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Results based accountability101 (2013)
Citation preview
ResultsAccountability
The Fiscal Policy Studies InstituteSanta Fe, New Mexico
Websitesraguide.org
resultsaccountability.com
Book - DVD Ordersamazon.com
resultsleadership.org
SIMPLE
COMMON SENSE
PLAIN LANGUAGE
MINIMUM PAPER
USEFUL
Results Accountabilityis made up of two parts:
Performance Accountabilityabout the well-being of
CLIENT POPULATIONSFor Programs – Agencies – and Service Systems
Population Accountabilityabout the well-being of
WHOLE POPULATIONSFor Communities – Cities – Counties – States - Nations
Results Accountability
COMMON LANGUAGE
COMMON SENSE
COMMON GROUND
THE LANGUAGE TRAPToo many terms. Too few definitions. Too little discipline
Benchmark
Target
Indicator Goal
Result
Objective
Outcome
Measure
Modifiers Measurable Core Urgent Qualitative Priority Programmatic Targeted Performance Incremental Strategic Systemic
Lewis Carroll Center for Language DisordersMeasurable urgent systemic indicatorsCore qualitative strategic objectivesYour made up jargon here
DEFINITIONS
Children born healthy, Children ready for school, Safe communities, Clean Environment, Prosperous Economy
Rate of low-birthweight babies, Percent ready at K entry, crime rate, air quality index, unemployment rate
1. How much did we do? 2. How well did we do it?
3. Is anyone better off?
RESULT or OUTCOME
INDICATOR or BENCHMARK
PERFORMANCE MEASURE
A condition of well-being for children, adults, families or communities.
A measure which helps quantify the achievement of a result.
A measure of how well a program, agency or service system is working. Three types:
= Customer Results
Popu
latio
nPe
rfor
man
ce
Children born healthy
Rate of low-birthweight babies Percent ready at K entry
Children ready for school
crime rate
Safe communities
air quality index
Clean Environment
unemployment rate
Prosperous Economy
From Ends to Means
ENDS
MEANS
From Talk to ActionPo
pula
tion
Perf
orm
ance
RESULT or OUTCOME
INDICATOR or BENCHMARK
PERFORMANCEMEASURE
Customer result = EndsService delivery = Means
From Talk to Action
1. Safe Community
2. Crime Rate
3. Average Police Dept response time
4. An educated workforce
5. Adult literacy rate
6. People have living wage jobs and income
7. % of people with living wage jobs and income
8. % of participants in job training who get living wage jobs
IS IT A RESULT, INDICATOR OR PERFORMANCE MEASURE?
RESULT
INDICATOR
PERF. MEASURE
RESULT
INDICATOR
RESULT
INDICATOR
PERF. MEASURE
Results – Indicators – Performance Measures in
Amharic, Cambodian, Laotian, Somali, Spanish, Tigrigna, Vietnamese
Translation Guide/Rosetta StoneNot the Language Police
Ideas
1. A condition of well-being for children, adults, families & communities
2.
3.
etc.
Group 1 Group 2 Group 3 etc.
RESULT OUTCOME GOAL
TRANSLATION
Back to the Idea
POPULATIONACCOUNTABILITY
Fiscal Policy Studies InstituteSanta Fe, New Mexicowww.resultsaccountability.comwww.raguide.org
For Whole Populationsin a Geographic Area
Community Outcomesfor Christchurch, NZ
1. A Safe City
2. A City of Inclusive and Diverse Communities
3. A City of People who Value and Protect the Natural Environment
4. A Well-Governed City
5. A Prosperous City
6. A Healthy City
7. A City for Recreation, Fun and Creativity
8. City of Lifelong Learning
9. An Attractive and Well-Designed City
Results forChildren, Families and Communities
A Working List
● Healthy Births
● Healthy Children and Adults
● Children Ready for School
● Children Succeeding in School
● Young People Staying Out of Trouble
● Stable Families
● Families with Adequate Income
● Safe and Supportive Communities
Every Child Matters – Children Act
Outcomes for Children and Young People
Being Healthy: enjoying good physical and mental health and living a healthy lifestyle.
