+Goal Setting & Establishing Performance Measures

Small Counties Learning

Community

Tamara Maciel Bannan, MPHPublic Health Institute

www.phi.orgTamara.bannan@phi.org

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