3/15/15 PERFORMANCE MANAGEMENT & PUBLIC HEALTH: PERFECT TOGETHER March 10, 2015 ChrisAna Harrington, MPH “Star&ng where you are, with what you have” Welcome • Name & Department • Have you developed standards? • What you would like to get out of this workshop? Agenda • Overview of PM • Let’s get started! – Performance Standards – Performance Measures – Data CollecAon Sources (baselines/targets) • Next Steps 1 3/15/15 Workshop ObjecAves • Develop strategic performance standard(s) • Develop relevant performance measures • IdenAfy reliable data sources necessary for each performance measure • IdenAfy key aspects of data collecAon • IdenAfy key aspects for reporAng of progress PERFORMANCE MANAGEMENT OVERVIEW “Standards, Measures, Baselines, Targets, Oh My!” Turning Point Model • Performance Standards – Benchmarks of performance – The standard for which you want to measure your LHDs performance – The “gold standard” for your agency 2 3/15/15 Performance Measures • QuanAtaAve measures of your capaciAes, process, or outcomes – What you can measure to know if you’re ge`ng closer to achieving your standard – Criteria should include: • Clear and logically related to your standard • Feasible to collect over &me, and • Within the scope of your influence Quality Improvement & ReporAng of Progress • Quality Improvement – A mechanism to improve performance – Used to get you from your baseline to your targets using data • ReporAng of Progress – Used to keep the system alive (conAnuous analysis and reporAng or progress) LET’S GET STARTED! “StarAng where you are with what you have” 3 3/15/15 Performance Standards (PS) • These must be driven by your agency’s needs and strategic direcAon • Pull out your strategic plan – Brainstorm within your team a goal for which to focus the development of a standard – Research Places to Look • Healthy People 2020 – hcps://www.healthypeople.gov/ • PHAB -‐ hcp://www.phaboard.org/wp-‐content/uploads/SM-‐ Version-‐1.5-‐Board-‐adopted-‐FINAL-‐01-‐24-‐2014.docx.pdf • NaAonal PrevenAon Strategy -‐ hcp://www.surgeongeneral.gov/iniAaAves/prevenAon/ strategy/report.pdf • Core Competencies -‐ hcp://www.phf.org/resourcestools/Pages/ Core_Public_Health_Competencies.aspx SelecAng Standard(s) • Brainstorm a few standards within your team: – Pick a standard that correlates to an element of your HD’s performance that can be tracked over Ame. – You may need to think about se`ng a target within this standard… how will you know you have reached the standard? • PrioriAze your standards and select at least 1. – Vote or reach consensus 4 3/15/15 Begin to Populate your PM System Standard Measure Data Sources Baseline Target Responsible Person/Party QI Strategy BMI < 25 80% of clients rate HD services as good or excellent SupporAve Work environment PERFORMANCE MEASURES Measures let you know how well you are doing to meet your performance standard CreaAng Measures • Brainstorm within your team a list of possible measures. • Ask yourselves: – “what can we measure to know whether or not we are meeAng our performance standard?” • Once you have a complete list of all things possible apply the criteria: – Ask yourselves “is this measure…”: • clearly and logically related to our standard? • Feasible to collect over &me? • Within the scope of our influence? • Reach consensus on your measures 5 3/15/15 Populate your PM System Standard Measure BMI < 25 Weight Loss Weekly 80% of clients rate HD services as good or excellent % of clients who rate HD services as good or excellent SupporAve Work environment % of staff who are saAsfied with the work environment Data Sources Baseline Target Responsible Person/Party QI Strategy DATA COLLECTION Sources Baselines Targets Data Sources • What data is available to measure? • Do we already collect this data? – If so, how open and where is it housed? • Where can we get this data? • Do we have the tools to collect this data? If not, what do we need to develop? – For example, do you need a survey to gather the data? • Is this data something we can collect over Ame? • What is the appropriate Ameframe for which to collect this data? 6 3/15/15 Populate your PM System Standard Measure Data Sources BMI < 25 Weight Loss Weekly Weekly weigh-‐in 80% of clients rate HD services as good or excellent % of clients who rate HD services as good or excellent Client surveys SupporAve Work environment % of staff who Staff are saAsfied surveys with the work environment Baseline Target Responsible Person/Party QI Strategy Baselines/Targets • Once you determine your data sources/ collecAon you need to idenAfy your baseline – Where are you now? • This must be determined before you can set targets for which to strive. • Targets can be percentages or single numbers… Populate your PM System Standard Measure Data Sources Baseline Target BMI < 25 Weight Loss Weekly Weekly Current 2lbs/ weigh-‐in weight week 80% of clients rate HD services as good or excellent % of clients who rate HD services as good or excellent Client surveys 50% 70% SupporAve Work environment % of staff who Staff are saAsfied surveys with the work environment 64% 80% Responsible Person/Party QI Strategy 7 3/15/15 NEXT STEPS ReporAng of Progress QI Strategies Further PM System ReporAng of Progress • Who is going to track and report? – Who will maintain the spreadsheet? – Where will it be housed? – Who will be responsible for populaAng the spreadsheet? • What will be communicated and to whom? – Start with staff first, then expand to customers/ stakeholders • What Ame period will be reported? – Are you going to report quarterly, annually, semiannually? • Discuss who acts on what is reported? QI Strategies • Aper baselines and targets are idenAfied determine who will be responsible for implemenAng QI? • Develop a strategy for implementaAon Standard Measures Baseline Target QI 80% clients rates HD % clients who rate 50% services as good or the services as good excellent or excellent 70% Use QI to get you from your baseline to your target! SupporAve work environment 80% Improve Internal Kudos Program % staff saAsfied with 65% HD recogniAon programs 8 3/15/15 Further Your PM System • Aper you have your first Standard with measures, baselines, targets, and plans how to implement QI – Report out! • Things will start to happen concurrently: – Staff will be working on QI strategies – Develop mechanisms to conAnue Standard Development. • Priori&ze how best to expand the system! • Let the strategic goals of the organiza&on drive you! MeeAng Closure • QuesAons??? • AcAon Items for your team – What needs to be done/by whom/by when? – Conference Calls – Final Webinar • MeeAng EvaluaAon +/ • Thank You! JAMES BUTLER & ASSOCIATES Chris Harrington 989 482-‐0520 [email protected] Jim Butler 517 614-‐1654 [email protected] 9
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