Staying Safe: being protected from harm and neglect and growing up able to look after themselves.
Enjoying and Achieving: getting the most out of life and developing broad skills for adulthood.
Making a Positive Contribution: to the community and to society and not engaging in anti-social or offending behaviour.
Economic Well-being: overcoming socio-economic disadvantages to achieve their full potential in life.
Georgia Policy Councilfor Children and Families
RESULTS
● Healthy Children
● Children Ready for School
● Children Succeeding in School
● Strong Families
● Self Sufficient Families
Georgia
Lehigh Valley, PADayton, OH
Santa Cruz, CA
REP
OR
T C
ARD
S
New Zealand KruidenbuurtTilburg, Netherlands
Portsmouth, UK
Country Neighborhood
City
Placer County, California
OUTCOMES for CHILDREN
SAFE
HEALTHY
AT HOME
IN SCHOOL
OUT OF TROUBLE
MEANS not ENDS
1. COLLABORATION
2. SYSTEMS REFORM
3. SERVICE INTEGRATION
4. DEVOLUTION
5. FUNDING POOLS
To Improving Results In Themselves
IO
Leaking Roof(Results thinking in everyday life)
Experience:
Measure:
Story behind the baseline (causes):
Partners:
What Works:
Action Plan:
Inches of Water
? Fixed
Not OK
Turning the Curve
Criteria for
Choosing Indicatorsas Primary vs. Secondary Measures
Communication Power
Proxy Power
Data Power
Does the indicator communicate to a broad range of audiences?
Does the indicator say something of central importance about the result?
Does the indicator bring along the data HERD?
Quality data available on a timely basis.
Choosing IndicatorsWorksheet
Outcome or Result_______________________
Candidate IndicatorsCommunication
PowerProxyPower
DataPower
H M L
H
Measure 1
Measure 2
Measure 3
Measure 4
Measure 5
Measure 6
Measure 7
Measure 8
HData
Development
Agenda
Safe Community
H M L H M L
H H
H L
Three Part Indicator List for each Result
Part 1: Primary Indicators
Part 2: Secondary Indicators
Part 3: Data Development Agenda
● 3 to 5 “Headline” Indicators● What this result “means” to the community● Meets the Public Square Test
● Everything else that’s any good (Nothing is wasted.)● Used later in the Story behind the Curve
● New data● Data in need of repair (quality,timeliness etc.)
The Matter of Baselines
Baselines have two parts: history and forecast
H
M
L
History Forecast
Turning the CurvePoint to Point
OK?
The Cost of Bad Results
Invest in prevention to reduce or avoid out-year costs.
The costs of remediating problems after they occur
InvestmentTrackCost
$300 billion
Revenue
Convergenceof Cost & Revenue
2008
The Business Case for Investment in Prevention
United States 1970 to 2010`
MADD
Rebound
6.00%
8.00%
10.00%
12.00%
14.00%
16.00%
18.00%
20.00%
Ncle 14.5 14.5 16.8 14.5 17 15 11.9 10.6 9.5 9.3
1998 1999 2000 2001 2002 2003 2004 2005 2006 2007
Source: Connexions Tyne and Wear, UK
Newcastle, UK
Revised 9 Nov 2007
NEET: Not in Education, Employment or Training
- Rosell
“If I include you,you will be my partner.
If I exclude you,you will be my judge.”
Performance Accountability
For Programs, Agencies and Service Systems
Fiscal Policy Studies InstituteSanta Fe, New Mexicowww.resultsaccountability.comwww.raguide.org
Results Accountabilityis made up of two parts:
Performance Accountabilityabout the well-being of
CLIENT POPULATIONSFor Programs – Agencies – and Service Systems
Population Accountabilityabout the well-being of
WHOLE POPULATIONSFor Communities – Cities – Counties – States - Nations
“All performance measures
that have ever existed
for any program
in the history of the universe
involve answering two sets of
interlocking questions.”
HowMuchdid we do?
( # )
HowWell
did we do it?
