+ Goal Setting & Establishing Performance Measures Small Counties Learning Community Tamara Maciel Bannan, MPH Public Health Institute www.phi.org [email protected] 619-772-7732 California Gaining Ground Coalition
+Goal Setting & Establishing Performance Measures
Small Counties Learning
Community
Tamara Maciel Bannan, MPHPublic Health Institute
619-772-7732
California Gaining Ground
Coalition
+Objectives
Define a goal
Learn about the relationship between goals and performance measures
Define performance measures
See it all put together
+Who would like to share with us the definition of a goal?
+
Goal Definition in PHAB’s Glossary of Terms
Goals are general statements expressing a program's aspirations or intended effect on one or more health problems, often stated without time limits. (Turnock, B.J. Public Health: What It Is and How It Works. 4th ed. Sudbury, MA: Jones and Bartlett; 2009.)
+Goals State what is desired Many times are directional and tend to start
with: Increase Decrease Reduce Improve
Should be able to measure progress with supporting measurable objectives – this is where the link with performance metrics comes in
+Some Examples of Goals for Health Priorities in a CHIPHealth Priority GoalHealthy Eating Increase fruit and vegetable
consumption in Our CountyTobacco Use Reduce the number of
smokers in Our CountySTDs Decrease the rate of new
STD infections in Our County
Health Improvement & Strategic Planning Determine Priorities & Goals
What are the priority health issues in Our County?
What are the behaviors and outcomes related to these issues that we want for people who live in Our County?
How can we measure these conditions?
Program Objectives
Public Health Strategic Plan
Community HealthImprovement Plan
+ Who knows what the acronym SMART stands for?
+
Measurable Objectives Specific
Measurable
Achievable (Attainable)
Realistic (Relevant)
Time-bound
M
S
A
R
T
+ Performance Based Measurement Integrated department-wide system Emphasis on measurement at program,
organization, and community levels • Data integration • IT solutions (e.g., dashboards)
Routine review of results to drive decision-making
+Definition of Performance ManagementAs defined by Turning Point. From Silos to Systems: Using Performance Management to Improve the Public’s Health, 2003
Performance Management is a systematic process which helps an organization achieve its mission and strategic goals by improving effectiveness, empowering employees, and streamlining decision making. In public health, performance management means actively using performance data to improve the public’s health, including the strategic use of performance standards, measures, progress reports, and ongoing quality improvement efforts to ensure an agency achieves desired results.
+ Poll: Does your department have a standardized way to collect, track, and report performance data
1.Yes2.No
+Two types of measuresTOTAL
POPULATION INDICATORS(measures of population-level
health outcomes, behaviors, andenvironments)
PERFORMANCE MEASURES(measures of program
effort and output)
AND
How Do We Measure Our Goals?
Community level indicatorsHealth outcomesBehaviorsEnvironment
Program level measuresEffort & OutputOutcomes
Program Objectives
Public Health Strategic Plan
Community HealthImprovement Plan
Total Population Indicators
Life expectancy Quality of life Health equity Disease rates Premature death Tobacco use Affordable housing
TOTAL POPULATION HEALTH OUTCOMES ,
BEHAVIORS, ANDENVIRONMENTS
+Examples of Population Indicators Percent of students who had at least one drink
of alcohol in the past 30 days Rate of foodborne illness hospitalizations each
year (per 100,000) Percent of children with up-to-date
immunizations Rate of colorectal cancer deaths (per 100,000
population)
+Common Data SourcesPopulation Indicators
Examples: Disease specific surveillance systems Vital Records CA Health Interview Survey OSHPD (Healthcare Utilization data) BRFSS YRBS National Immunization Survey
+Example from San Diego
+Example from Sonoma
+Final Discuss & Questions