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What s Your Strategy Thinking Through the Error Reduction Challenge

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What s Your Strategy Thinking Through the Error Reduction Challenge
Chapter 7.

What’s Your Strategy? Thinking

Through the Error Reduction

Challenge









1

Chapter 7. Section 1.

Introduction

Learning Objectives

Assess, analyze and cure QC findings

Develop & implement a long-term error

resolution plan



2

Getting Ready

• It’s time to begin thinking about taking the

Summit information home.

• In the Chapters 6 & 7 we are changing the

nature of the conversation

– From: What PHAs must and must not do

– To: Short and long term strategies for

responding to the RIM reviews and

implementing an effective error reduction

program.



3

Getting Ready

Discussion



• What will be the most challenging part

of an error reduction initiative at your

PHA?







4

This Chapter



• Focuses on strategies for:

– Identifying root causes of errors

– Developing a plan for correcting and

preventing errors

• Includes a 2-part problem solving model

that will be used to think about:

– Responding to RIM reviews

– Reducing and preventing future errors



5

Approach to Error Reduction





Clarify Area of Concern



Understand What Really

Problem Happened

Analysis

Identify Reasons for Errors









Find Appropriate solutions

Response

Strategy

Develop an

Implementation Plan



6

What People Often Do…

• “I have a problem. Let’s make a plan.”

– They forget the steps that come before the plan.

– They solve the wrong problem!



– Find out what the problem is before you fix it!



• As you go through the examples, you may say,

“I know what needs to be done – we need to do

training.” But let’s go through the steps to see.





7

RIM Reminder

Within 45 days:

– Correct individual tenant file errors identified by the

RIM

– Corrective action plan for any errors not resolved in

45 days

• Within 6 months:

– Implement corrective actions to resolve systemic

findings and prevent future errors

– Corrective action plans that exceed six months must

be approved by HUD Headquarters.



8

Chapter 7. Section 2.

Problem Analysis Strategy









9

Section 2. Problem Analysis

Strategy

• Our strategy starts with “problem analysis”

• But don’t we already know what’s wrong?

– HUD’s RIM reviews may have identified some

problems

– But … knowing what to do about the problems

requires a deeper understanding of exactly

what happened and why.





10

Problem Analysis



Step 1: Clarify Area of

Concern





Step 2: Understand What

Problem Really Happened

Analysis





Step 3: Identify Reasons

for Errors





11

Step 1: Clarify the Area of

Concern

• Work with one issue at a time

– We’ll use Child Care as a running example

• Use as many sources of information as

possible

– RIM review findings

– Quality control results

– Complaints (internal/external)

• After an assessment of each issue, think

about how they fit together

12

Clarify the Area of

Concern

• Identify the requirements: Is it clear how

each issue should have been handled?

• To be sure, review:

– HUD and PHA policies and procedures

– Forms, checklists and other tools

• Ask yourself:

– Are policies and procedures clear?

– Do they ensure consistent handling of files?

– Are any situations not covered?

13

Concern: Child Care

Page 7-5. The RIM Reviewer found that:

• Staff didn’t follow PHA policy for determining

which family member is enabled to work

• Staff did not ask if child care costs were paid or

reimbursed by a third party

• 3rd party verifications were missing with no

explanation

• No documentation of the “reasonableness” of

the child care expenses

• Ineligible expenses counted as child care

14

Concern: Child Care



Page 7-5 (continued)

• Where would we find what should have

happened?

– HUD regulations [24 CFR 5.603 and 5.611]

– PHA’s Admission and Occupancy Policy

– Public Housing Occupancy Guidebook

– Notice PIH 2001-15 (HA) [expired]

– PHA forms [Interview form, third-party

verification form]

15

Concern: Child Care

• We have clarified the area of concern. We

know:

– What the RIM Reviewer (or our own QC

process) tells us happened.

– What should have been done according to

HUD and PHA policies.

• Next step: Understand what really

happened.