( % )
Quantity Quality
Performance Measures
EffortHow hard did we try?
EffectIs anyone better off?
Performance Measures
Effort
Effect
HowMuch
HowWell
Performance Measures
How much service did we deliver?
Performance Measures
How welldid we
deliver it?
How much change / effect
did we produce?
What quality of change / effect
did we produce?
Quantity Quality
Effe
ct
Effo
rt
O
utpu
t
In
put
How much did we do?
Education
How well did we do it?
Is anyone better off?
Quantity Quality
Effe
ct
E
ffort Number of
studentsStudent-teacher
ratio
Number ofhigh schoolgraduates
Percent ofhigh schoolgraduates
How much did we do?
Education
How well did we do it?
Is anyone better off?
Quantity Quality
Effe
ct
E
ffort Number of
studentsStudent-teacher
ratio
Percent of 9th graders who
graduate on timeand enter college or
employment after graduation
Number of 9th graders who
graduate on timeand enter college or
employment after graduation
How much did we do?
Pediatric Practice
How well did we do it?
Is anyone better off?
Number ofpatientstreated
Percent ofpatients treated
in less than1 hour
Quantity Quality
Effe
ct
E
ffort
#children
fullyimmunized
(in the practice)
%children
fullyimmunized
(in the practice)
How much did we do?
Drug/Alcohol Treatment Program
How well did we do it?
Is anyone better off?
Number ofpersonstreated
Percent ofstaff withtraining/
certification
Number of clientsoff of alcohol & drugs - at exit - 12 months after exit
Percent of clientsoff of alcohol & drugs - at exit - 12 months after exit
Quantity Quality
Effe
ct
E
ffort
How much did we do?
Fire Department
How well did we do it?
Is anyone better off?
Number ofresponses
ResponseTime
Quantity Quality
Effe
ct
E
ffort
# of fireskept to
room of origin
% of fireskept to
room of origin
How much did we do?
General Motors
How well did we do it?
Is anyone better off?
# of production hrs
# tons of steel
Employees pervehicle
produced
# of cars sold
$ Amount of Profit
$ Car value after 2 years
Quantity Quality
Effe
ct
E
ffort
Source: USA Today 9/28/98
% Market share
Profit per share
% Car value after 2 years
How much did we do?
Not All Performance Measures Are Created Equal
How well did we do it?
Is anyone better off?
LeastImportant
Quantity Quality
Effe
ct
E
ffort
MostImportant
Least
Most
AlsoVery Important
RBA Categories Account for All Performance Measures(in the history of the universe)
Quantity Quality
Efficiency, Admin overhead, Unit costStaffing ratios, Staff turnoverStaff morale, Access, Waiting time, Waiting lists, Worker safety
Customer Satisfaction(quality service delivery& customer benefit)
Cost / Benefit ratioReturn on investment
Client results or client outcomes
EffectivenessValue addedProductivity
Benefit value
Product Output Impact
Process Input
Effe
ctEf
fort
CostTQM
Effectiveness
Efficiency
Quantity Quality
Efficiency, Admin overhead, Unit costStaffing ratios, Staff turnoverStaff morale, Access, Waiting time, Waiting lists, Worker safety
Customer Satisfaction(quality service delivery& customer benefit)
Cost / Benefit ratioReturn on investment
Client results or client outcomes
EffectivenessValue addedProductivity
Benefit value
Process Input
Effe
ctEf
fort
CostTQM
Product Output Impact
RBA Categories Account for All Performance Measures(in the history of the universe)
Quantity Quality
Efficiency, Admin overhead, Unit costStaffing ratios, Staff turnoverStaff morale, Access, Waiting time, Waiting lists, Worker safety
Customer Satisfaction(quality service delivery& customer benefit)
Cost / Benefit ratioReturn on investment
Client results or client outcomes
EffectivenessValue addedProductivity
Benefit value
Process Input
Effe
ctEf
fort
CostTQM
1. Did we treat you well?
2. Did we help you with your problems?
*
Product Output Impact
RBA Categories Account for All Performance Measures(in the history of the universe)
* World’s simplest completecustomer satisfaction survey
Not All Performance Measures Are Created Equal
Quantity Quality
Efficiency, Admin overhead, Unit costStaffing ratios, Staff turnoverStaff morale, Access, Waiting time, Waiting lists, Worker safety
Customer Satisfaction(quality service delivery& customer benefit)
Cost / Benefit ratioReturn on investment
Client results or client outcomes
EffectivenessValue addedProductivity
Benefit value
Process Input
Effe
ctEf
fort
CostTQM
Product Output Impact
How much did we do?
