RBA Results-Based Accountability

1. RBA Results-Based Accountability TM The Fiscal Policy Studies Institutewww.raguide.org www.resultsaccountability.com Book - DVD Ordersamazon.comresultsleadership.org

2. RBA in a Nutshell2 – 3 - 7 plus language discipline Results & Indicators      Performance measures 2 - kinds of accountability Population accountability      Performance accountability 3 - kinds of performance measures. How much did we do?      How well did we do it?      Is anyone better off? 7 - questions from ends to means in less than an hour. Baselines & Turning the Curve

3. START WITHSUCCESS STORIES

14. CARDIFF, WALESCommunity Outcomes 1. People in Cardiff are healthy 2. Cardiff has a clean attractive and sustainable environment 3. People in Cardiff are safe and feel safe 4. Cardiff has a thriving and prosperous economy 5. People in Cardiff achieve their full potential. 6. Cardiff is a great place to live, work and play. 7. Cardiff has a fair, just and inclusive society.

17. Community Indicators Victoria McCaughey Centre, School of Population Health, University of Melbourne (Sue West)

18. BASIC CONCEPTS

19. Population Accountabilityis about the well-being ofWHOLE POPULATIONS for Communities – Cities – Counties – States - Nations Performance Accountabilityis about the well-being ofCUSTOMER POPULATIONS for Programs – Agencies – Service Systems Results-Based Accountabilityis made up of two parts: Population Accountability 1 2 Performance Accountability

20. THE LANGUAGE TRAPToo many terms. Too few definitions. Too little discipline Benchmark Outcome Result Modifiers Measurable Core Urgent Qualitative Priority Programmatic Targeted Performance Incremental Strategic Systemic Indicator Goal Measure Objective Target Core qualitative strategic objectives Make up your own jargon. Measurable urgent systemic indicators Lewis Carroll Center for Language Disorders

21. RESULT or OUTCOME A condition of well-being for children, adults, families or communities. Population Population INDICATOR or BENCHMARK A measure which helps quantify the achievement of a result. PERFORMANCE MEASURE A measure of how well a program, agency or service system is working.Three types: Performance Performance DEFINITIONS RESULT Children born healthy Children born healthy, Children ready for school, Safe communities, Clean Environment, Prosperous Economy Children ready for school 5 3 4 Safe communities Clean Environment Prosperous Economy INDICATOR Rate of low-birthweight babies, Percent ready at K entry, crime rate, air quality index, unemployment rate Rate of low-birthweight babies Percent ready at K entry crime rate air quality index unemployment rate PERFORMANCE MEASURE 6 How much did we do? 7 How well did we do it? 8 Is anyone better off? = Customer Results

22. TALK to ACTION"TURN the CURVE" THINKING

23. Leaking Roof(Results thinking in everyday life) ? Fixed Experience Inches of Water9 BASELINE Not OK Measure 10Turning the Curve Story behind the baseline (causes) Partners What Works Action Plan # 2 Action Plan

24. Results / Outcomes Indicators Experience Baseline & Story Information & Research Agenda CAUSES Information & Research Agenda SOLUTIONS

25. LR UR Baseline & Story Primary v. Secondary Direct v. Indirect Internal v. External Information & Research Agenda CAUSES Information & Research Agenda SOLUTIONS

26. CONNECTINGPOPULATION & PERFORMANCE

27. THE LINKAGE Between POPULATION and PERFORMANCE POPULATION ACCOUNTABILITY Healthy BirthsRate of low birth-weight babiesStable FamiliesRate of child abuse and neglectChildren Ready for SchoolPercent fully ready per K-entry assessment PERFORMANCE ACCOUNTABILITY POPULATIONRESULTS Contributionrelationship Alignmentof measures Child Protective Services # ofinvestigationscompleted % initiatedwithin 24 hrsof report Appropriateresponsibility # repeatAbuse/Neglect % repeatAbuse/Neglect CUSTOMERRESULTS

29. RBA in a Nutshell2 – 3 - 7 plus language discipline Results & Indicators      Performance measures 2 - kinds of accountability Population accountability      Performance accountability 3 - kinds of performance measures. How much did we do?      How well did we do it?      Is anyone better off? 7 - questions from ends to means in less than an hour. Baselines & Turning the Curve

30. Thank You!! www.raguide.org www.resultsaccountability.com RBA Facebook Group Book - DVD Ordersamazon.comresultsleadership.org

31. CRUCIAL EXERCISES: 1. TURN THE CURVE (2) 2. SELECTING PM'S…..

32. 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 (to 2017) – OK or not OK? 15 min: Story behind the baseline- causes/forces at work- information & research agenda part 1 - causes Two pointers to action 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: Reportconvert notes to one page

33. 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 (to 2017) – OK or not OK? 15 min: Story behind the baseline-causes/forces at work- information & research agenda part 1 - causes Two pointers to action 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: Reportconvert notes to one page

34. Service: __________________________________ Hospital Job Training School Fire Department How well did we do it? How much did we do? Primary customers Unit cost persons trained students patients customers served # Workload ratio Primary activity % of ___x___ that happen on time job courses diagnostic tests alarms responded to hours of instruction # Is anyone better off? If your service works really well,how are your customer's better off? # students who graduate persons who get jobs patients who fully recover fires kept to room of origin %

35. Service: __________________________________ Hospital Job Training School Fire Department How well did we do it? How much did we do? Primary customers Unit cost patients # Workload ratio Primary activity % of ___x___ that happen on time operations &diagnostic tests # Is anyone better off? If your service works really well,how are your customer's better off? # patients who fully recover %

36. Provision 1. Specify the 3 to 5 most important performance measures (from the How well did we do it? and Is anyone better off? categories). Next Generation ContractingContract Provisions Provision 2. Specify that the contractor will use a continuous improvement process (the RBA 7 Questions). Provision 3. Specify how the funder and contractor will work in partnership to maximize LR customer results (quarterly meetings using the 7 questions as the agenda). Provision 4. Specify that the funder will work with the funding community to simplify and standardize contracting and performance reporting.

37. Next Generation ContractingContract Provisions Provision 5: : Clear articulation of role in population/community well-being using the language of contribution not attribution. Provision 6: 10% for quality management and administration.Provision 7: Multi-year funding using 3 year rolling contracts Provision 8: Use of targets that are fair and useful. Provision 9: Fund flexibility and virtual funding pool: transfer of up to 10% across line items and program lines. Provision 10: Request for Results: Getting past the sometimes negative effects of competitive RFP contracting or tendering.