16

Approach to Error Reduction





Clarify Area of Concern



Understand What Really

Problem Happened

Analysis

Identify Reasons for Errors









Find Appropriate solutions

Response

Strategy

Develop an

Implementation Plan



17

Step 2: What Really Happened?



• Begin to assess the underlying problem

– Who made the errors (everyone, several

people, one person)?

– How frequently were errors made?

– What kinds of errors were made?

– Did a special situation cause the error?

• Start with your experience but don’t jump

to conclusions

18

What Really Happened?

• To understand the underlying problem you

may decide additional data collection is

needed.

• If so:

– Pick files processed by different specialists

– Select enough files to pick up on problems

and see trends

– Choose cases that are likely to have the type

of error you are analyzing



19

What Really Happened?



• Talk with people

– Consider the advantages of individual vs.

group conversations

– Consider how to get diverse perspectives.

Variety is the key!

• Best/worst performers?

• Oldest/newest staff?

• Members of different teams?

– Talk to enough people, but not too many

20

What Really Happened?



• Think about how you ask the questions.



– Can you walk me through this part of the

process? (Not: Why did you …)

– What is the hardest or most confusing part?

– What do you do if you have a question? (Not:

Why don’t you know …)

– What would help you do this more easily/more

accurately.

21

What Happened: Child Care

Page 7-8.

• Staff automatically used the spouse’s

income to cap child care.

– PHA policy says use family member with

lowest income unless information shows

someone else is enabled to work

• Staff didn’t ask about reimbursement from

other sources.

– Some staff said they didn’t know to do it;

others said they knew, but “forgot” to ask

22

What Happened: Child Care

Page 7-8 (continued)



• Missing third-party verifications

– Staff reported that third-party providers often

don’t cooperate, so they used other

verification method to get work done quickly.



• Missing documentation of reasonableness

– Staff are confused about how they are to

handle “reasonableness”



23

What Happened: Child Care

Page 7-8 (continued)



• Ineligible expenses allowed for a 15-year old

child with a disability

– The staff member knows the rule.

– A review of her other cases found no other

errors. She just made a mistake.



• Now we understand what happened. Next:

Why did it happen?



24

Approach to Error Reduction





Clarify Area of Concern



Understand What Really

Problem Happened

Analysis

Identify Reasons for

Errors





Find Appropriate solutions

Response

Strategy

Develop an

Implementation Plan



25

Step 3: Identify Reasons for

Errors



• To understand why:

– Reflect on what you know from looking at files

and interviewing staff

– Remember, the stated reasons may not get to

the root problem









26

Reasons for Errors:

• Keep asking “why”? For example:

– Staff didn’t know how

– Why didn’t they know?

• No one told them – why didn’t someone tell

them?

• Someone told them – but they

misunderstood? Why did they

misunderstand?

• They knew it but forgot – why did they

forget?

27

Approach to Error Reduction





Clarify Area of Concern



Understand What Really

Problem Happened

Analysis

Identify Reasons for

Errors: Stated and Root





Find Appropriate solutions

Response

Strategy

Develop an

Implementation Plan



28

Reasons for Errors

(See Chart on p. 7-10)

Stated Reason Root Cause

• Staff “didn’t know” • Policy/Procedures?

WHAT to do • Lack of Knowledge

• Inadequate supervision?

• Inadequate training?



• Staff didn’t know • Knowledge/training?

HOW • Skill or ability?

• Clear procedures?

• Inadequate supervision?



29

Reasons for Errors

Stated Reason Root Cause

• Staff COULDN’T • Inadequate infrastructure

• Excessive workload

• Forms / other tools

• Computer capacity?