The Matter of Control
How well did we do it?
Is anyone better off?
Quantity Quality
Effe
ct
E
ffort
LeastControl
PARTNERSHIPS
MostControl
The Matter of Use
1. The first purpose of performance measurement is to improve performance.
2. Avoid the performance measurement equals punishment trap.
● Create a healthy organizational environment.
● Start small.
● Build bottom-up and top-down simultaneously.
1. To Ourselves Can we do better than our own history?
2. To Others When it is a fair apples/apples comparison.
3. To Standards When we know what good performance is.
Comparing Performance
2. To Others When it is a fair apples/apples comparison.
3. To Standards When we know what good performance is.
Comparing Performance
1. To Ourselves First
Can we do better than our own history?
Using a BaselineCHART ON THE
WALL
Comparing Performance
1. To Ourselves First Can we do better than our own history?
2. To Others When it is a fair apples/apples comparison.
Reward?
Punish?
3. To Standards When we know what good performance is.
1. To Ourselves First Can we do better than our own history?
2. To Others When it is a fair apples/apples comparison.
Comparing Performance
3. To Standards When we know what good performance is.
The Matter of Standards
Quantity
Effe
ctEf
fort
1. Quality of Effort Standards aresometimes WELL ESTABLISHED
● Child care staffing ratios● Application processing time● Handicap accessibility● Child abuse response time
2. Quality of Effect Standards arealmost always EXPERIMENTAL
● Hospital recovery rates ● Employment placement and retention rates● Recidivism rates
3. Both require aLEVEL PLAYING FIELD and an ESTABLISHED RECORDof what good performance is.
BUT
AND
Advanced Baseline Display
Your Baseline
Comparison Baseline
Goal (line)
Target or Standard
Instead:Count anything better than baseline as progress.
Avoid publicly declaringtargets by year if possible.
●
Create targets only when they are:
FAIR & USEFUL
How much did we do?
Program Performance Measures
How welldid we do it?
Is anyonebetter off?
Quantity Quality
Effe
ct
Effo
rt
# %
Lay
Definition
All Data have two Incarnations
Technical
Definition
HS Graduation Rate % enrolled June 1 who graduate June 15
% enrolled Sept 30 who graduate June 15
% enrolled 9th grade who graduate in 12th grade
How much did we do?
Separating the Wheat from the ChaffTypes of Measures Found in Each Quadrant
How well did we do it?
Is anyone better off?
# Clients/customers served
# Activities (by type of activity)
% Common measurese.g. client staff ratio, workload ratio, staffturnover rate, staff morale, % staff fully trained, % clients seen in their own language,worker safety, unit cost
% Skills / Knowledge (e.g. parenting skills)
#
% Attitude / Opinion (e.g. toward drugs)
#
% Behavior (e.g.school attendance)
#
% Circumstance
(e.g. working, in stable housing)#
% Activity-specific measures
e.g. % timely, % clients completing activity, % correct and complete, % meeting standard
Point in Time vs. Point to Point
Improvement
How much did we do?
Choosing Headline Measures and the Data Development Agenda
How well did we do it?
Is anyone better off?
