" Provider Risk Score?

There's not necessarily a "good" Provider Risk Score, but generally the higher the score, the more barriers that a projects' clients face in obtaining and maintaining housing. The score is intended to allow evaluators to give a "boost" to those projects who end up serving clients with more barriers since their outcomes may not be as good as another project who serves clients with fewer barriers.

What can a project do to increase their Provider Risk Score?

A project is not really able to increase (or decrease) their Provider Risk Score, as it is calculated based upon the client status at project entry. By accepting clients through coordinated entry, agencies will likely see a higher Provider Risk Score because the clients who are at the top of the prioritization list will likely score higher on the Provider Risk Score.

How can a project make sure their Provider Risk Score is accurate?

A project should review their data quality on a regular basis to ensure their Provider Risk Score is accurately generated. While data quality across the board is vitally important, the items listed above will impact the Provider Risk Score, so ensuring those are accurate will ensure the project has an accurate risk score calculated.

Need Assistance?

If you need assistance running the report, understanding the information in the report, or troubleshooting potential errors, please reach out to the ICA Wyoming Helpdesk. Include the name and date of the BusinessObjects report as it appears in your BI Inbox in your request for assistance. Do not attach the report to any emails going to the helpdesk as the report contains personally identifying information and cannot be transmitted unless encrypted.