• Staff WON’T/DON’T

– Always done it • Organizational Culture

– Didn’t know why it was • Inadequate supervision

important or didn’t

• Lack of clear procedures

believe it was

important



30

Reasons for Errors

Page 7-11

• Common Root Causes of Errors

– Inadequate Written Tools

– Inadequate Computer Hardware and Software

– Inadequate Communication

– Limited Staff Capacity

– Inadequate Facilities

– Inadequate Supervision

– Non-productive Organizational Culture

– Policies and procedures



31

Reasons: Child Care

Page 7-12

• Capping the deduction

– Stated Reason: Staff Confused

– Root Cause: Newer staff don’t have

knowledge and skills to make the decision

• Checking for costs were paid by others

– Stated Reason: “We forgot, doesn’t happen

often

– Root Cause: Interview form doesn’t have a

question

32

Reasons: Child Care

Page 7-12 (continued)

• Missing 3rd party verifications

– Stated reason: Small providers don’t respond

so we move on to other forms

– Root cause:

• No place to explain why 3rd party wasn’t used

• Staff are focused more on timeliness than

compliance.

• Verification form may be too complicated for small

providers.

33

Reasons: Child Care

Page 7-12 (continued)

• Staff didn’t document reasonableness

– Stated Reason: “We’re confused”

– Root Cause: Staff don’t have knowledge and

skills to make this decision

• Counted expenses for 15 year old

disabled child

– Stated Reason: “I forgot”

– Root Cause: Carelessness, isolated incident



34

Problem Analysis Review

• Before trying to solve a problem, have

you?

– Clarified the area of concern?

– Determined what really happened?

– Identified reasons for the errors?





• If yes, it’s time to develop a strategy.





35

Chapter 7. Section 3.

Response Strategy









36

Section 3. Response

Strategy



Find Appropriate solutions

Response

Strategy

Develop an

Implementation Plan









37

Section 3. Response

Strategy



Find Appropriate solutions

Response

Strategy

Develop an

Implementation Plan









38

Step 1: Find Appropriate

Solution



• Don’t jump to conclusions about what to

do.

– Do you have a personal preference or bias

about addressing errors?

• Sometimes a problem needs to be tackled

from more than one angle

– For example, you may need to remind staff

about rules and improve policies and improve

forms)

39

Find Appropriate Solutions

• Timing can be a barrier.. Think about

solutions for the:

– Short-term.

– Medium-term

– Long-term

• Doable vs. deluxe. The “ideal” solution is

not always possible. Consider:

– A quick fix, followed by a long term solution

– How much effort is really needed



40

Solutions: Child Care

Page 7-17.

• Capping the deduction

– Root cause: New staff (especially) need information

– Solutions: Case studies/discussion

• Checking for costs paid by others

– Root Cause: Interview form didn’t have a question

– Solution: Revise the form

• Missing 3rd party verification

– Root Cause: Combination of procedure and attitude

– Solutions: Fix form; enhance procedure; remind staff



41

Solutions: Child Care

• Documenting Reasonableness

– Root Cause: Staff didn’t know how

– Solutions: Case studies and discussion

– What else?

• PHA counted expenses for 15 year old

disabled child

– Root Cause: Carelessness, isolated incident

– Solution: Fix the file, no further action



42

Coordinating Solutions

• Few PHAs have only one type of error.

• Even though each issue is analyzed separately,

solutions should be coordinated.

• Set priorities that focus on errors with large

financial impact or that happen frequently.

• Be realistic about resources required.

• Look for efficiencies such as training on several

error topics at the same time.

• Adjust timeframes to avoid overloading a few

staff.

43

Section 3. Response

Strategy



Find Appropriate solutions

Response

Strategy

Develop an

Implementation Plan









44

Step 2. Develop An

Implementation Plan

• Why an implementation plan?

– Understanding is not enough, action must

follow

– Writing down a plan increases the chances it

will be successful



• Tips for developing the plan

– Identify key players and bring everyone on

board

– Remain flexible. Be ready to revise based

upon the suggestions of other players.

45

Implementation Plan

• More tips

– Get specific and detailed. Now is the time to:

• List all of the steps

• Think strategically about who can best

carry out each task

– Assign responsibilities and deadlines.

• Designate staff with appropriate interest

and skills.

• Consolidate the individual plans to identify

overloaded individuals and confirm

priorities.

46

Implementation Plan

• Page 7-20 – Child Care Example

– Column 1: What we decided to do in general

terms

– Column 2: Who needs to take what specific

actions

– Columns 3-6: When will this be done?