Quantity Quality
E
ffect
Effo
rt
# Measure 1 ----------------------------
# Measure 2 ----------------------------
# Measure 3 ----------------------------
# Measure 4 ----------------------------
# Measure 5 ----------------------------
# Measure 6 ----------------------------
# Measure 7 ----------------------------
#1 Headline
#2 Headline
#3 Headline
#1 DDA
#2 DDA
#3 DDA% Measure 8 ----------------------------
% Measure 9 -----------------------------
% Measure 10 ---------------------------
% Measure 11 ---------------------------
% Measure 12 ---------------------------
% Measure 13 ---------------------------
% Measure 14 ---------------------------
# Measure 15 ----------------------------
# Measure 16 ----------------------------
# Measure 17 ----------------------------
# Measure 18 ----------------------------
# Measure 19 ----------------------------
# Measure 20 ----------------------------
# Measure 21 ----------------------------
% Measure 15 ----------------------------
% Measure 16 ----------------------------
% Measure 17 ----------------------------
% Measure 18 ----------------------------
% Measure 19 ----------------------------
% Measure 20 ----------------------------
% Measure 21 ----------------------------
Select 3 to 5 Performance Measuresat each level of the organization
3 - 5 3 - 5 3 - 5
3 - 5 3 - 5 3 - 5
3 - 5
Pick the 3 – 5 most important of the 9 – 15 measures or create composites.
“Get over it!”Be disciplined about what’s most important. Don’t get distracted.
?
. .
LR
UR
How Population
&Performance Accountability
FIT TOGETHER
Contributionrelationship
Alignmentof measures
Appropriateresponsibility
THE LINKAGE Between POPULATION and PERFORMANCE
POPULATION ACCOUNTABILITY
Healthy Births Rate of low birth-weight babies
Stable Families Rate of child abuse and neglect
Children Succeeding in School Percent graduating from high school on time
CUSTOMERRESULTS
# ofinvestigations
completed
% completedwithin 24 hrs
of report
# repeatAbuse/Neglect
% repeatAbuse/Neglect
PERFORMANCE ACCOUNTABILITYChild Welfare Program
POPULATIONRESULTS
Child Welfare Program
Contributionrelationship
Alignmentof measures
Appropriateresponsibility
THE LINKAGE Between POPULATION and PERFORMANCE
POPULATION ACCOUNTABILITY
Healthy Births Rate of low birth-weight babies
Children Ready for School Percent fully ready per K-entry assessment
Self-sufficient Families Percent of parents earning a living wage
CUSTOMERRESULTS
# personsreceivingtraining
Unit costper person
trained
# who getliving wage jobs
% who getliving wage jobs
PERFORMANCE ACCOUNTABILITY
POPULATIONRESULTS
Job Training Program
Every timeyou make a
presentation,
use atwo-part
approach
Result: to which you contribute to most directly.
Indicators:
Story:
Partners:
What would it take?:
Your Role: as part of a larger strategy.
Population Accountability
Program:Performance measures:
Story:
Partners:
Action plan to get better:
Performance Accountability
Your Role
Every timeyou make a
presentation,
use atwo-partformat
Result: to which you contribute to most directly.
Indicators:
Story:
Partners:
What would it take?:
Your Role: within the larger strategy.
Population Accountability
Program:Performance measures:
Story:
Partners:
Action plan to get better:
Performance Accountability
Your Role
Division #1
Program #1
Population Results
1. Population2. Results (Outcomes, Goals)3. Indicators (Benchmarks) Data Development Agenda Report Card4. Baseline5. Story behind the baseline Cost of Bad Results Research Agenda Part 1
6. Partners 7. What works Research Agenda Part 2
8. Action Plan (strategy)9. Funding Plan (budget)
Program Performance
1. Customers (Clients)2. Performance measures Customer results Quality of Effort Quantity of Effort Data Development Agenda3. Baseline4. Story behind the baseline Research Agenda Part 1
5. Partners6. What works Agency/program actions Partner's actions Research Agenda Part 2
7. Action Plan (strategy)8. Funding Plan
Framework:
__________
Framework Crosswalk Analysis
(For Population Well-being, Across Communities, Across Systems)
(For Programs, Agencies and Service Systems)
Example
Input
Activity
Output
Outcome
Goal
Logic Model
’
Board of Directors MeetingAGENDA
1. New data
2. New story behind the curves
3. New partners
4. New information on what works.
5. New information on financing
6. Changes to action plan and budget
7. Adjourn
1. New data
2. New story behind the curves
3. New partners
4. New information on what works.
5. New information on financing
6. Changes to action plan and budget
7. Adjourn
Different Kinds of Progress
1. Data
a. Population indicators Actual turned curves: movement for the better away from the baseline.
b. Program performance measures: customer progress and better service: How much did we do?
