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Everett CHART – Assessing Financial Return & Program Effectiveness

Posted by msanderson | October 11, 2019


The City of Everett’s Chronic-Utilizer Alternative Response Team (CHART) was designed to address the needs of Everett’s most vulnerable residents who have overlapping health, mental health, legal and substance abuse issues. The Metro Center worked in partnership with the William D. Ruckelshaus Center and the WSU School of Economic Sciences to create an evaluation of the CHART program to gauge its effectiveness and scalability to other areas within Snohomish County.

Analyzing Effectiveness

CHART (CHronic-Utilizer Alternative Response Team) is a team of criminal justice, emergency response, and research partners who collaborate in an effort to reduce the impact of chronic utilizers on health care, emergency services, crisis care, legal and criminal justice systems. By taking a systemic approach, the goal of the program is to create an individualized plan that will have a positive and measurable impact on the use of those resources without simply shifting costs from one partner organization to another. The primary goal of CHART is to decrease the system impacts associated with the disproportionate overlapping service utilization by these individuals; however, it’s anticipated that program efforts will also positively impact the lives of those identified for participation in CHART.

The Metro Center was recruited to develop an evaluation framework and project outcome goals for this program.

Building Consensus & Identifying Outcomes

In October 2018, the Metro Center began working with the City of Everett’s Public Health and Safety Director/Prosecutor and key CHART stakeholders to develop an evaluation framework and build consensus around the CHART program outcomes. In January/February the Center conducted a ‘pre-assessment’ to ascertain CHART stakeholders’ general goals and perceptions of the evaluation project.

The situation assessment included a series of questions designed to elicit history, CHART involvement and scope, alignment of vision and organizations, collaborative potential and relevant data connections to support the noted purpose. The themes and general opinions noted in the linked brief are based on these assessment interview results. The clarity and diversity of comments formed a rich source of opinion that led to fruitful group conversations at an October 7, 2019 convening in Everett.

The summary brief summarizes key themes, specific comments and several suggested Metro Center / Ruckelshaus Center recommendations to form a starting point for discussion.

Project Team

The Metro Center Advantage

Working with the Metro Center allows the City of Everett and CHART stakeholders to access WSU faculty expertise in multiple fields from across the state through a single point of contact. The expertise required for this project includes health economics, evaluation, health policy, facilitation, and consensus building.

Learn More

View the Assessment Summary Brief here.

Everett CHART Program Website

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