47

Implementation Plan

• Page 7-21 – A summary plan that:

– Addresses errors related to Child Care

– Illustrates the results of other analyses.





• Page 7-22 - Summary of the Problem

Solving Process including:

– What to ask

– What to do



48

Chapter 7. Section 4.

The Error Reduction Process

Two Examples:

Best Housing Authority (BHA)

Quality Housing Authority (QHA)



49

Introduction

• Purpose of the two examples

– More illustrations of the problem solving

process

– Consider solutions for additional types of

errors

• We will give overview now – you can study

the details when you go home





50

Overview of the Process









Problem Solution









51

Approach to Error Reduction





Clarify Area of Concern



Understand What Really

Problem Happened

Analysis

Identify Reasons for Errors









Find Appropriate solutions

Response

Strategy

Develop an

Implementation Plan



52

Clarify the Concern

• The Scenario: HUD conducted RIM reviews at

both PHAs and found identical errors:

– 3rd party verifications are not being

consistently obtained.

– No explanation provided for why another form

of verification was used

– Inadequate documentation of differences

between file data and HUD-50058 data





53

Best Housing Authority

(BHA)







Problem

Analysis

Strategy







54

Approach to Error Reduction





Clarify Area of Concern



Understand What Really

Problem Happened

Analysis

Identify Reasons for

Errors









55

BHA Problem Analysis Steps

• Step 1: Clarify the areas of concern

– We did that (same for both PHAs)



• Step 2: Understand what really happened

– What did really happen? …









56

What Really Happened -

BHA

• File reviews confirmed the problem

• Errors were concentrated among new staff

(more than 50% on the job less than 2 years)

• Staff reported they were complying when

possible

• Staff confused about what 3rd party means (e.g.,

“Don’t payroll stubs come from a 3rd party?”)

• Staff indicated there were reasons for making

changes to the family’s final income but there is

no place to document this.

57

Step 3: Identify the Reasons

for Errors

Page 7-26 (review chart)

• Column 2 – Stated Reason for Error

• Problem 1: No 3rd party verification in file

– Some staff didn’t know the paper work they

were accepting was not 3rd party

– 50% of staff are new and lack of experience

affected the error rate





58

Reasons for Errors - BHA

Page 7-26

• Column 3 – Possible Root Causes

• Problem 1:

– Inadequate policies and procedures

– Staff lack skills

– Supervisors aren’t catching errors.







59

Step 3: Identify the Reasons

• Problem 2: Lack of 3rd party documentation

• Stated Reason: Staff said they didn’t know

where to put information about why they took

a lesser form of verification

• Possible Cause: Inadequate forms – no

establish method for recording the decisions

to take something less than third party

written verification



60

Step 3: Identify the Reasons

• Problem 3: Lack of change documentation

• Stated Reason: Staff did not understand

the importance of documenting changes in

income

• Possible Cause:

– Inadequate forms

– Inadequate skills

– Inadequate supervision



61

Best Housing Authority

(BHA)







Response

Strategy







62

Approach to Error Reduction









Find Appropriate

Response solutions

Strategy

Develop an

Implementation Plan



63

Response Strategy – BHA

Page 7-28 Possible Solutions to problems

(look at column 3)

• BHA will focus on:

– Improving policies, procedures, forms

– Skills of staff

– Effectiveness of supervision







64

Develop Implementation

Plan

• Possible Solutions

– Need Action Plan to implement solution



• Need Strategy to carry it out

– Who needs to do what by when









65

Develop Implementation

Plan

• Review policies and procedures to ensure

that 3rd party requirements are clear

– Who’s going to do it

– When is it going to be done?



• Review chart on pages 7-29 and 7-30

– Time frames ranging from “Now” to greater

than six months



66

Quality Housing Authority

(QHA)







Problem

Analysis

Strategy







67

Approach to Error Reduction





Clarify Area of Concern



Understand What Really

Problem Happened

Analysis

Identify Reasons for

Errors









68

Step 1: Clarify the Area of

Concern

• Were they the same as BHA?



• Will the causes, solutions, and

implementation plan be the same, do you

think?