How well did we do it? Is anyone better off?
2. Accomplishments: Positive activities, not included above.
3. Stories behind the statistics that show how individuals are better off.
What’s Next?A Basic Action Plan for Results Accountability
TRACK 1: POPULATION ACCOUNTABILITY
● Establish results● Establish indicators, baselines and charts on the wall● Create an indicators report card● Set tables (action groups) to turn curves
TRACK 2: PERFORMANCE ACCOUNTABILITY
● Performance measures, and charts on the wall for programs, agencies and service systems● Use 7 Questions supervisor by supervisor and program by program in management, budgeting and strategic planning
IN CLOSING
“If you do what you always did,
you will get what you always got.”
Kenneth W. JenkinsPresident, Yonkers NY NAACP
THANK YOU !
WEBSITES:
www.raguide.orgwww.resultsaccountability.com
BOOK ORDERS: www.trafford.comwww.amazon.com
EXERCISES
Fiscal Policy Studies InstituteSanta Fe, New Mexicowww.resultsaccountability.comwww.raguide.org
Turn the Curve Exercise: Population Well-being
5 min: Starting Points - timekeeper and reporter - geographic area - two hats (yours plus partner’s)
10 min: Baseline - pick a result and a curve to turn - forecast – OK or not OK?
15 min: Story behind the baseline - causes/forces at work - information & research agenda part 1 - causes
15 min: What works? (What would it take?) - what could work to do better? - each partners contribution - no-cost / low-cost ideas - information & research agenda part 2 – what works
10 min: Report convert notes to one page
Two pointers to action
ONE PAGE Turn the Curve Report: Population
Result: _______________Indicator
(Lay Definition)IndicatorBaseline
Story behind the baseline --------------------------- --------------------------- (List as many as needed)
Partners --------------------------- --------------------------- (List as many as needed)
Three Best Ideas – What Works 1. --------------------------- 2. --------------------------- 3. ---------No-cost / low-cost
SharpEdges
4. --------- Off the Wall
4. --------- Off the Wall
The first step in performance accountability is to
DRAW A FENCEAround something that has
ORGANIZATIONAL OR FUNCTIONAL IDENTITY
The Whole Organization
Division A
Division BUnit
Division C
FunctionUnit
1
● # of people served
● % participants who got jobs
● staff turnover rate
● # participants who got jobs
● % of children reading at grade level
● cost per unit of service
● # applications processed
● % patients who fully recover
What Kind of PERFORMANCE MEASURE?
Upper Left
Lower Right
Upper Right
Lower Left
Lower Right
Upper Right
Upper Left
Lower Right
Turn the Curve Exercise: Program Performance
5 min: Starting Points - timekeeper and reporter - identify a program to work on - two hats (yours plus partner’s)
10 min: Performance measure baseline - choose 1 measure to work on – from the lower right quadrant - forecast – OK or not OK?
15 min: Story behind the baseline - causes/forces at work - information & research agenda part 1 - causes
15 min: What works? (What would it take?) - what could work to do better? - each partners contribution - no-cost / low-cost ideas - information & research agenda part 2 – what works
10 min: Report Convert notes to one page
Two pointers to action
Program: _______________Performance Measure
(Lay definition)PerformanceMeasureBaseline
Story behind the baseline --------------------------- --------------------------- (List as many as needed)
Partners --------------------------- --------------------------- (List as many as needed)
Three Best Ideas – What Works 1. --------------------------- 2. --------------------------- 3. ---------No-cost / low-cost
ONE PAGE Turn the Curve Report: Performance
SharpEdges
4. --------- Off the Wall
4. --------- Off the Wall