69

Step 2. Understand What

Really Happened

• File reviews confirmed the problem

• Team A staff report supervisor says no

point wasting time if 3rd party won’t

respond

• Staff think the PHA’s priority is on-time

reexaminations.

• Since they were following policy, they

believed no documentation was needed

70

Step 2. Understand What

Really Happened

• Verification form is confusing to employers

• Fax machines are not working well making

it difficult for employers to return

verifications.

• Computer software doesn’t provide a

place for notes to explain why 3rd party

wasn’t used





71

Step 3. Identify Reasons

• See chart on page 7-33









72

Quality Housing Authority

(QHA)







Response

Strategy







73

Approach to Error Reduction









Find Appropriate

Response solutions

Strategy

Develop an

Implementation Plan



74

Reason for the Errors -

QHA

Page 7-33

• Column 2 – Stated Reason

– Supervisors communicated that on-time

reexams are more important than verifications

– Employers have little incentive to cooperate

and complain verification form is unclear

– FAX verifications not effective

– Staff didn’t understand importance of

documenting changes in income .

75

Reason for the Errors –

QHA (continued)

Page 7-33

• Column 3 – Possible Root Causes

– Inadequate supervision – some supervisors

have given faulty information

– Organizational culture – emphasis on

timeliness at the expense of accuracy

– Inadequate training of staff

– Inadequate tools

– Inadequate facilities (poorly maintained faxes)

76

Response Strategy - QHA

Page 7-36 – Possible Solutions

• Initiate a long-term culture shift focused on

balancing timeliness with error-free processing

• Education for staff

• Input from employers re: forms and process

• Develop forms and procedures for documenting

use of other than 3rd party and changes to

income.





77

Implementation Plan

• Strategy for who is going to do what by

when



• Review chart on page 7-36 and 7-37









78

Chapter 7. Section 5.

Using the Error Reduction

Process









79

Section 5. Using the Error

Reduction Process

• Back Home. How to start:

– Break the problems into manageable steps

– Go step by step

– Keep an open mind

– Think broadly about causes and solutions

– Resource limitations may require implementation in

several stages.

– RIM findings take priority, but don’t stop there.

– Start (enhance) your QC program as soon as

possible



80

Exercise: Where Do We

Go From Here?

1. Identify your PHA’s 2 largest error issues

2. Identify the two most likely root causes of

these errors

3. Identify one possible solution for each

root cause.

4. What are the two most important

messages you will be taking home from

the summit to supervisors and staff in

your agency?

81

Learning Objectives

• Assess, analyze and cure quality control

findings



• Develop and implement a long-term error

resolution plan









82

What Have We Learned?









83

Can you now . . .

• Develop systems, standards and practices

that will reduce income and rent errors?



• Achieve successful results in future RIM

reviews by improving the PHA’s

understanding of the RIM process?



• Develop well-conceived policies and

effective procedures, taking into account

mandatory requirements and prohibitions

vs. areas of policy discretion?

84

Can you now . . .

• Gather, analyze and document information

through improved interviewing and

analysis skill-development?



• Apply HUD requirements and standards

for effective verification techniques?



• Understand and address difficult aspects

of rent calculation where errors are most

likely to occur?

85

Can you now . . .

• Create and maintain a quality control

system to reduce rent calculation errors





• Assess, analyze and cure quality control

findings





• Develop and implement a long-term error

resolution plan

86

87

Assessment

• Here’s how it works . . .

– 1. You have 2 Scantron sheets, both to be

filled out, plus an assessment with questions

• One to take home

• One to turn in



– 2. When finished, you will turn in the

assessment with your Scantron sheet





88

Assessment

• You have until 11:15 to complete it



• In about 2 weeks, you can log onto the same

website you registered on

(www.nmauniversity/rhiip) and get the answers

for the test – then compare to your Scantron

sheet



• VERY IMPT! Each test will be listed by the

Summit you attended and the type of program

covered (HCV or Public Housing)

89

Session

• Need session close-out PPTs here.



• Trainers – need ideas









90


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